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Using incident reports to assess communication failures and patient outcomes. | PSNet

psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes

February 06, 2019 - Study Using incident reports to assess communication failures and patient outcomes. Citation Text: Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2…

Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. | PSNet

psnet.ahrq.gov/issue/design-and-reliability-specific-instrument-evaluate-patient-safety-patients-acute-myocardial

October 18, 2023 - Study Design and reliability of a specific instrument to evaluate patient safety for patients with acute myocardial infarction treated in a predefined care track: a retrospective patient record review study in a single tertiary hospital in the Netherlands. Citation Text: Eindhoven DC, Bo…

Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. | PSNet

psnet.ahrq.gov/issue/allergy-safety-events-healthcare-development-and-application-classification-schema-based

December 09, 2020 - Study Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. Citation Text: Phadke NA, Wickner PG, Wang L, et al. Allergy safety events in healthcare: development and application of a classification schema based on retro…

When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. | PSNet

psnet.ahrq.gov/issue/when-order-sets-do-not-align-clinician-workflow-assessing-practice-patterns-electronic-health

March 24, 2019 - Study When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. Citation Text: Li RC, Wang JK, Sharp C, et al. When order sets do not align with clinician workflow: assessing practice patterns in the electronic health record. BMJ Q…

I-PASS handoff program: use of a campaign to effect transformational change. | PSNet

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April 24, 2018 - Study I-PASS handoff program: use of a campaign to effect transformational change. Citation Text: Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. Co…

Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. | PSNet

psnet.ahrq.gov/issue/effect-patient-and-family-centered-i-pass-adverse-event-rates-hospitalized-children-complex

November 16, 2022 - Study Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. Citation Text: Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I‐PASS on adverse event rates in hospitalized children with complex c…

Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. | PSNet

psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment

June 25, 2014 - Study Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. Citation Text: Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…

Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. | PSNet

psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following

November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…

Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. | PSNet

psnet.ahrq.gov/issue/implicit-bias-patient-descriptor-homeless-and-its-association-emergency-department-opioid

December 15, 2021 - Study Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. Citation Text: Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its association with emergency depar…

Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. | PSNet

psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals

October 20, 2021 - Study Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. Citation Text: Randall KH, Slovensky D, Weech-Maldonado R, et al. Self-reported adherence to high reliability practices among participan…

Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. | PSNet

psnet.ahrq.gov/issue/promoting-patient-and-nurse-safety-testing-behavioural-health-intervention-learning

May 04, 2022 - Study Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. Citation Text: Hasselblad M, Morrison J, Kleinpell R, et al. Promoting patient and nurse safety: testing a be…

Older patients' engagement in hospital medication safety behaviours. | PSNet

psnet.ahrq.gov/issue/older-patients-engagement-hospital-medication-safety-behaviours

November 17, 2021 - Study Older patients' engagement in hospital medication safety behaviours. Citation Text: Tobiano G, Chaboyer W, Dornan G, et al. Older patients’ engagement in hospital medication safety behaviours. Aging Clin Exp Res. 2021;33(12):3353-3361. doi:10.1007/s40520-021-01866-3. Copy Citatio…

Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. | PSNet

psnet.ahrq.gov/issue/adverse-events-italian-nursing-homes-during-covid-19-epidemic-national-survey

December 16, 2020 - Study Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Citation Text: Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465. Copy Citation…

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. | PSNet

psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user

February 16, 2022 - Study How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience. Citation Text: Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user…

Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. | PSNet

psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through

August 21, 2019 - Study Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. Citation Text: Riblet NB, Soncrant C, Mills PD, et al. Analysis of reported suicide safety events among veterans who received treatment…

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. | PSNet

psnet.ahrq.gov/issue/medication-dosing-safety-pediatric-patients-recognizing-gaps-safety-threats-and-best

March 01, 2023 - Organizational Policy/Guidelines Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. Citation Text: Cicero MX, Adelgais K, Hoyle JD, et al.…

Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. | PSNet

psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve

November 16, 2022 - Study Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. Citation Text: Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Canc…

Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. | PSNet

psnet.ahrq.gov/issue/success-resident-led-safety-council-model-satisfying-cler-pathways-excellence-patient-safety

August 01, 2018 - Study Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goals. Citation Text: Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying CLER Pathways to Excellence patient safety goal…

A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. | PSNet

psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety

January 11, 2017 - Study A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers. Citation Text: Percarpio KB, Watts V. A cross-sectional study on the relationship between utilization of root cause ana…

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. | PSNet

psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating

October 23, 2019 - Study Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. Citation Text: Loke DE, Green KA, Wessling EG, et al. Clinicians' insights on emergency department boarding: an explanatory mixed methods stud…

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