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Showing results for "institutions".

  1. How to be a very safe maternity unit: an ethnographic study. | PSNet

    psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnographic-study
    October 21, 2020 - Study Emerging Classic How to be a very safe maternity unit: an ethnographic study. Citation Text: Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01…

  2. A review of medication errors and the second victim in pediatric pharmacy. | PSNet

    psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy
    January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

  3. Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medication-administration-associated-adverse-postoperative-outcomes
    October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

  4. Association between operative autonomy of surgical residents and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes
    September 09, 2020 - Study Association between operative autonomy of surgical residents and patient outcomes. Citation Text: Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.64…

  5. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
    August 25, 2021 - Study A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Citation Text: Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…

  6. Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. | PSNet

    psnet.ahrq.gov/issue/safety-competency-exploring-impact-environmental-and-personal-factors-nurses-ability-deliver
    September 14, 2022 - Study Safety competency: exploring the impact of environmental and personal factors on the nurse's ability to deliver safe care. Citation Text: Dillon-Bleich K, Dolansky MA, Burant CJ, et al. Safety competency: exploring the impact of environmental and personal factors on the nurse's abi…

  7. Computerized order entry with limited decision support to prevent prescription errors in a PICU. | PSNet

    psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu
    January 31, 2018 - Study Computerized order entry with limited decision support to prevent prescription errors in a PICU. Citation Text: Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-94…

  8. Accuracy of a proprietary large language model in labeling obstetric incident reports. | PSNet

    psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
    September 23, 2020 - Study Accuracy of a proprietary large language model in labeling obstetric incident reports. Citation Text: Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.10…

  9. A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
    August 24, 2022 - Study A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. Citation Text: Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the report…

  10. The incidence and nature of in-hospital adverse events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review
    March 24, 2011 - Review The incidence and nature of in-hospital adverse events: a systematic review. Citation Text: de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.20…

  11. Mortality trends after a voluntary checklist-based surgical safety collaborative. | PSNet

    psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
    September 24, 2017 - Study Classic Mortality trends after a voluntary checklist-based surgical safety collaborative. Citation Text: Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…

  12. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. | PSNet

    psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
    July 19, 2019 - Study Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. Citation Text: Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…

  13. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. | PSNet

    psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
    February 02, 2011 - Study Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. Citation Text: Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487. Copy Cita…

  14. Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.   | PSNet

    psnet.ahrq.gov/issue/cost-and-workforce-implications-subjecting-all-physicians-aviation-industry-work-hour
    January 02, 2017 - Study Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.   Citation Text: Payette M, Chatterjee A, Weeks WB. Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions. Am J Surg. 2009;…

  15. Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. | PSNet

    psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
    February 25, 2015 - Study Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…

  16. Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. | PSNet

    psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
    March 28, 2011 - Study Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. Citation Text: Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…

  17. Medication safety event reporting: factors that contribute to safety events during times of organizational stress. | PSNet

    psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during-times
    June 21, 2023 - Study Medication safety event reporting: factors that contribute to safety events during times of organizational stress. Citation Text: Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stre…

  18. Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. | PSNet

    psnet.ahrq.gov/issue/interactive-questioning-critical-care-during-handovers-transcript-analysis-communication
    August 11, 2021 - Study Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. Citation Text: Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a tra…

  19. Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. | PSNet

    psnet.ahrq.gov/issue/associations-between-new-disruptive-behaviors-scale-and-teamwork-patient-safety-work-life
    June 02, 2021 - Study Emerging Classic Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. Citation Text: Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and …

  20. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet

    psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - Study Rates and types of events reported to established incident reporting systems in two US hospitals. Citation Text: Nuckols TK, Bell D, Liu H, et al. Rates and types of events reported to established incident reporting systems in two US hospitals. Qual Saf Health Care. 2007;16(3):16…
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