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Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. | PSNet

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May 31, 2023 - Study Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique. Citation Text: McMullen S, Panagioti M, Planner C, et al. Supporting carers to improve patient safety an…

EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? | PSNet

psnet.ahrq.gov/issue/ems-non-conveyance-safe-practice-decrease-ed-crowding-or-threat-patient-safety

January 12, 2022 - Study EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? Citation Text: Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12…

Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. | PSNet

psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs

July 07, 2021 - Study Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. Citation Text: Kruper A, Domeyer-Klenske A, Treat R, et al. Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. J Surg Educ. 2021;78…

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. | PSNet

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December 02, 2020 - Study High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Citation Text: Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…

Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet

psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed

January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. Citation Text: Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly…

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

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December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

Prescribing discrepancies likely to cause adverse drug events after patient transfer. | PSNet

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December 08, 2010 - Study Prescribing discrepancies likely to cause adverse drug events after patient transfer. Citation Text: Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…

Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet

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October 12, 2018 - EMERGING INNOVATIONS Let us to the TWISST; Plan, Simulate, Study and Act. Citation Text: Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf. 2023;8(4):e664. doi:10.1097/pq9.0000000000000664. Copy Citation Format: DOI Google Scholar BibTeX…

Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. | PSNet

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March 04, 2011 - Commentary Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. Citation Text: Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…

Preventable medication harm across health care settings: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/preventable-medication-harm-across-health-care-settings-systematic-review-and-meta-analysis

July 31, 2019 - Review Classic Preventable medication harm across health care settings: a systematic review and meta-analysis. Citation Text: Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis…

Safety risks and workflow implications associated with nursing-related free-text communication orders. | PSNet

psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication

February 17, 2021 - Study Safety risks and workflow implications associated with nursing-related free-text communication orders. Citation Text: Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…

Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet

psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety

July 07, 2021 - Study Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Citation Text: Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…

Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. | PSNet

psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial

May 20, 2019 - Study Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. Citation Text: Wright A, Aaron S, Seger DL, et al. Reduced Effectiveness of Interruptive Drug-Drug Interaction Alerts after Conversion to a Commercial Elect…

Intercepting wrong-patient orders in a computerized provider order entry system. | PSNet

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May 29, 2019 - Study Intercepting wrong-patient orders in a computerized provider order entry system. Citation Text: Green RA, Hripcsak G, Salmasian H, et al. Intercepting wrong-patient orders in a computerized provider order entry system. Ann Emerg Med. 2015;65(6):679-686.e1. doi:10.1016/j.annemergmed…

Safety incidents in the primary care office setting. | PSNet

psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting

October 12, 2016 - Study Safety incidents in the primary care office setting. Citation Text: Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259. Copy Citation Format: DOI Google Scholar PubMed B…

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. | PSNet

psnet.ahrq.gov/issue/computerized-provider-order-entry-implementation-no-association-increased-mortality-rates

November 16, 2022 - Study Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Citation Text: Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality ra…

Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. | PSNet

psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure

September 16, 2020 - Commentary Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. Citation Text: Levy N, Zucco L, Ehrlichman RJ, et al. Development of rapid response capabilities in a large COVID-19 alternate ca…

Increased patient safety-related incidents following the transition into Daylight Savings Time. | PSNet

psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time

May 19, 2021 - Study Increased patient safety-related incidents following the transition into Daylight Savings Time. Citation Text: Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):…

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing

December 18, 2019 - Review Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. Citation Text: Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescrib…

Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/reducing-automated-dispensing-cabinet-overrides-peri-anesthesia-care-unit-quality-improvement

June 07, 2023 - Study Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement project. Citation Text: Franciscovich CD, Bieniek A, Dunn K, et al. Reducing automated dispensing cabinet overrides in the peri-anesthesia care unit: a quality improvement projec…

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