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Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet

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July 21, 2021 - Study Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. Citation Text: Monazam Tabrizi N, Masri F. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. BMJ Open. 2021;11(8):e0…

Team-based approach to improving medication reconciliation rates in family medicine residency clinics. | PSNet

psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency

June 15, 2022 - Study Team-based approach to improving medication reconciliation rates in family medicine residency clinics. Citation Text: Harper PG, Schafer KM, Van Riper K, et al. Team-based approach to improving medication reconciliation rates in family medicine residency clinics. J Am Pharm Assoc (…

The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. | PSNet

psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource

August 16, 2023 - Study The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. Citation Text: Alanazi FK, Lapkin S, Molloy L, et al. The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a m…

Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink. | PSNet

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July 22, 2015 - Study Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink. Citation Text: Stocks J, Kontopantelis E, Akbarov A, et al. Examining variations in prescribing safety in UK general practice: cross sectional stu…

Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. | PSNet

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December 21, 2022 - Review Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. Citation Text: Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from t…

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. | PSNet

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March 17, 2021 - Study Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Citation Text: Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriat…

The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. | PSNet

psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct

August 17, 2022 - Study The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. Citation Text: Brown A, Cavell G, Dogra N, et al. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight…

Correlation between hospital finances and quality and safety of patient care. | PSNet

psnet.ahrq.gov/issue/correlation-between-hospital-finances-and-quality-and-safety-patient-care

January 12, 2022 - Study Correlation between hospital finances and quality and safety of patient care. Citation Text: Akinleye DD, McNutt L-A, Lazariu V, et al. Correlation between hospital finances and quality and safety of patient care. PLoS One. 2019;14(8):e0219124. doi:10.1371/journal.pone.0219124. C…

Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet

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November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…

A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. | PSNet

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May 26, 2021 - Study A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. Citation Text: Serou N, Slight RD, Husband AK, et al. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. J Pa…

When disasters strike the emergency department: a case series and narrative review. | PSNet

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September 30, 2020 - Commentary When disasters strike the emergency department: a case series and narrative review. Citation Text: Barten DG, Klokman VW, Cleef S, et al. When disasters strike the emergency department: a case series and narrative review. Int J Emerg Med. 2021;14(1):49. doi:10.1186/s12245-021-…

Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. | PSNet

psnet.ahrq.gov/issue/investigating-association-alerts-national-mortality-surveillance-system-subsequent-hospital

October 20, 2021 - Study Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. Citation Text: Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national morta…

Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. | PSNet

psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized

May 18, 2022 - Study Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. Citation Text: McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…

Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. | PSNet

psnet.ahrq.gov/issue/variability-collection-and-use-raceethnicity-and-language-data-93-pediatric-hospitals

July 15, 2020 - Study Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. Citation Text: Cowden JD, Flores G, Chow T, et al. Variability in collection and use of race/ethnicity and language data in 93 pediatric hospitals. J Racial Ethn Health Disparities. 202…

Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. | PSNet

psnet.ahrq.gov/issue/interventions-designed-improve-safety-and-quality-therapeutic-anticoagulation-inpatient

March 27, 2024 - Review Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. Citation Text: Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient…

Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet

psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors

November 15, 2011 - Study Classic Learning from mistakes: factors that influence how students and residents learn from medical errors. Citation Text: Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…

Discussion of medical errors in morbidity and mortality conferences. | PSNet

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August 04, 2015 - Study Classic Discussion of medical errors in morbidity and mortality conferences. Citation Text: Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. Copy Citation …

Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. | PSNet

psnet.ahrq.gov/issue/developing-strategic-recommendations-implementing-smart-pumps-advanced-healthcare-systems

August 24, 2022 - Commentary Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. Citation Text: Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart pumps in advanced hea…

Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. | PSNet

psnet.ahrq.gov/issue/sequential-implementation-equipped-geriatric-medication-safety-program-learning-health-system

January 19, 2022 - Study Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Citation Text: Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Q…

Ensuring access to medications in the US during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/ensuring-access-medications-us-during-covid-19-pandemic

May 08, 2017 - March 30, 2022 Prescription opioid analgesics commonly unused after surgery: a systematic

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