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The hidden cost of regulation: the administrative cost of reporting serious reportable events. | PSNet

psnet.ahrq.gov/issue/hidden-cost-regulation-administrative-cost-reporting-serious-reportable-events

December 02, 2020 - Study The hidden cost of regulation: the administrative cost of reporting serious reportable events. Citation Text: Blanchfield BB, Acharya B, Mort E. The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. Jt Comm J Qual Patient Saf. 2018;44(4):212…

Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. | PSNet

psnet.ahrq.gov/issue/workplace-verbal-abuse-nurse-reported-quality-care-and-patient-safety-outcomes-among-early

July 10, 2019 - Study Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. Citation Text: Cho H, Pavek K, Steege LM. Workplace verbal abuse, nurse‐reported quality of care and patient safety outcomes among early‐career hospital nurses. …

Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. | PSNet

psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients

September 20, 2011 - Study Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. Citation Text: de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/…

Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. | PSNet

psnet.ahrq.gov/issue/patient-and-public-co-creation-healthcare-safety-and-healthcare-system-resilience-case-covid

February 16, 2022 - Study Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19. Citation Text: Albutt AK, Ramsey L, Fylan B, et al. Patient and public co‐creation of healthcare safety and healthcare system resilience: the case of COVID‐19. Health Expect.…

Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). | PSNet

psnet.ahrq.gov/issue/laboratory-medicine-handoff-gaps-experienced-primary-care-practices-report-shared-networks

September 01, 2012 - Study Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP). Citation Text: West DR, James KA, Fernald DH, et al. Laboratory medicine handoff gaps experienced by primary care p…

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. | PSNet

psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract

July 22, 2020 - Study Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. Citation Text: Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…

Effect of illness severity and comorbidity on patient safety and adverse events. | PSNet

psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events

December 01, 2011 - Study Effect of illness severity and comorbidity on patient safety and adverse events. Citation Text: Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…

The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet

psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration

December 11, 2024 - Study The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. Citation Text: Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…

Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory

August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center Citation Text: Businger AC, Fuller TE, Schnipper JL, et al. Lessons learned implementing a complex and innovative patient safety learning laboratory p…

Improving general practice computer systems for patient safety: qualitative study of key stakeholders. | PSNet

psnet.ahrq.gov/issue/improving-general-practice-computer-systems-patient-safety-qualitative-study-key-stakeholders

October 16, 2012 - Study Improving general practice computer systems for patient safety: qualitative study of key stakeholders. Citation Text: Avery A, Savelyich BSP, Sheikh A, et al. Improving general practice computer systems for patient safety: qualitative study of key stakeholders. Qual Saf Health Ca…

Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. | PSNet

psnet.ahrq.gov/issue/characteristics-disease-specific-and-generic-diagnostic-pitfalls-qualitative-study

December 02, 2020 - Study Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. Citation Text: Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.10…

International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. | PSNet

psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert

February 14, 2018 - Study International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. Citation Text: Howell A-M, Burns EM, Hull L, et al. International recommendations for national patient safety incident reporting systems: an expert Del…

Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. | PSNet

psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care

February 28, 2024 - Study Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Citation Text: Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a…

Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. | PSNet

psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest

April 12, 2023 - Study Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. Citation Text: McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…

Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. | PSNet

psnet.ahrq.gov/issue/use-recalled-devices-new-device-authorizations-under-us-food-and-drug-administrations-510k

April 13, 2022 - Study Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. Citation Text: Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) …

Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. | PSNet

psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units

September 29, 2021 - Review Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. Citation Text: Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…

Determining medication errors in an adult intensive care unit. | PSNet

psnet.ahrq.gov/issue/determining-medication-errors-adult-intensive-care-unit

February 15, 2017 - Study Determining medication errors in an adult intensive care unit. Citation Text: Castro R da NS de, Aguiar LB de, Volpe CRG, et al. Determining medication errors in an adult intensive care unit. Int J Environ Res Public Health. 2023;20(18):6788. doi:10.3390/ijerph20186788. Copy Cita…

Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet

psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors

June 27, 2018 - Study Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. Citation Text: Webb LE, Dmochowski RR, Moore IN, et al. Using Coworker Observations to Promote Accountability for Disrespectful and Unsafe…

User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. | PSNet

psnet.ahrq.gov/issue/user-testing-guidelines-improve-safety-intravenous-medicines-administration-randomised-situ

November 16, 2022 - Study User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. Citation Text: Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised i…

Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. | PSNet

psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record

May 20, 2019 - Study Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. Citation Text: Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…

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