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Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. | PSNet

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October 29, 2017 - Review Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. Citation Text: Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…

A team-based approach to reducing cardiac monitor alarms. | PSNet

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October 19, 2022 - Study A team-based approach to reducing cardiac monitor alarms. Citation Text: Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. Copy Citation Format: DOI Google …

Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. | PSNet

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February 15, 2011 - Study Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. Citation Text: Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed medications on…

Medication event huddles: a tool for reducing adverse drug events. | PSNet

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December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. | PSNet

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October 30, 2024 - Study Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. Citation Text: Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…

Are Patient Safety Indicators related to widely used measures of hospital quality? | PSNet

psnet.ahrq.gov/issue/are-patient-safety-indicators-related-widely-used-measures-hospital-quality

December 01, 2010 - Study Classic Are Patient Safety Indicators related to widely used measures of hospital quality? Citation Text: Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen Intern Med. 2008;23(9):1373-8. doi:10.1007…

Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. | PSNet

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October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…

Simulation exercises as a patient safety strategy: a systematic review. | PSNet

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March 13, 2013 - Review Simulation exercises as a patient safety strategy: a systematic review. Citation Text: Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…

Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

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June 29, 2022 - Study Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Citation Text: Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

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November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? | PSNet

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April 24, 2018 - Study How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Citation Text: Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54.…

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. | PSNet

psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices

June 14, 2017 - Study He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Citation Text: Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identifica…

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention

June 16, 2011 - Study Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-3…

Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety. | PSNet

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March 13, 2015 - Study Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety. Citation Text: Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to …

Detecting unapproved abbreviations in the electronic medical record. | PSNet

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August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …

Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. | PSNet

psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation

March 24, 2019 - Review Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. Citation Text: Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias detection and m…

Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. | PSNet

psnet.ahrq.gov/issue/adverse-safety-events-emergency-medical-services-care-children-out-hospital-cardiac-arrest

May 18, 2022 - Study Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. Citation Text: Eriksson CO, Bahr N, Meckler G, et al. Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. JAMA Netw Open. …

A mixed methods evaluation of medication reconciliation in the primary care setting. | PSNet

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November 16, 2022 - Study A mixed methods evaluation of medication reconciliation in the primary care setting. Citation Text: Gionfriddo MR, Duboski V, Middernacht A, et al. A mixed methods evaluation of medication reconciliation in the primary care setting. PLoS ONE. 2021;16(12):e0260882. doi:10.1371/journ…

Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. | PSNet

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April 20, 2022 - Study Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. Citation Text: Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review…

Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. | PSNet

psnet.ahrq.gov/issue/patients-conceptualizations-responsibility-healthcare-typology-understanding-differing

January 08, 2020 - Study Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. Citation Text: Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A Typology for Un…

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