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A perinatal care quality and safety initiative: are there financial rewards for improved quality? | PSNet

psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality

April 27, 2019 - Study A perinatal care quality and safety initiative: are there financial rewards for improved quality? Citation Text: Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient …

Exploring relationships between patient safety culture and patients' assessments of hospital care. | PSNet

psnet.ahrq.gov/issue/exploring-relationships-between-patient-safety-culture-and-patients-assessments-hospital-care

December 15, 2010 - Study Exploring relationships between patient safety culture and patients' assessments of hospital care. Citation Text: Sorra J, Khanna K, Dyer N, et al. Exploring relationships between patient safety culture and patients' assessments of hospital care. J Patient Saf. 2012;8(3):131-9. d…

Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. | PSNet

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November 20, 2024 - Study Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. Citation Text: White VanGompel E, Carlock F, Singh L, et al. Attitudes of clinicians and patient safety culture before and after the ARRIVE trial. J Obstet Gynecol Neonatal Nurs. 2023;52(3):211-22…

Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. | PSNet

psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient

April 19, 2017 - Study Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. Citation Text: Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality…

Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. | PSNet

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June 04, 2014 - Study Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. Citation Text: Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. A…

Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet

psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy

September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-and-adverse-events-opioid-naive-patients-treated-emergency-physicians

July 18, 2018 - Study Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. Citation Text: Borgundvaag B, McLeod S, Khuu W, et al. Opioid prescribing and adverse events in opioid-naive patients treated by…

A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. | PSNet

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October 16, 2013 - Study A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. Citation Text: de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-r…

TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? | PSNet

psnet.ahrq.gov/issue/triad-vii-do-prehospital-providers-understand-physician-orders-life-sustaining-treatment

September 15, 2021 - Study TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? Citation Text: Mirarchi FL, Cammarata C, Zerkle SW, et al. TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? J Patient Saf…

The long road to patient safety: a status report on patient safety systems. | PSNet

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October 04, 2011 - Study Classic The long road to patient safety: a status report on patient safety systems. Citation Text: Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. Copy Citation …

Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study. | PSNet

psnet.ahrq.gov/issue/development-prescribing-indicators-related-opioid-related-harm-patients-chronic-pain-primary

April 12, 2019 - Study Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study. Citation Text: Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related harm in patients with…

Comparison of medication safety effectiveness among nine critical access hospitals. | PSNet

psnet.ahrq.gov/issue/comparison-medication-safety-effectiveness-among-nine-critical-access-hospitals

September 07, 2022 - Study Comparison of medication safety effectiveness among nine critical access hospitals. Citation Text: Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067. Co…

Factors contributing to an increase in duplicate medication order errors after CPOE implementation. | PSNet

psnet.ahrq.gov/issue/factors-contributing-increase-duplicate-medication-order-errors-after-cpoe-implementation

December 31, 2014 - Study Factors contributing to an increase in duplicate medication order errors after CPOE implementation. Citation Text: Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. …

Suffering in silence: a qualitative study of second victims of adverse events. | PSNet

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February 03, 2021 - Study Suffering in silence: a qualitative study of second victims of adverse events. Citation Text: Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. Co…

A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. | PSNet

psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment

August 25, 2021 - Study A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Citation Text: Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…

Ethical issues in patient safety research: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature

April 21, 2021 - Review Ethical issues in patient safety research: a systematic review of the literature. Citation Text: Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000…

The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual

May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…

The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis. | PSNet

psnet.ahrq.gov/issue/views-and-experiences-patients-and-health-care-professionals-disclosure-adverse-events

August 25, 2021 - Review The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis. Citation Text: Sattar R, Johnson J, Lawton R. The views and experiences of patients and health‐care professiona…

React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. | PSNet

psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations

March 29, 2023 - Study React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. Citation Text: Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):…

Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. | PSNet

psnet.ahrq.gov/issue/effects-multicentre-teamwork-and-communication-programme-patient-outcomes-results-triad

January 16, 2013 - Study Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. Citation Text: Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient o…

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