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Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions. | PSNet

psnet.ahrq.gov/issue/exploring-relationship-between-hospital-patient-safety-culture-and-performance-measures

August 28, 2024 - Commentary Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired conditions. Citation Text: Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measu…

Communication failures contributing to patient injury in anaesthesia malpractice claims. | PSNet

psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims

August 04, 2021 - Study Communication failures contributing to patient injury in anaesthesia malpractice claims. Citation Text: Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…

Engaging patients as vigilant partners in safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review

February 06, 2019 - Review Classic Engaging patients as vigilant partners in safety: a systematic review. Citation Text: Schwappach DLB. Engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010;67(2):119-148. doi:10.1177/1077558709342254. Co…

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. | PSNet

psnet.ahrq.gov/issue/enabling-learning-healthcare-system-automated-computer-protocols-produce-replicable-and

September 23, 2020 - Commentary Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. Citation Text: Morris AH, Stagg B, Lanspa M, et al. Enabling a learning healthcare system with automated computer protocols that produce replicab…

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. | PSNet

psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine

November 09, 2022 - Study Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. Citation Text: Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescr…

Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet

psnet.ahrq.gov/issue/human-ai-teaming-critical-care-comparative-analysis-data-scientists-and-clinicians

July 10, 2013 - Study Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. Citation Text: Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians'…

Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members

February 15, 2011 - Study Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. Citation Text: Smucker DR, Regan S, Elder NC, et al. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. J Palliat Med. 20…

The evolving literature on safety WalkRounds: emerging themes and practical messages. | PSNet

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February 25, 2015 - Commentary The evolving literature on safety WalkRounds: emerging themes and practical messages. Citation Text: Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416. …

Does the perception of severity of medical error differ between varying levels of clinical seniority? | PSNet

psnet.ahrq.gov/issue/does-perception-severity-medical-error-differ-between-varying-levels-clinical-seniority

August 31, 2022 - Study Does the perception of severity of medical error differ between varying levels of clinical seniority? Citation Text: Khan I, Arsanious M. Does the perception of severity of medical error differ between varying levels of clinical seniority? Adv Med Educ Pract. 2018;9:443-452. doi:10…

Blood and blood products transfusion errors: what can we do to improve patient safety. | PSNet

psnet.ahrq.gov/issue/blood-and-blood-products-transfusion-errors-what-can-we-do-improve-patient-safety

September 23, 2020 - Review Blood and blood products transfusion errors: what can we do to improve patient safety. Citation Text: Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326. Copy Cit…

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. | PSNet

psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call

October 28, 2020 - Review Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Citation Text: Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. | PSNet

psnet.ahrq.gov/issue/champ-model-building-center-support-health-care-worker-well-being-after-experiencing-adverse

January 18, 2023 - Commentary CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. Citation Text: McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care worker well-being after experiencing an adve…

Temporal clustering of critical illness events on medical wards. | PSNet

psnet.ahrq.gov/issue/temporal-clustering-critical-illness-events-medical-wards

January 31, 2024 - Study Temporal clustering of critical illness events on medical wards. Citation Text: Doshi S, Shin S, Lapointe-Shaw L, et al. Temporal clustering of critical illness events on medical wards. JAMA Intern Med. 2023;183(9):924-932. doi:10.1001/jamainternmed.2023.2629. Copy Citation F…

Safety of surgical telehealth in the outpatient and inpatient setting. | PSNet

psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting

September 13, 2023 - Review Safety of surgical telehealth in the outpatient and inpatient setting. Citation Text: Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003. Copy Citation Format: …

Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/severe-staffing-and-personal-protective-equipment-shortages-faced-nursing-homes-during-covid

July 06, 2022 - Study Emerging Classic Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. Citation Text: McGarry BE, Grabowski DC, Barnett ML. Severe staffing and personal protective equipment shortages faced by nurs…

Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet

psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution

June 27, 2011 - Study Classic Perceptions of safety culture vary across the intensive care units of a single institution. Citation Text: Huang DT, Clermont G, Sexton B, et al. Perceptions of safety culture vary across the intensive care units of a single institution. Crit Car…

Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims | PSNet

psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences

February 10, 2021 - Study Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of second victims Citation Text: Buhlmann M, Ewens B, Rashidi A. Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences of …

Communication disparities between nursing home team members. | PSNet

psnet.ahrq.gov/issue/communication-disparities-between-nursing-home-team-members

May 25, 2022 - Study Communication disparities between nursing home team members. Citation Text: Farrell TW, Butler JM, Towsley GL, et al. Communication disparities between nursing home team members. Int J Environ Res Public Health. 2022;19(10):5975. doi:10.3390/ijerph19105975. Copy Citation Form…

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. | PSNet

psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance

May 31, 2011 - Review Classic Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Citation Text: Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…

Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems

March 14, 2022 - Review Emerging Classic Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Text: Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…

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