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An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. | PSNet

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August 04, 2021 - Review An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. Citation Text: Hegarty J, Flaherty SJ, Saab MM, et al. An international perspective on definitions and terminology used to describe seri…

Development of a measure of patient safety event learning responses. | PSNet

psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses

June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…

Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. | PSNet

psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge

December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet

psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer

February 26, 2025 - Seek support of frontline clinicians and leadership including physicians, administrative staff, and nurse

Patient Safety in Primary Care | PSNet

psnet.ahrq.gov/perspective/patient-safety-primary-care

January 31, 2020 - Annual Perspective Patient Safety in Primary Care February 21, 2020 View more articles from the same authors. Citation Text: Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…

In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet

psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety

December 14, 2022 - In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety December 14, 2022 Also Read the Essay Citation Text: In Conversation With.. Dr. Michelle Schreiber on Measuring Patient Safety. PSNet [internet]. 2022.In Conversation With... Dr. Michelle …

The Evolution of Patient Safety in Surgery | PSNet

psnet.ahrq.gov/perspective/evolution-patient-safety-surgery

August 01, 2017 - mean nobody watches us operate except maybe the residents, or if you're out in the community, some nurses … How do you deal with your scrub nurse who you've never worked with before and make sure she can help

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. | PSNet

psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting

May 20, 2020 - Study Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. Citation Text: Shah SN, Amato MG, Garlo KG, et al. Renal medic…

Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. | PSNet

psnet.ahrq.gov/issue/ethical-considerations-and-patient-safety-concerns-cancelling-non-urgent-surgeries-during

June 23, 2021 - Commentary Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. Citation Text: Brown NJ, Wilson B, Szabadi S, et al. Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the…

Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. | PSNet

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December 21, 2022 - Study Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. Citation Text: Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551…

Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. | PSNet

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December 21, 2022 - Commentary Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. Citation Text: Kesselheim AS, Cresswell K, Phansalkar S, et al. Clinical decision support systems could be modified to reduce 'alert fatigue' while stil…

Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. | PSNet

psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous

December 16, 2020 - Study Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. Citation Text: Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology interven…

Association of changing hospital readmission rates with mortality rates after hospital discharge. | PSNet

psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge

August 20, 2018 - Study Classic Association of changing hospital readmission rates with mortality rates after hospital discharge. Citation Text: Dharmarajan K, Wang Y, Lin Z, et al. Association of Changing Hospital Readmission Rates With Mortality Rates After Hospital Discharge. …

Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? | PSNet

psnet.ahrq.gov/issue/are-teaching-hospitals-treated-fairly-hospital-acquired-condition-reduction-program

July 11, 2018 - Study Are teaching hospitals treated fairly in the Hospital-Acquired Condition Reduction Program? Citation Text: Mohajer MA, Joiner KA, Nix DE. Are Teaching Hospitals Treated Fairly in the Hospital-Acquired Condition Reduction Program? Acad Med. 2018;93(12):1827-1832. doi:10.1097/ACM.000…

Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. | PSNet

psnet.ahrq.gov/issue/exploring-roots-unintended-safety-threats-associated-introduction-hospital-eprescribing

December 21, 2022 - Study Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study. Citation Text: Mozaffar H, Cresswell K, Williams R, et al. Exploring the roots of unintended…

Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/development-evidence-based-framework-factors-contributing-patient-safety-incidents-hospital

June 25, 2014 - Review Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. Citation Text: Lawton R, McEachan RRC, Giles SJ, et al. Development of an evidence-based framework of factors contributing to patient safety …

Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. | PSNet

psnet.ahrq.gov/issue/postoperative-adverse-events-inconsistently-improved-world-health-organization-surgical

March 29, 2023 - Review Classic Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. Citation Text: de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events in…

Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet

psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired

October 30, 2024 - Study Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. Citation Text: Padula WV, Black JM, Davidson PM, et al. Adverse Effects of the Medicare PSI-90 Hospital Penalty System on Revenue-Neutral Hospital-Acquired Conditions. J …

Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. | PSNet

psnet.ahrq.gov/issue/assessment-health-information-technology-related-outpatient-diagnostic-delays-us-veterans

June 24, 2020 - Study Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data. Citation Text: Powell L, Sittig DF, Chrouser K, et al. Assessment of health information techno…

Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England. | PSNet

psnet.ahrq.gov/issue/safety-risks-associated-lack-integration-and-interfacing-hospital-health-information

December 21, 2022 - Study Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England. Citation Text: Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack o…

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