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Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet

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August 26, 2011 - Study Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. Citation Text: Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement…

Implementation of an emergency department sign-out checklist improves transfer of information at shift change. | PSNet

psnet.ahrq.gov/issue/implementation-emergency-department-sign-out-checklist-improves-transfer-information-shift

October 30, 2019 - Study Implementation of an emergency department sign-out checklist improves transfer of information at shift change. Citation Text: Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist improves transfer of information at shift change. J Emerg…

Adverse drug events and medication problems in "Hospital at Home" patients. | PSNet

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December 16, 2020 - Study Adverse drug events and medication problems in "Hospital at Home" patients. Citation Text: Mann E, Zepeda O, Soones T, et al. Adverse drug events and medication problems in "Hospital at Home" patients. Home Health Care Serv Q. 2018;37(3):177-186. doi:10.1080/01621424.2018.1454372. …

Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. | PSNet

psnet.ahrq.gov/issue/reduction-hospital-wide-clinical-laboratory-specimen-identification-errors-following-process

August 26, 2011 - Study Reduction in hospital-wide clinical laboratory specimen identification errors following process interventions: a 10-year retrospective observational study. Citation Text: Ning H-C, Lin C-N, Chiu DT-Y, et al. Reduction in Hospital-Wide Clinical Laboratory Specimen Identification Err…

Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. | PSNet

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August 04, 2021 - Study Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. Citation Text: Bellani G, Laffey JG, Pham T, et al. Epidemiology, Patterns of Care, and Mortality for Patients With Acute Respiratory Distres…

Identification of common themes from never events data published by NHS England. | PSNet

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April 07, 2021 - Study Identification of common themes from never events data published by NHS England. Citation Text: Omar I, Graham Y, Singhal R, et al. Identification of common themes from never events data published by NHS England. World J Surg. 2021;45(3):697-704. doi:10.1007/s00268-020-05867-7. C…

Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet

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January 31, 2018 - Study Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. Citation Text: Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…

From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. | PSNet

psnet.ahrq.gov/issue/flight-deck-operating-room-initial-pilot-study-feasibility-and-potential-impact-true

February 25, 2009 - Study From the flight deck to the operating room: an initial pilot study of the feasibility and potential impact of true interdisciplinary team training using high-fidelity simulation. Citation Text: Paige JT, Kozmenko V, Morgan B, et al. From the Flight Deck to the Operating Room: A…

Saving lives: a meta-analysis of team training in healthcare. | PSNet

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October 31, 2017 - Review Saving lives: a meta-analysis of team training in healthcare. Citation Text: Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120. Copy Citation Format: DOI …

Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. | PSNet

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October 08, 2008 - Review Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Citation Text: Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature…

Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. | PSNet

psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability

April 24, 2017 - Study Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention. Citation Text: Jha V, Winterbottom A, Symons J, et al. Patient-led training on patient safety: a pilot study to test the feasibility and acceptability …

Patient error: a preliminary taxonomy. | PSNet

psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy

June 02, 2010 - Study Patient error: a preliminary taxonomy. Citation Text: Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

The effect of emergency department boarding on order completion. | PSNet

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January 29, 2018 - Study The effect of emergency department boarding on order completion. Citation Text: Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018. Copy Citation For…

The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. | PSNet

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October 24, 2012 - Study The impact of electronic medical records on hospital-acquired adverse safety events: differential effects between single-source and multiple-source systems. Citation Text: Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse Safety Events…

Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. | PSNet

psnet.ahrq.gov/issue/are-informed-policies-place-promote-safe-and-usable-ehrs-cross-industry-comparison

September 19, 2018 - Study Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. Citation Text: Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. d…

Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/clinician-distress-and-inappropriate-antibiotic-prescribing-acute-respiratory-tract

December 02, 2020 - Study Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infections: a retrospective cohort study. Citation Text: Brady KJS, Barlam TF, Trockel MT, et al. Clinician distress and inappropriate antibiotic prescribing for acute respiratory tract infectio…

Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related

October 17, 2018 - Study Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. Citation Text: Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event rep…

First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical

March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. Citation Text: English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …

Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue

June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet

psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit

January 11, 2017 - Study Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. Citation Text: Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…

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