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Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. | PSNet

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September 11, 2019 - Commentary Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Citation Text: Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2024;310:324-328…

Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. | PSNet

psnet.ahrq.gov/issue/inter-professional-clinical-handover-post-anaesthetic-care-units-tools-improve-quality-and

April 24, 2013 - Study Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Citation Text: Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health…

Trends in survival after in-hospital cardiac arrest during nights and weekends. | PSNet

psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends

February 17, 2011 - Study Emerging Classic Trends in survival after in-hospital cardiac arrest during nights and weekends. Citation Text: Ofoma UR, Basnet S, Berger A, et al. Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. J Am Coll Cardiol. 2018;71(…

Safety for home care: the use of internet video calls to double-check interventions. | PSNet

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August 04, 2021 - Study Safety for home care: the use of internet video calls to double-check interventions. Citation Text: Bradford N, Armfield NR, Young J, et al. Safety for home care: the use of internet video calls to double-check interventions. J Telemed Telecare. 2012;18(8):434-437. doi:10.1258/jtt…

Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report

January 15, 2020 - Commentary Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. Citation Text: Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi…

Interventions to improve team effectiveness within health care: a systematic review of the past decade. | PSNet

psnet.ahrq.gov/issue/interventions-improve-team-effectiveness-within-health-care-systematic-review-past-decade

March 05, 2010 - Review Classic Interventions to improve team effectiveness within health care: a systematic review of the past decade. Citation Text: Buljac-Samardzic M, Doekhie KD, van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systemati…

Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. | PSNet

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August 17, 2022 - Review Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. Citation Text: Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…

A randomized trial of a multifactorial strategy to prevent serious fall injuries. | PSNet

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August 04, 2021 - Study A randomized trial of a multifactorial strategy to prevent serious fall injuries. Citation Text: Bhasin S, Gill TM, Reuben DB, et al. A randomized trial of a multifactorial strategy to prevent serious fall injuries. N Engl J Med. 2020;383(2):129-140. doi:10.1056/nejmoa2002183. C…

Interventions to improve team effectiveness: a systematic review. | PSNet

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September 29, 2021 - Review Interventions to improve team effectiveness: a systematic review. Citation Text: Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95. doi:10.1016/j.healthpol…

Culture of Safety | PSNet

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September 15, 2024 - the AHRQ Patient Safety Culture™ (SOPS®) survey are available for hospitals , medical offices , nursing … homes , community pharmacies , and ambulatory surgery centers .

Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. | PSNet

psnet.ahrq.gov/issue/exploring-factors-promote-or-diminish-psychologically-safe-environment-qualitative-interview

September 01, 2021 - Study Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. Citation Text: Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a psychologically safe environment…

Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards

March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. | PSNet

psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods

October 26, 2022 - Review Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. Citation Text: Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixe…

Using automated methods to detect safety problems with health information technology: a scoping review. | PSNet

psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review

April 07, 2019 - Review Using automated methods to detect safety problems with health information technology: a scoping review. Citation Text: Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health information technology: a scoping review. J Am Med Inform Assoc. …

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

psnet.ahrq.gov/issue/health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-management-safety-and

February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…

Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. | PSNet

psnet.ahrq.gov/issue/responding-safe-care-healthcare-staff-experiences-caring-child-intellectual-disability

June 15, 2022 - Review Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. Citation Text: Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with i…

Potentially inappropriate medications and their effect on falls during hospital admission. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission

January 12, 2022 - Study Potentially inappropriate medications and their effect on falls during hospital admission. Citation Text: Damoiseaux-Volman BA, Raven K, Sent D, et al. Potentially inappropriate medications and their effect on falls during hospital admission. Age Ageing. 2022;51(1):afab205. doi:10.…

Effect of burnout among physicians on observed adverse patient outcomes: a literature review. | PSNet

psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review

October 27, 2021 - Review Effect of burnout among physicians on observed adverse patient outcomes: a literature review. Citation Text: Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.…

Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. | PSNet

psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20

October 21, 2020 - Study Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. Citation Text: Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England…

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative

July 31, 2019 - Review The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis. Citation Text: Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…

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