-
psnet.ahrq.gov/issue/science-safety-trustees-can-play-crucial-role-fostering-safety-culture-their-hospitals
January 24, 2018 - Newspaper/Magazine Article
Published January 24, 2018
The science of safety: trustees can play a crucial role in fostering a safety culture at their hospitals.
Fairbanks RJ; Krevat SA.
Topics
Approach to Improving Safety
Culture of Safety
Resource Type
Newspaper/Magazine Article
Setting of Care
Hospitals
Cli…
-
psnet.ahrq.gov/node/44768/psn-pdf
February 03, 2016 - Recommendations and low-technology safety solutions
following neuromuscular blocking agent incidents.
February 3, 2016
Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following
Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91.
https://psne…
-
psnet.ahrq.gov/issue/crew-resource-management-applications-healthcare-organizations
November 10, 2021 - March 2, 2022
Effective strategies to increase reporting of medication errors in hospitals … June 25, 2010
Nonpunitive medication error reporting: 3-year findings from one hospital's
-
psnet.ahrq.gov/periodic-issue/periodic-issue-446
May 29, 2024 - Medication errors are a leading cause of injury and avoidable harm in health care that generates substantial … approaches and digital healthcare interventions, such as clinical decision support tools, are reducing medication … errors, improving provider effectiveness, and enhancing patient safety in a variety of clinical care
-
psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - Strategies to prevent opioid errors are not substantially different from those used
for other types of medication … errors, with a few exceptions. … Computerized prescriber order entry (CPOE) is a promising technology for its
potential to reduce medication … errors.(11) CPOE might improve analgesic safety by preventing prescribers
from ordering drugs not on
-
psnet.ahrq.gov/issue/patient-safety-15
February 17, 2021 - August 7, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
-
psnet.ahrq.gov/issue/effects-multimodal-program-including-simulation-job-strain-among-nurses-working-intensive
November 29, 2023 - November 29, 2023
Effect of a mobile app on prehospital medication errors during simulated … December 1, 2011
Moral distress, compassion fatigue, and perceptions about medication … errors in certified critical care nurses.
-
psnet.ahrq.gov/node/37734/psn-pdf
April 30, 2008 - Improving the quality of written prescriptions in a general
hospital: the influence of 10 years of serial audits and
targeted interventions.
April 30, 2008
Gommans J, McIntosh P, Bee S, et al. Improving the quality of written prescriptions in a general hospital:
the influence of 10 years of serial audits and targe…
-
psnet.ahrq.gov/node/37151/psn-pdf
January 02, 2017 - The impact of abbreviations on patient safety.
January 2, 2017
Brunetti L, Santell JP, Hicks RW. The impact of abbreviations on patient safety. Jt Comm J Qual Patient
Saf. 2007;33(9):576-83.
https://psnet.ahrq.gov/issue/impact-abbreviations-patient-safety
Avoiding use of unclear or misleading abbreviations is a ke…
-
psnet.ahrq.gov/issue/assessing-safety-culture-guidelines-and-recommendations
August 04, 2021 - June 4, 2008
Medication errors associated with code situations in U.S. hospitals: direct
-
psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
May 17, 2023 - Study
Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care.
Citation Text:
Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …
-
psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
November 24, 2021 - Study
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.
Citation Text:
Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety org…
-
psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries
August 12, 2020 - Study
Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex.
Citation Text:
Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…
-
psnet.ahrq.gov/issue/smartphone-use-during-inpatient-attending-rounds-prevalence-patterns-and-potential
June 24, 2010 - Study
Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.
Citation Text:
Katz-Sidlow RJ, Ludwig A, Miller S, et al. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. J Hosp Med. 2012;7(8…
-
psnet.ahrq.gov/issue/what-hinders-uptake-computerized-decision-support-systems-hospitals-qualitative-study-and
February 07, 2024 - Study
What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.
Citation Text:
Liberati EG, Ruggiero F, Galuppo L, et al. What hinders the uptake of computerized decision support systems in hospitals? A qualitativ…
-
psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
February 03, 2021 - Review
National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.
Citation Text:
Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…
-
psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
December 18, 2013 - Review
Classic
How safe is primary care? A systematic review.
Citation Text:
Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
May 05, 2021 - Study
Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.
Citation Text:
Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident …
-
psnet.ahrq.gov/issue/using-multidisciplinary-rounds-improve-patient-safety-through-venous-thromboembolism
April 20, 2016 - May 4, 2010
Antecedents of severe and nonsevere medication errors.
-
psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
August 10, 2022 - October 8, 2014
Medication errors in hospitalised children.