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Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. | PSNet

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September 16, 2015 - Study Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. Citation Text: Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing…

Systematic biases in group decision-making: implications for patient safety. | PSNet

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July 24, 2024 - Study Systematic biases in group decision-making: implications for patient safety. Citation Text: Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083. Copy Citation …

"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. | PSNet

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January 29, 2014 - Study "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. Citation Text: Waring J, Bishop S. "Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety. J Health Organ Manag. 2…

The impact of medication reconciliation and review in patients using oral chemotherapy. | PSNet

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November 17, 2021 - Study The impact of medication reconciliation and review in patients using oral chemotherapy. Citation Text: Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.117…

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. | PSNet

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April 01, 2015 - Review Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Citation Text: Keers RN, Williams SD, Cooke J, et al. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Drug …

Linking transformational leadership, patient safety culture and work engagement in home care services. | PSNet

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October 09, 2024 - Study Emerging Classic Linking transformational leadership, patient safety culture and work engagement in home care services. Citation Text: Ree E, Wiig S. Linking transformational leadership, patient safety culture and work engagement in home care services. Nu…

Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. | PSNet

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June 24, 2020 - Review Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. Citation Text: Härkänen M, Voutilainen A, Turunen E, et al. Systematic review and meta-analysis of educational interventions desig…

"The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. | PSNet

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October 11, 2023 - Study "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. Citation Text: Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…

Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. | PSNet

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June 30, 2021 - Study Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Citation Text: Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Anesthesiolo…

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet

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October 20, 2021 - Study Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. Citation Text: Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life study. Basic…

Adverse health events related to self-medication practices among elderly: a systematic review. | PSNet

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June 15, 2022 - Review Adverse health events related to self-medication practices among elderly: a systematic review. Citation Text: Locquet M, Honvo G, Rabenda V, et al. Adverse health events related to self-medication practices among elderly: a systematic review. Drugs Aging. 2017;34(5):359-365. doi:1…

Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. | PSNet

psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-systems-same

June 13, 2011 - Study Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. Citation Text: Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions from two paper-…

Medication event huddles: a tool for reducing adverse drug events. | PSNet

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December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. | PSNet

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October 23, 2018 - Study Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. Citation Text: Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three pa…

Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. | PSNet

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February 16, 2022 - Study Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. Citation Text: Puaar SJ, Franklin BD. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation …

Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. | PSNet

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November 21, 2021 - Study Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Citation Text: Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…

Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). | PSNet

psnet.ahrq.gov/issue/designing-and-pilot-testing-leadership-intervention-improve-quality-and-safety-nursing-homes

April 29, 2020 - Study Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). Citation Text: Johannessen T, Ree E, Strømme T, et al. Designing and pilot testing of a leadership intervention to improve quality and…

Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. | PSNet

psnet.ahrq.gov/issue/crisis-scenarios-simulation-based-nontechnical-skills-training-cardiac-surgery-teams-national

January 08, 2020 - Commentary Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. Citation Text: Kemper T, van Haperen M, Eberl S, et al.…

A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical

December 09, 2020 - Study A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. Citation Text: Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical inte…

Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. | PSNet

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August 14, 2019 - Study Exploring challenges in quality and safety work in nursing homes and home care - a case study as basis for theory development. Citation Text: Johannessen T, Ree E, Aase I, et al. Exploring challenges in quality and safety work in nursing homes and home care – a case study as basis …

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