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Cost of health care-associated infections in the United States. | PSNet

psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states

November 02, 2022 - Study Cost of health care-associated infections in the United States. Citation Text: Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845. Copy Citation Format: …

Work system barriers and facilitators of a team health information technology. | PSNet

psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-team-health-information-technology

March 11, 2020 - Study Work system barriers and facilitators of a team health information technology. Citation Text: Hose B-Z, Carayon P, Hoonakker PLT, et al. Work system barriers and facilitators of a team health information technology. Appl Ergon. 2023;113:104105. doi:10.1016/j.apergo.2023.104105. C…

Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. | PSNet

psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology

August 25, 2021 - Study Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. Citation Text: Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…

Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. | PSNet

psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human

November 02, 2018 - Study Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. Citation Text: Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…

Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet

psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance

November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…

Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. | PSNet

psnet.ahrq.gov/issue/identifying-barriers-effective-use-clinical-reminders-bootstrapping-multiple-methods

March 11, 2011 - Study Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. Citation Text: Patterson ES, Doebbeling BN, Fung CH, et al. Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods. J Biomed Inform. 2005;38(3):…

Detection of adverse events in surgical patients using the Trigger Tool approach. | PSNet

psnet.ahrq.gov/issue/detection-adverse-events-surgical-patients-using-trigger-tool-approach

February 15, 2011 - Study Detection of adverse events in surgical patients using the Trigger Tool approach. Citation Text: Griffin FA, Classen DC. Detection of adverse events in surgical patients using the Trigger Tool approach. Qual Saf Health Care. 2008;17(4):253-258. doi:10.1136/qshc.2007.025080. Cop…

Quality improvement for patient safety: project-level versus program-level learning. | PSNet

psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning

April 01, 2010 - Study Quality improvement for patient safety: project-level versus program-level learning. Citation Text: Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…

Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/team-dynamics-clinical-work-satisfaction-and-patient-care-coordination-between-primary-care

May 18, 2022 - Study Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. Citation Text: Song H, Ryan M, Tendulkar S, et al. Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers…

Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-cluster

July 13, 2010 - Study Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. Citation Text: Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-…

Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. | PSNet

psnet.ahrq.gov/issue/using-participatory-design-engage-physicians-development-provider-level-performance-dashboard

October 28, 2020 - Study Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system. Citation Text: Patel S, Pierce L, Jones M, et al. Using participatory design to engage physicians in the development of a provider-level performance da…

Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/frequency-diagnostic-errors-neonatal-intensive-care-unit-retrospective-cohort-study

April 13, 2022 - Study Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. Citation Text: Shafer GJ, Singh H, Thomas EJ, et al. Frequency of diagnostic errors in the neonatal intensive care unit: a retrospective cohort study. J Perinatol. 2022;42(10):1312-131…

Remote patient monitoring during COVID-19: an unexpected patient safety benefit. | PSNet

psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit

July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…

Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. | PSNet

psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic

September 18, 2019 - Study Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. Citation Text: Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet

psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry

May 29, 2019 - Study Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. Citation Text: Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…

Accurate measurement in California's safety-net health systems has gaps and barriers. | PSNet

psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers

April 04, 2018 - Study Accurate measurement in California's safety-net health systems has gaps and barriers. Citation Text: Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:…

Performance of a trigger tool for identifying adverse events in oncology. | PSNet

psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology

May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…

Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems

August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

Double checking the administration of medicines: what is the evidence? A systematic review. | PSNet

psnet.ahrq.gov/issue/double-checking-administration-medicines-what-evidence-systematic-review

June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…

Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. | PSNet

psnet.ahrq.gov/issue/patient-perspectives-how-physicians-communicate-diagnostic-uncertainty-experimental-vignette

August 07, 2019 - Study Classic Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. Citation Text: Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental…

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