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Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. | PSNet

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March 31, 2021 - Study Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. Citation Text: Rodrigo-Rincon I, Irigoyen-Aristorena I, Tirapu-Leon B, et al. Do patients and relatives have differ…

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. | PSNet

psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic

March 24, 2019 - Study Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Citation Text: Wang H-F, Jin J-F,…

Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. | PSNet

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January 26, 2022 - Study Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. Citation Text: Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management safety…

Iatrogenic illness on a general medical service at a university hospital. | PSNet

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August 17, 2017 - Study Classic Iatrogenic illness on a general medical service at a university hospital. Citation Text: Steel K, Gertman PM, Crescenzi C, et al. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981;304(11):638-42. Copy …

Contribution of adverse events to death of hospitalised patients. | PSNet

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October 27, 2021 - Study Contribution of adverse events to death of hospitalised patients. Citation Text: Haukland EC, Mevik K, von Plessen C, et al. Contribution of adverse events to death of hospitalised patients. BMJ Open Qual. 2019;8(1):e000377. doi:10.1136/bmjoq-2018-000377. Copy Citation Format…

Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet

psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical

August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator. | PSNet

psnet.ahrq.gov/issue/closing-gap-infection-prevention-staffing-recommendations-results-beta-version-apic-staffing

December 20, 2023 - Study Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator. Citation Text: Bartles R, Reese S, Gumbar A. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC …

Do patient safety events increase readmissions? | PSNet

psnet.ahrq.gov/issue/do-patient-safety-events-increase-readmissions

November 04, 2015 - Study Do patient safety events increase readmissions? Citation Text: Friedman B, Encinosa W, Jiang J, et al. Do patient safety events increase readmissions? Med Care. 2009;47(5):583-90. doi:10.1097/MLR.0b013e31819434da. Copy Citation Format: DOI Google Scholar PubMed BibT…

Learning from patient safety incidents: The Green Cross method. | PSNet

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June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. | PSNet

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August 04, 2021 - Study Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. Citation Text: Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of…

Office surgery incidents: what seven years of Florida data show us. | PSNet

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August 19, 2009 - Study Office surgery incidents: what seven years of Florida data show us. Citation Text: Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x. Copy C…

Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. | PSNet

psnet.ahrq.gov/issue/controversies-surrounding-use-order-sets-clinical-decision-support-computerized-provider

May 27, 2011 - Commentary Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. Citation Text: Bobb AM, Payne TH, Gross PA. Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order ent…

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. | PSNet

psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training-retrospective-qualitative

September 01, 2021 - Study Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. Citation Text: Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg…

Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory settings: a systematic review. | PSNet

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January 12, 2022 - Study Prevalence, contributing factors, and interventions to reduce medication errors in outpatient and ambulatory settings: a systematic review. Citation Text: Naseralallah L, Stewart D, Price M, et al. Prevalence, contributing factors, and interventions to reduce medication errors in o…

Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. | PSNet

psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator

July 19, 2023 - Study Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. Citation Text: Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…

Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. | PSNet

psnet.ahrq.gov/issue/increasing-compliance-world-health-organization-surgical-safety-checklist-regional-health

September 12, 2018 - Study Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. Citation Text: Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health sys…

Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet

psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors

November 12, 2014 - Study Unscheduled returns to the emergency department: an outcome of medical errors? Citation Text: Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. Copy Citation Format: …

Evaluation of the effectiveness of a surgical checklist in Medicare patients. | PSNet

psnet.ahrq.gov/issue/evaluation-effectiveness-surgical-checklist-medicare-patients

January 13, 2016 - Study Evaluation of the effectiveness of a surgical checklist in Medicare patients. Citation Text: Reames BN, Scally CP, Thumma JR, et al. Evaluation of the Effectiveness of a Surgical Checklist in Medicare Patients. Med Care. 2015;53(1):87-94. doi:10.1097/MLR.0000000000000277. Copy Ci…

Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care

March 18, 2016 - Study Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. Citation Text: Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…

Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. | PSNet

psnet.ahrq.gov/issue/cost-effectiveness-quality-improvement-programme-reduce-central-line-associated-bloodstream

January 02, 2017 - Study Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. Citation Text: Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to reduce central line-…

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