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A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. | PSNet

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August 03, 2011 - Study A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. Citation Text: Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management after hospital disc…

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. | PSNet

psnet.ahrq.gov/issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary

June 07, 2023 - Study Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. Citation Text: Singh R, McLean-Plunckett EA, Kee R, et al. Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary …

Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet

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December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. | PSNet

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March 24, 2019 - Study Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. Citation Text: Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…

Six major steps to make investigations of suicide valuable for learning and prevention. | PSNet

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December 07, 2022 - Review Six major steps to make investigations of suicide valuable for learning and prevention. Citation Text: Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1…

Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. | PSNet

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June 08, 2016 - Study Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. Citation Text: Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern…

Repeat prescribing of medications: a system-centred risk management model for primary care organisations. | PSNet

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January 20, 2016 - Study Repeat prescribing of medications: a system-centred risk management model for primary care organisations. Citation Text: Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. …

Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. | PSNet

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March 04, 2019 - Study Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. Citation Text: Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Un…

What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England. | PSNet

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December 07, 2022 - Study What does 'safe care' mean in the context of community-based mental health services? A qualitative exploration of the perspectives of service users, carers, and healthcare providers in England. Citation Text: Averill P, Bowness B, Henderson C, et al. What does ‘safe care’ mean in t…

Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence | PSNet

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March 17, 2021 - Review Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence Citation Text: Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of t…

A call for the application of patient safety culture in medical humanitarian action: a literature review. | PSNet

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February 10, 2021 - Review A call for the application of patient safety culture in medical humanitarian action: a literature review. Citation Text: Biquet J-M, Schopper D, Sprumont D, et al. A call for the application of patient safety culture in medical humanitarian action: a literature review. J Patient S…

Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. | PSNet

psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning

July 08, 2015 - Study Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. Citation Text: Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…

Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study. | PSNet

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December 02, 2020 - Study Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study. Citation Text: Venesoja A, Tella S, Castrén M, et al. Finnish emergency medical services managers’ and medical direc…

Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/measuring-hospital-adverse-events-assessing-inter-rater-reliability-and-trigger-performance

May 07, 2014 - Study Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the Global Trigger Tool. Citation Text: Naessens JM, O'Byrne TJ, Johnson MG, et al. Measuring hospital adverse events: assessing inter-rater reliability and trigger performance of the …

Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. | PSNet

psnet.ahrq.gov/issue/nurses-achilles-heel-using-big-data-determine-workload-factors-impact-near-misses

July 28, 2021 - Study Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. Citation Text: Campbell AA, Harlan T, Campbell M, et al. Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. J Nurs Scholarsh. 2021;53(3):333-342. d…

Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/relationships-between-comprehensive-characteristics-nurse-work-schedules-and-adverse-patient

October 06, 2010 - Review Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. Citation Text: Bae S‐H. Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic …

Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. | PSNet

psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident

September 11, 2024 - Review Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. Citation Text: Scott J, Sykes K, Waring J, et al. Systematic review of types of safety incidents and the processes and systems used for safety incident re…

Medication errors involving patient-controlled analgesia. | PSNet

psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-analgesia

May 24, 2015 - Study Medication errors involving patient-controlled analgesia. Citation Text: Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. Copy Citation Format: DOI G…

Association of sleep and fatigue with decision regret among critical care nurses. | PSNet

psnet.ahrq.gov/issue/association-sleep-and-fatigue-decision-regret-among-critical-care-nurses

July 14, 2021 - Study Association of sleep and fatigue with decision regret among critical care nurses. Citation Text: Scott LD, Arslanian-Engoren C, Engoren MC. Association of sleep and fatigue with decision regret among critical care nurses. Am J Crit Care. 2014;23(1):13-23. doi:10.4037/ajcc2014191. …

Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

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July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

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