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Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet

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September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…

COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. | PSNet

psnet.ahrq.gov/issue/covid-19-has-united-patients-and-providers-against-institutional-betrayal-health-care-battle

June 29, 2009 - Commentary COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. Citation Text: Klest B, Smith CP, May C, et al. COVID-19 has united patients and providers against institutional betrayal in health care: a …

Risk factors for patient-reported medical errors in eleven countries. | PSNet

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December 04, 2024 - Study Risk factors for patient-reported medical errors in eleven countries. Citation Text: Schwappach DLB. Risk factors for patient-reported medical errors in eleven countries. Health Expect. 2014;17(3):321-31. doi:10.1111/j.1369-7625.2011.00755.x. Copy Citation Format: DOI…

Work system barriers and facilitators of a team health information technology. | PSNet

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March 11, 2020 - Study Work system barriers and facilitators of a team health information technology. Citation Text: Hose B-Z, Carayon P, Hoonakker PLT, et al. Work system barriers and facilitators of a team health information technology. Appl Ergon. 2023;113:104105. doi:10.1016/j.apergo.2023.104105. C…

Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. | PSNet

psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface

April 29, 2018 - Commentary Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. Citation Text: Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncras…

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. | PSNet

psnet.ahrq.gov/issue/older-patients-understanding-emergency-department-discharge-information-and-its-relationship

October 10, 2012 - Study Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes. Citation Text: Hastings SN, Barrett A, Weinberger M, et al. Older Patients' Understanding of Emergency Department Discharge Information and Its Relationship Wit…

COVID-19 pandemic: a time for collaboration and a unified global health front. | PSNet

psnet.ahrq.gov/issue/covid-19-pandemic-time-collaboration-and-unified-global-health-front

December 09, 2020 - Commentary COVID-19 pandemic: a time for collaboration and a unified global health front. Citation Text: Vervoort D, Ma X, Luc JGY. COVID-19 pandemic: a time for collaboration and a unified global health front. Int J Qual Health Care. 2021;33(1):mzaa065. doi:10.1093/intqhc/mzaa065. Cop…

Medication errors in overweight and obese pediatric patients: a systematic review. | PSNet

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December 09, 2020 - Review Medication errors in overweight and obese pediatric patients: a systematic review. Citation Text: Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j…

Using snowball sampling method with nurses to understand medication administration errors. | PSNet

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August 02, 2011 - Study Using snowball sampling method with nurses to understand medication administration errors. Citation Text: Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1…

An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting. | PSNet

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November 07, 2018 - Study An interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting. Citation Text: Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and potential solutions for the safe use …

Outpatient adverse drug events identified by screening electronic health records. | PSNet

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June 08, 2016 - Study Outpatient adverse drug events identified by screening electronic health records. Citation Text: Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06…

A trigger tool to identify adverse events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit

April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit. Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…

The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. | PSNet

psnet.ahrq.gov/issue/safe-patient-flow-initiative-collaborative-quality-improvement-journey-yale-new-haven

June 07, 2023 - Study The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Citation Text: Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Q…

Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. | PSNet

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August 18, 2021 - Study Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study. Citation Text: Mullan J, Burns P, Mohanan L, et al. Hospitalisation for medication misadventures among older adults with and without dementia: A 5-year retrospec…

Does health care role and experience influence perception of safety culture related to preventing infections? | PSNet

psnet.ahrq.gov/issue/does-health-care-role-and-experience-influence-perception-safety-culture-related-preventing

July 19, 2023 - Study Does health care role and experience influence perception of safety culture related to preventing infections? Citation Text: Braun BI, Harris AD, Richards CL, et al. Does health care role and experience influence perception of safety culture related to preventing infections? Am J …

How different countries respond to adverse events whilst patients' rights are protected. | PSNet

psnet.ahrq.gov/issue/how-different-countries-respond-adverse-events-whilst-patients-rights-are-protected

December 11, 2024 - Study How different countries respond to adverse events whilst patients' rights are protected. Citation Text: Gil-Hernández E, Carrillo I, Tumelty M-E, et al. How different countries respond to adverse events whilst patients’ rights are protected. Med Sci Law. 2024;64(2):96-112. doi:10.1…

Remote patient monitoring during COVID-19: an unexpected patient safety benefit. | PSNet

psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit

July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…

Improving shared situation awareness for high-risk therapies in hospitalized children. | PSNet

psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children

October 20, 2021 - Study Improving shared situation awareness for high-risk therapies in hospitalized children. Citation Text: Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.202…

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. | PSNet

psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety

August 20, 2018 - Study Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Citation Text: Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…

Accurate measurement in California's safety-net health systems has gaps and barriers. | PSNet

psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers

April 04, 2018 - Study Accurate measurement in California's safety-net health systems has gaps and barriers. Citation Text: Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:…

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