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Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. | PSNet

psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural

October 02, 2024 - Study Quality of care transition, patient safety incidents, and patients' health status: a structural equation model on the complexity of the discharge process. Citation Text: Marsall M, Hornung T, Bäuerle A, et al. Quality of care transition, patient safety incidents, and patients’ heal…

Long-term impacts faced by patients and families after harmful healthcare events. | PSNet

psnet.ahrq.gov/issue/long-term-impacts-faced-patients-and-families-after-harmful-healthcare-events

December 01, 2021 - Study Long-term impacts faced by patients and families after harmful healthcare events. Citation Text: Ottosen MJ, Sedlock E, Aigbe AO, et al. Long-term impacts faced by patients and families after harmful healthcare events. J Patient Saf. 2021;17(8):e1145-e1151. doi:10.1097/pts.00000000…

Racial bias in cesarean decision-making. | PSNet

psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making

June 02, 2019 - Study Racial bias in cesarean decision-making. Citation Text: Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice

July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

Unintended medication discrepancies at the time of hospital admission. | PSNet

psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospital-admission

March 18, 2015 - Study Classic Unintended medication discrepancies at the time of hospital admission. Citation Text: Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. Copy Cit…

Patient involvement in medication safety in hospital: an exploratory study. | PSNet

psnet.ahrq.gov/issue/patient-involvement-medication-safety-hospital-exploratory-study

February 21, 2024 - Study Patient involvement in medication safety in hospital: an exploratory study. Citation Text: Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. Cop…

The association of the nurse work environment and patient safety in pediatric acute care. | PSNet

psnet.ahrq.gov/issue/association-nurse-work-environment-and-patient-safety-pediatric-acute-care

July 12, 2017 - Study The association of the nurse work environment and patient safety in pediatric acute care. Citation Text: Lake ET, Roberts KE, Agosto PD, et al. The Association of the Nurse Work Environment and Patient Safety in Pediatric Acute Care. J Patient Saf. 2021;17(8):e1546-e1552. doi:10.10…

A systematic review of measurement tools for the proactive assessment of patient safety in general practice. | PSNet

psnet.ahrq.gov/issue/systematic-review-measurement-tools-proactive-assessment-patient-safety-general-practice

June 13, 2018 - Review A systematic review of measurement tools for the proactive assessment of patient safety in general practice. Citation Text: Lydon S, Cupples ME, Murphy AW, et al. A Systematic Review of Measurement Tools for the Proactive Assessment of Patient Safety in General Practice. J Patient…

'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. | PSNet

psnet.ahrq.gov/issue/my-five-moments-hand-hygiene-user-centred-design-approach-understand-train-monitor-and-report

September 09, 2020 - Commentary 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene. Citation Text: Sax H, Allegranzi B, Uçkay I, et al. 'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and …

Distractions in the operating room: a survey of the healthcare team. | PSNet

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November 16, 2022 - Study Distractions in the operating room: a survey of the healthcare team. Citation Text: Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. Copy Citation …

Staffing matters—every shift. | PSNet

psnet.ahrq.gov/issue/staffing-matters-every-shift

January 20, 2021 - Commentary Staffing matters—every shift. Citation Text: West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussi…

Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet

psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care

December 21, 2014 - Commentary Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. Citation Text: James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Car…

Accountability for medical error: moving beyond blame to advocacy. | PSNet

psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy

December 19, 2018 - Review Accountability for medical error: moving beyond blame to advocacy. Citation Text: Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533. Copy Citation Format: …

Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. | PSNet

psnet.ahrq.gov/issue/bias-eye-beholder-vignette-study-assess-recognition-cognitive-biases-clinical-case-workups

September 26, 2016 - Study Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups. Citation Text: Zwaan L, Monteiro SD, Sherbino J, et al. Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinica…

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized

November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. | PSNet

psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus

March 13, 2015 - Study Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. Citation Text: Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus gr…

Updating Eindhoven: clarifying the features of a patient safety near miss. | PSNet

psnet.ahrq.gov/issue/updating-eindhoven-clarifying-features-patient-safety-near-miss

March 13, 2024 - Study Updating Eindhoven: clarifying the features of a patient safety near miss. Citation Text: Woodier N, Burnett C, Sampson P, et al. Updating Eindhoven: clarifying the features of a patient safety near miss. J Patient Saf Risk Manag. 2024;29(4):195-201. doi:10.1177/25160435241247096. …

Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. | PSNet

psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health

October 26, 2022 - Study Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. Citation Text: Lurvey LD, Fassett MJ, Kanter MH. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organiz…

The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities

March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. | PSNet

psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care

September 23, 2020 - Study Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Citation Text: Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. d…

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