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Professional, structural and organisational interventions in primary care for reducing medication errors. | PSNet

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December 16, 2020 - Review Professional, structural and organisational interventions in primary care for reducing medication errors. Citation Text: Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary care for reducing medication errors. Cochrane Databas…

The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. | PSNet

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July 02, 2014 - Study The effects of hospital safety scores, total price, out-of-pocket cost, and household income on consumers' self-reported choice of hospitals. Citation Text: Duke CC, Smith B, Lynch W, et al. The Effects of Hospital Safety Scores, Total Price, Out-of-Pocket Cost, and Household Incom…

Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. | PSNet

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February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…

Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet

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April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. Citation Text: de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and co…

Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/clinical-diagnoses-vs-autopsy-findings-early-deceased-septic-patients-intensive-care

September 22, 2021 - Study Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. Citation Text: Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive c…

Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital-acquired conditions in rural and nonrural US hospitals. | PSNet

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September 16, 2020 - Study Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital-acquired conditions in rural and nonrural US hospitals. Citation Text: Bae S-H, Yoder LH. Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy for…

What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. | PSNet

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June 02, 2010 - Study What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. Citation Text: Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104.…

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet

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June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

Reported clinical incidents of children with intellectual disability: a qualitative analysis. | PSNet

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March 16, 2022 - Study Reported clinical incidents of children with intellectual disability: a qualitative analysis. Citation Text: Ong N, Mimmo L, Barnett D, et al. Reported clinical incidents of children with intellectual disability: a qualitative analysis. Dev Med Child Neurol. 2022;64(11):1359-1365. …

Research designs for studies evaluating the effectiveness of change and improvement strategies. | PSNet

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September 20, 2011 - Study Classic Research designs for studies evaluating the effectiveness of change and improvement strategies. Citation Text: Eccles M, Grimshaw J, Campbell M, et al. Research designs for studies evaluating the effectiveness of change and improvement strategies. …

Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. | PSNet

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December 08, 2021 - Study Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. Citation Text: Khan NF, Booth HP, Myles P, et al. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. BMC Health Serv Res. 2…

Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. | PSNet

psnet.ahrq.gov/issue/identifying-and-characterizing-preventable-adverse-drug-events-prioritizing-pharmacist

July 15, 2010 - Study Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. Citation Text: Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospital…

Feasibility of prospective error reporting in home palliative care: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study

November 11, 2020 - Study Feasibility of prospective error reporting in home palliative care: a mixed methods study. Citation Text: Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692…

Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. | PSNet

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September 19, 2012 - Study Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Citation Text: Scobie A. Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults. Int J Qual Health Care. 2…

Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. | PSNet

psnet.ahrq.gov/issue/measuring-impact-ai-diagnosis-hospitalized-patients-randomized-clinical-vignette-survey-study

December 20, 2020 - Study Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study. Citation Text: Jabbour S, Fouhey D, Shepard S, et al. Measuring the impact of AI in the diagnosis of hospitalized patients: a randomized clinical vignette survey study…

A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication

May 11, 2022 - Study A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. Citation Text: Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance rega…

Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. | PSNet

psnet.ahrq.gov/issue/neurobehavioral-performance-residents-after-heavy-night-call-vs-after-alcohol-ingestion

June 22, 2022 - Study Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. Citation Text: Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.10…

Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet

psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning

June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. Citation Text: Rowland P, Lan MF, Wan C, et al. Why is learning from patient safety incidents (still) so hard? A sociocultural perspect…

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. | PSNet

psnet.ahrq.gov/issue/patient-misidentification-events-veterans-health-administration-comprehensive-review-context

November 24, 2021 - Study Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care. Citation Text: Kulju S, Morrish W, King LA, et al. Patient misidentification events in the Veterans Health Administration: a comprehensive …

Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. | PSNet

psnet.ahrq.gov/issue/creation-root-cause-analysis-and-action-rca2-standard-work-multidisciplinary-team-prevent

October 19, 2022 - Study Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. Citation Text: Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidis…

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