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Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. | PSNet

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January 22, 2016 - Study Influence of the Comprehensive Unit-based Safety Program in ICUs: evidence from the Keystone ICU project. Citation Text: Hsu Y-J, Marsteller JA. Influence of the Comprehensive Unit-based Safety Program in ICUs: Evidence From the Keystone ICU Project. Am J Med Qual. 2016;31(4):349-3…

Effects of nursing rounds on patients' call light use, satisfaction, and safety. | PSNet

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September 01, 2021 - Study Effects of nursing rounds on patients' call light use, satisfaction, and safety. Citation Text: Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. Copy Citation Format: Go…

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. | PSNet

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October 27, 2021 - Study Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. Citation Text: Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …

Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. | PSNet

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December 18, 2017 - Study Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. Citation Text: Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-revi…

Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet

psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

November 15, 2011 - Study Classic Learning from mistakes: factors that influence how students and residents learn from medical errors. Citation Text: Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…

Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. | PSNet

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February 06, 2019 - Study Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. Citation Text: Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process f…

High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? | PSNet

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May 18, 2022 - Study High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? Citation Text: Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65…

Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. | PSNet

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July 18, 2018 - Study Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. Citation Text: Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of Certifi…

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

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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…

Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. | PSNet

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January 02, 2017 - Study Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. Citation Text: Marsteller JA, Hsu Y-J, Chan KS, et al. Assessing content validity and user perspectives on the Team Check-up Tool: expert survey and user focus groups. B…

Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. | PSNet

psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical

September 29, 2018 - Study Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. Citation Text: Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulat…

Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet

psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide

June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital

June 22, 2022 - Study Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. Citation Text: Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. JAMA Netw Open. 2022;5(1)…

Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. | PSNet

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January 08, 2025 - Study Did the organization of primary care practices during the COVID-19 pandemic influence quality and safety? - an international survey. Citation Text: Eriksson M, Blomberg K, Arvidsson E, et al. Did the organization of primary care practices during the COVID-19 pandemic influence qual…

Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. | PSNet

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August 20, 2014 - Study Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospital. Citation Text: Bonafide CP, Lin R, Zander M, et al. Association between exposure to nonactionable physiologic monitor alarms and response time in a children's hospit…

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. | PSNet

psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept

February 16, 2022 - Study Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. Citation Text: Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…

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 statistical text classification to identify health information technology incidents. | PSNet

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February 14, 2024 - Study Using statistical text classification to identify health information technology incidents. Citation Text: Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…

Association of opioid consumption profiles after hospitalization with risk of adverse health care events. | PSNet

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May 05, 2021 - Study Association of opioid consumption profiles after hospitalization with risk of adverse health care events. Citation Text: Kurteva S, Abrahamowicz M, Gomes T, et al. Association of opioid consumption profiles after hospitalization with risk of adverse health care events. JAMA Netw Op…

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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