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Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. | PSNet

psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular

January 06, 2012 - Study Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Citation Text: Elbardissi AW, Wiegmann DA, Dearani JA, et al. Application of the human factors analysis and classification system methodology to the cardi…

Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. | PSNet

psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute

May 30, 2016 - Study Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospita…

Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. | PSNet

psnet.ahrq.gov/issue/improving-adherence-long-term-opioid-therapy-guidelines-reduce-opioid-misuse-primary-care

January 23, 2019 - Study Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. Citation Text: Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Ca…

The relationship between culture of safety and rate of adverse events in long-term care facilities. | PSNet

psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care-facilities

June 09, 2021 - Study The relationship between culture of safety and rate of adverse events in long-term care facilities. Citation Text: Abusalem S, Polivka B, Coty M-B, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021;17(4):2…

A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." | PSNet

psnet.ahrq.gov/issue/new-approach-assessing-patient-safety-aspects-routine-practice-using-example-doctors

April 24, 2019 - Study A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." Citation Text: Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of …

Flying lessons for clinicians: developing system 2 practice. | PSNet

psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice

April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. Citation Text: Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. Copy Citation Format: D…

Fifteen years after To Err Is Human: a success story to learn from. | PSNet

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August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

Dispensing errors and counseling quality in 100 pharmacies. | PSNet

psnet.ahrq.gov/issue/dispensing-errors-and-counseling-quality-100-pharmacies

December 24, 2008 - Study Dispensing errors and counseling quality in 100 pharmacies. Citation Text: Flynn EA, Barker KN, Berger BA, et al. Dispensing errors and counseling quality in 100 pharmacies. J Am Pharm Assoc (2003). 2009;49(2):171-80. doi:10.1331/JAPhA.2009.08130. Copy Citation Format: …

The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. | PSNet

psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled

January 12, 2022 - Study The effect of external inspections on safety in acute hospitals in the National Health Service in England: a controlled interrupted time-series analysis. Citation Text: Castro-Avila A, Bloor K, Thompson C. The effect of external inspections on safety in acute hospitals in the Natio…

House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. | PSNet

psnet.ahrq.gov/issue/house-staff-team-workload-and-organization-effects-patient-outcomes-academic-general-internal

February 24, 2011 - Study House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. Citation Text: Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient outcomes in an academic general in…

Judgment errors in surgical care. | PSNet

psnet.ahrq.gov/issue/judgment-errors-surgical-care

December 14, 2022 - Study Judgment errors in surgical care. Citation Text: Marsh KM, Turrentine FE, Jin R, et al. Judgment errors in surgical care. J Am Coll Surg. 2024;238(5):874-879. doi:10.1097/xcs.0000000000001011. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. | PSNet

psnet.ahrq.gov/issue/use-positive-deviance-approach-improve-health-service-delivery-and-quality-care-scoping

May 29, 2024 - Review The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. Citation Text: Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. BMC H…

A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare | PSNet

psnet.ahrq.gov/issue/review-modifiable-health-care-factors-contributing-inpatient-suicide-analysis-coroners

July 19, 2023 - Study A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare Citation Text: Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contr…

Medical line entanglement: the unspoken patient safety hazard of medical devices. | PSNet

psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices

May 08, 2019 - Study Medical line entanglement: the unspoken patient safety hazard of medical devices. Citation Text: Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. Copy Cit…

Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities. | PSNet

psnet.ahrq.gov/issue/design-and-testing-safety-agenda-mobile-app-managing-health-care-managers-patient-safety

July 12, 2017 - Study Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities. Citation Text: Mira JJ, Carrillo I, Fernandez C, et al. Design and Testing of the Safety Agenda Mobile App for Managing Health Care Managers' Patient Safety Respon…

Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/evaluation-accuracy-ihi-trigger-tool-identifying-adverse-drug-events-prospective

October 18, 2023 - Study Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observational study. Citation Text: Silva M das DG, Martins MAP, Viana L de G, et al. Evaluation of accuracy of IHI Trigger Tool in identifying adverse drug events: a prospective observatio…

A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. | PSNet

psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and

January 03, 2017 - Study A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. Citation Text: Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…

Unveiling the hidden struggle of healthcare students as second victims through a systematic review. | PSNet

psnet.ahrq.gov/issue/unveiling-hidden-struggle-healthcare-students-second-victims-through-systematic-review

September 06, 2023 - Review Unveiling the hidden struggle of healthcare students as second victims through a systematic review. Citation Text: Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. BMC Med Educ. 2024;24(1):3…

Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. | PSNet

psnet.ahrq.gov/issue/association-hospital-markup-preventable-adverse-events-following-pancreatic-surgery-united

March 14, 2022 - Study Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. Citation Text: Alterio RE, Abreu AA, Meier J, et al. Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. C…

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. | PSNet

psnet.ahrq.gov/issue/systematically-improving-physician-assignment-during-hospital-transitions-care-enhancing

March 14, 2022 - Study Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. Citation Text: Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-hospital transiti…

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