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Inequities in quality and safety outcomes for hospitalized children with intellectual disability. | PSNet

psnet.ahrq.gov/issue/inequities-quality-and-safety-outcomes-hospitalized-children-intellectual-disability

June 15, 2022 - Study Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Citation Text: Mimmo L, Harrison R, Travaglia J, et al. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Dev Med Child Neurol. 2022;64(…

Health literacy and systemic racism—using clear communication to reduce health care inequities. | PSNet

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July 19, 2023 - Commentary Health literacy and systemic racism—using clear communication to reduce health care inequities. Citation Text: Coleman C, Birk S, DeVoe J. Health literacy and systemic racism—using clear communication to reduce health care inequities. JAMA Intern Med. 2023;183(8):753-754. doi:…

Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-cost-transitional-care-program-heart-failure-prospective-study-concurrent

April 24, 2019 - Study Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Citation Text: Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with conc…

PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. | PSNet

psnet.ahrq.gov/issue/presafe-model-barriers-and-facilitators-patients-providing-feedback-experiences-safety

January 08, 2020 - Study PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Citation Text: De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(…

The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

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November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

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December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. | PSNet

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October 23, 2018 - Review American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. Citation Text: Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical Site Infection Guidelines, 2016 Update. J Am Coll …

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet

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April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…

Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. | PSNet

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June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…

Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

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March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

Good people who try their best can have problems: recognition of human factors and how to minimise error. | PSNet

psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors-and-how-minimise

October 29, 2017 - Review Good people who try their best can have problems: recognition of human factors and how to minimise error. Citation Text: Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition of human factors and how to minimise error. Br J Oral Ma…

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. | PSNet

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May 08, 2017 - Review Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. Citation Text: Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using computerized order entry in pediatrics: a systemat…

Measuring patient safety climate: a review of surveys. | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys

June 14, 2011 - Review Classic Measuring patient safety climate: a review of surveys. Citation Text: Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. Copy Citation Format: Goog…

Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. | PSNet

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August 05, 2020 - Study Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. Citation Text: Gillespie A, Reader TW. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. Ris…

An examination of opportunities for the active patient in improving patient safety. | PSNet

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October 04, 2011 - Review An examination of opportunities for the active patient in improving patient safety. Citation Text: Davis R, Sevdalis N, Jacklin R, et al. An examination of opportunities for the active patient in improving patient safety. J Patient Saf. 2012;8(1):36-43. doi:10.1097/PTS.0b013e318…

Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. | PSNet

psnet.ahrq.gov/issue/implementation-science-ambulatory-care-safety-novel-method-develop-context-sensitive

April 17, 2019 - Study Implementation science for ambulatory care safety: a novel method to develop context-sensitive interventions to reduce quality gaps in monitoring high-risk patients. Citation Text: McDonald KM, Su G, Lisker S, et al. Implementation science for ambulatory care safety: a novel method…

Time of day effects on the incidence of anesthetic adverse events. | PSNet

psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events

January 03, 2017 - Study Time of day effects on the incidence of anesthetic adverse events. Citation Text: Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63. Copy Citation Format: Google Sch…

Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. | PSNet

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March 15, 2023 - Study Swimming against the tide: primary care physicians' views on deprescribing in everyday practice. Citation Text: Wallis KA, Andrews A, Henderson M. Swimming Against the Tide: Primary Care Physicians’ Views on Deprescribing in Everyday Practice. Ann Fam Med. 2017;15(4):341-346. doi:1…

The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. | PSNet

psnet.ahrq.gov/issue/relationship-between-inpatient-cardiac-surgery-mortality-and-nurse-numbers-and-educational

September 29, 2017 - Study The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data. Citation Text: Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality and nurse numbers and edu…

Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. | PSNet

psnet.ahrq.gov/issue/medication-safety-events-after-acute-myocardial-infarction-among-veterans-treated-va-versus

April 07, 2022 - Study Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. Citation Text: Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals.…

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