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Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. | PSNet

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April 12, 2017 - Study Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. Citation Text: Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident …

Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. | PSNet

psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length

September 07, 2016 - Study Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. Citation Text: Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…

Improving the discharge process by embedding a discharge facilitator in a resident team. | PSNet

psnet.ahrq.gov/issue/improving-discharge-process-embedding-discharge-facilitator-resident-team

January 23, 2019 - Study Improving the discharge process by embedding a discharge facilitator in a resident team. Citation Text: Finn KM, Heffner R, Chang Y, et al. Improving the discharge process by embedding a discharge facilitator in a resident team. J Hosp Med. 2011;6(9):494-500. doi:10.1002/jhm.924.…

Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. | PSNet

psnet.ahrq.gov/issue/errors-palliative-care-kinds-causes-and-consequences-pilot-survey-experiences-and-attitudes

December 04, 2016 - Study Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences and attitudes of palliative care professionals. Citation Text: Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot survey of experiences a…

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. | PSNet

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September 09, 2020 - EMERGING INNOVATIONS Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. Citation Text: Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with …

Patient engagement in the inpatient setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-engagement-inpatient-setting-systematic-review

November 02, 2018 - Review Patient engagement in the inpatient setting: a systematic review. Citation Text: Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141. Copy Citation F…

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. | PSNet

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November 26, 2014 - Study Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. Citation Text: Zimlichman E, Keohane C, Franz C, et al. Return on investment for vendor computerized physician order entry in four community hospita…

Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. | PSNet

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January 26, 2022 - Review Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. Citation Text: Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care pro…

Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. | PSNet

psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety

December 31, 2014 - Study Classic Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Citation Text: Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective …

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. | PSNet

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November 24, 2021 - Review Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. Citation Text: Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analys…

Methodological variations and their effects on reported medication administration error rates. | PSNet

psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates

January 15, 2025 - Review Methodological variations and their effects on reported medication administration error rates. Citation Text: McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…

An intervention to decrease catheter-related bloodstream infections in the ICU. | PSNet

psnet.ahrq.gov/issue/intervention-decrease-catheter-related-bloodstream-infections-icu

June 16, 2011 - Study Classic An intervention to decrease catheter-related bloodstream infections in the ICU. Citation Text: Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(2…

Supporting involved health care professionals (second victims) following an adverse health event: a literature review. | PSNet

psnet.ahrq.gov/issue/supporting-involved-health-care-professionals-second-victims-following-adverse-health-event

April 10, 2019 - Review Supporting involved health care professionals (second victims) following an adverse health event: a literature review. Citation Text: Seys D, Scott SD, Wu AW, et al. Supporting involved health care professionals (second victims) following an adverse health event: a literature revi…

Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. | PSNet

psnet.ahrq.gov/issue/using-patient-internet-portal-prevent-adverse-drug-events-randomized-controlled-trial

September 15, 2011 - Study Using a patient internet portal to prevent adverse drug events: a randomized, controlled trial. Citation Text: Weingart SN, Carbo AR, Tess A, et al. Using a Patient Internet Portal to Prevent Adverse Drug Events. J Patient Saf. 2013;9(3). doi:10.1097/pts.0b013e31829e4b95. Copy…

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. | PSNet

psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously

February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team

February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet

psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant

November 25, 2009 - Study Classic Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Text: Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…

Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. | PSNet

psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices

June 22, 2011 - Study Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. Citation Text: Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Pr…

A symptom-checker for adult patients visiting an interdisciplinary emergency care center and the safety of patient self-triage: real-life prospective evaluation. | PSNet

psnet.ahrq.gov/issue/symptom-checker-adult-patients-visiting-interdisciplinary-emergency-care-center-and-safety

April 21, 2021 - Study A symptom-checker for adult patients visiting an interdisciplinary emergency care center and the safety of patient self-triage: real-life prospective evaluation. Citation Text: Meer A, Rahm P, Schwendinger M, et al. A symptom-checker for adult patients visiting an interdisciplinary…

Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. | PSNet

psnet.ahrq.gov/issue/clinicians-insights-emergency-department-boarding-explanatory-mixed-methods-study-evaluating

October 23, 2019 - Study Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. Citation Text: Loke DE, Green KA, Wessling EG, et al. Clinicians' insights on emergency department boarding: an explanatory mixed methods stud…

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