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Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. | PSNet

psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-barcode-medication-administration-nursing-staff-using

August 28, 2024 - Study Understanding the facilitators and barriers to barcode medication administration by nursing staff using behavioural science frameworks. A mixed methods study. Citation Text: Grailey K, Hussain R, Wylleman E, et al. Understanding the facilitators and barriers to barcode medication a…

Identifying trigger concepts to screen emergency department visits for diagnostic errors. | PSNet

psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors

March 12, 2025 - Study Identifying trigger concepts to screen emergency department visits for diagnostic errors. Citation Text: Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…

Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. | PSNet

psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder

February 20, 2019 - Study Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. Citation Text: Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder con…

Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. | PSNet

psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency

October 19, 2022 - Study Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. Citation Text: Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. | PSNet

psnet.ahrq.gov/issue/collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient

March 18, 2020 - Study The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Citation Text: De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.…

Communication practices on 4 Harvard surgical services: a surgical safety collaborative. | PSNet

psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative

September 29, 2017 - Study Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Citation Text: Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.…

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. | PSNet

psnet.ahrq.gov/issue/association-implementation-and-social-network-factors-patient-safety-culture-medical-homes

September 28, 2022 - Study Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. Citation Text: Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient safety culture in medical homes: a co…

Potential biases in machine learning algorithms using electronic health record data. | PSNet

psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data

June 12, 2019 - Commentary Classic Potential biases in machine learning algorithms using electronic health record data. Citation Text: Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. | PSNet

psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial

September 15, 2011 - Study Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. Citation Text: Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. Copy…

A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. | PSNet

psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial

December 22, 2018 - Study A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. Citation Text: Cox E, Jacobsohn GC, Rajamanickam VP, et al. A Family-Centered Rounds Checklist, Family Engagement, and Patient Safety: A Randomized Trial. Pediatrics. 2017;139(5). doi:10.…

Caring for our own: deploying a systemwide second victim rapid response team. | PSNet

psnet.ahrq.gov/issue/caring-our-own-deploying-systemwide-second-victim-rapid-response-team

September 19, 2016 - Study Classic Caring for our own: deploying a systemwide second victim rapid response team. Citation Text: Scott SD, Hirschinger LE, Cox KR, et al. Caring for our own: deploying a systemwide second victim rapid response team. Jt Comm J Qual Saf. 2010;36(5):233-2…

Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. | PSNet

psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims

October 26, 2010 - Study Classic Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Citation Text: Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…

Supporting involved health care professionals (second victims) following an adverse health event: a literature review. | PSNet

psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event

April 10, 2019 - Review Supporting involved health care professionals (second victims) following an adverse health event: a literature review. Citation Text: Seys D, Scott SD, Wu AW, et al. Supporting involved health care professionals (second victims) following an adverse health event: a literature revi…

Impact of introducing an electronic physiological surveillance system on hospital mortality. | PSNet

psnet.ahrq.gov/issue/impact-introducing-electronic-physiological-surveillance-system-hospital-mortality

December 19, 2018 - Study Impact of introducing an electronic physiological surveillance system on hospital mortality. Citation Text: Schmidt PE, Meredith P, Prytherch DR, et al. Impact of introducing an electronic physiological surveillance system on hospital mortality. BMJ Qual Saf. 2015;24(1):10-20. doi:…

Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. | PSNet

psnet.ahrq.gov/issue/implicit-bias-patient-descriptor-homeless-and-its-association-emergency-department-opioid

December 15, 2021 - Study Implicit bias in the patient descriptor "homeless" and its association with emergency department opioid administration and disposition. Citation Text: Lauricella M, Nene RV, Coyne CJ, et al. Implicit bias in the patient descriptor “homeless” and its association with emergency depar…

What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. | PSNet

psnet.ahrq.gov/issue/what-are-unintended-patient-safety-consequences-healthcare-technologies-qualitative-study

February 26, 2020 - Study What are the unintended patient safety consequences of healthcare technologies? A qualitative study among patients, carers and healthcare providers. Citation Text: Abdelaziz S, Garfield S, Neves AL, et al. What are the unintended patient safety consequences of healthcare technologi…

Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. | PSNet

psnet.ahrq.gov/issue/effect-emergency-department-process-improvement-package-suicide-prevention-ed-safe-2-cluster

March 09, 2022 - Study Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. Citation Text: Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…

Implementation of electronic triggers to identify diagnostic errors in emergency departments. | PSNet

psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments

September 25, 2024 - Study Implementation of electronic triggers to identify diagnostic errors in emergency departments. Citation Text: Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…

Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. | PSNet

psnet.ahrq.gov/issue/evaluating-prevalence-four-recommended-practices-suicide-prevention-following-hospital

June 07, 2023 - Study Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Citation Text: Chitavi SO, Patrianakos J, Williams SC, et al. Evaluating the prevalence of four recommended practices for suicide prevention following hospital discharge. Jt…

Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. | PSNet

psnet.ahrq.gov/issue/early-experience-peer-advocate-program-using-quality-improvement-optimize-behavioral-and

September 23, 2020 - Study Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. Citation Text: Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality improvement to optimize be…

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