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A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department. | PSNet

psnet.ahrq.gov/issue/prospective-multicenter-study-pharmacist-activities-resulting-medication-error-interception

December 14, 2011 - Study A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department. Citation Text: Patanwala AE, Sanders AB, Thomas MC, et al. A prospective, multicenter study of pharmacist activities resulting in medication error int…

Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. | PSNet

psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse

October 04, 2017 - Study Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. Citation Text: Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is …

Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. | PSNet

psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academic

February 10, 2016 - Study Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. Citation Text: Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…

The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department

October 19, 2022 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, Simon R, Jay GD, Berns SD. The potential for improved teamwork to reduce medical errors in the emergency dep…

Race and socioeconomic bias in pediatric cardiac transplantation. | PSNet

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February 12, 2020 - Study Race and socioeconomic bias in pediatric cardiac transplantation. Citation Text: Amdani S, Conway J, Kleinmahon J, et al. Race and socioeconomic bias in pediatric cardiac transplantation. JACC Heart Fail. 2023;11(1):19-26 10.1016/j.jchf.2022.08.021 Copy Citation For…

Now is the time to routinely ask patients about safety. | PSNet

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January 12, 2022 - Commentary Now is the time to routinely ask patients about safety. Citation Text: Gandhi T. Now is the time to routinely ask patients about safety. Jt Comm J Qual Patient Safe. Epub 2023 Jan 29. 10.1016/j.jcjq.2023.01.009 Copy Citation Format: DOI Google Scholar BibTeX…

What 'just culture' doesn't understand about just punishment. | PSNet

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March 06, 2013 - Commentary What 'just culture' doesn't understand about just punishment. Citation Text: Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. Copy Citation Format: DOI Google Schola…

A narrative review of the well-being and burnout of U.S. community pharmacists. | PSNet

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May 10, 2023 - Review A narrative review of the well-being and burnout of U.S. community pharmacists. Citation Text: Wash A, Moczygemba LR, Brown CM, et al. A narrative review of the well-being and burnout of U.S. community pharmacists. J Am Pharm Assoc (2003). 2023;64(2):337-349. doi:10.1016/j.japh.20…

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

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December 22, 2021 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. | PSNet

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March 08, 2017 - Study A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. Citation Text: Phillips KK, Mecca MC, Baim‐Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Vete…

Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. | PSNet

psnet.ahrq.gov/issue/interprofessional-training-and-communication-practices-among-clinicians-postoperative-icu

February 06, 2019 - Study Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Citation Text: Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Sa…

National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. | PSNet

psnet.ahrq.gov/issue/national-quality-program-achieves-improvements-safety-culture-and-reduction-preventable-harms

November 02, 2022 - Study National quality program achieves improvements in safety culture and reduction in preventable harms in community hospitals. Citation Text: Frush K, Chamness C, Olson B, et al. National Quality Program Achieves Improvements in Safety Culture and Reduction in Preventable Harms in Com…

Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. | PSNet

psnet.ahrq.gov/issue/rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-safety

February 27, 2008 - Study Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. Citation Text: West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as…

ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. | PSNet

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October 12, 2016 - Commentary ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Citation Text: Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):62…

Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. | PSNet

psnet.ahrq.gov/issue/computer-assisted-bar-coding-system-significantly-reduces-clinical-laboratory-specimen

July 29, 2020 - Study Computer-assisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. Citation Text: Hayden RT, Patterson DJ, Jay DW, et al. Computer-assisted bar-coding system significantly reduces clinical laboratory spec…

Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/psychological-and-psychosomatic-symptoms-second-victims-adverse-events-systematic-review-and

June 23, 2021 - Review Emerging Classic Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta-analysis. Citation Text: Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of Adver…

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. | PSNet

psnet.ahrq.gov/issue/infection-prevention-long-term-care-re-evaluating-system-using-human-factors-engineering

September 02, 2020 - Commentary Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Citation Text: Katz MJ, Gurses AP. Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach. Infect Control Hosp Epid…

Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. | PSNet

psnet.ahrq.gov/issue/evaluation-culture-safety-survey-clinicians-and-managers-academic-medical-center

July 05, 2006 - Study Classic Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. Citation Text: Pronovost PJ, Weast B, Holzmueller CG, et al. Evaluation of the culture of safety: survey of clinicians and managers in an academ…

A model for improving health care quality for transgender and gender nonconforming patients. | PSNet

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August 12, 2020 - Commentary A model for improving health care quality for transgender and gender nonconforming patients. Citation Text: Ding JM, Ehrenfeld JM, Edmiston EK, et al. A model for improving health care quality for transgender and gender nonconforming patients. Jt Comm J Qual Patient Saf. 2020;…

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. | PSNet

psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings

February 03, 2021 - Study Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. Citation Text: Braun BI, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. …

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