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Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. | PSNet

psnet.ahrq.gov/issue/prevalence-inappropriate-antibiotic-prescriptions-among-us-ambulatory-care-visits-2010-2011

November 12, 2014 - Study Prevalence of inappropriate antibiotic prescriptions among US ambulatory care visits, 2010–2011. Citation Text: Fleming-Dutra KE, Hersh AL, Shapiro DJ, et al. Prevalence of Inappropriate Antibiotic Prescriptions Among US Ambulatory Care Visits, 2010-2011. JAMA. 2016;315(17):1864-18…

Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. | PSNet

psnet.ahrq.gov/issue/implementation-standardized-postanesthesia-care-handoff-increases-information-transfer

February 03, 2011 - Study Implementation of a standardized postanesthesia care handoff increases information transfer without increasing handoff duration. Citation Text: Caruso TJ, Marquez JL, Wu DS, et al. Implementation of a standardized postanesthesia care handoff increases information transfer without i…

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration

January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. | PSNet

psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following

October 24, 2018 - Study Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. Citation Text: West P, Neily J, Warner L, et al. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team…

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. | PSNet

psnet.ahrq.gov/issue/perspective-business-school-view-medical-interprofessional-rounds-transforming-rounding

November 23, 2016 - Study Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Citation Text: Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups int…

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. | PSNet

psnet.ahrq.gov/issue/improving-safety-culture-adult-medical-units-through-multidisciplinary-teamwork-and

February 18, 2011 - Study Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Citation Text: Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…

Patient safety in palliative care at the end of life from the perspective of complex thinking. | PSNet

psnet.ahrq.gov/issue/patient-safety-palliative-care-end-life-perspective-complex-thinking

October 05, 2022 - Commentary Patient safety in palliative care at the end of life from the perspective of complex thinking. Citation Text: Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Base…

Transforming concepts in patient safety: a progress report. | PSNet

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January 20, 2015 - Review Classic Transforming concepts in patient safety: a progress report. Citation Text: Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756. Copy…

VHA's movement for change: implementing high-reliability principles and practices. | PSNet

psnet.ahrq.gov/issue/vhas-movement-change-implementing-high-reliability-principles-and-practices

August 21, 2024 - Commentary VHA's movement for change: implementing high-reliability principles and practices. Citation Text: Cox GR, Starr LM. VHA's movement for change: implementing high-reliability principles and practices. J Healthc Manag. 2023;68(3):151-157. doi:10.1097/jhm-d-23-00056. Copy Citati…

Systems approach to suicide prevention: strengthening culture, practice, and education. | PSNet

psnet.ahrq.gov/issue/systems-approach-suicide-prevention-strengthening-culture-practice-and-education

July 10, 2024 - Commentary Systems approach to suicide prevention: strengthening culture, practice, and education. Citation Text: Pisani AR, Boudreaux ED. Systems approach to suicide prevention: strengthening culture, practice, and education. Focus (Am Psychiatr Publ). 2023;21(2):152-159. doi:10.1176/ap…

Diagnostic reasoning: an endangered competency in internal medicine training. | PSNet

psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training

September 04, 2019 - Commentary Diagnostic reasoning: an endangered competency in internal medicine training. Citation Text: Simpkin AL, Vyas JM, Armstrong KA. Diagnostic Reasoning: An Endangered Competency in Internal Medicine Training. Ann Intern Med. 2017;167(7):507-508. doi:10.7326/M17-0163. Copy Citat…

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic

May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

Risk management and patient safety in the artificial intelligence era: a systematic review. | PSNet

psnet.ahrq.gov/issue/risk-management-and-patient-safety-artificial-intelligence-era-systematic-review

February 15, 2023 - Review Risk management and patient safety in the artificial intelligence era: a systematic review. Citation Text: Ferrara M, Bertozzi G, Di Fazio N, et al. Risk management and patient safety in the artificial intelligence era: a systematic review. Healthcare (Basel). 2024;12(5):549. doi:…

Danger in discharge summaries: abbreviations create confusion for both author and recipient. | PSNet

psnet.ahrq.gov/issue/danger-discharge-summaries-abbreviations-create-confusion-both-author-and-recipient

March 15, 2017 - Study Danger in discharge summaries: abbreviations create confusion for both author and recipient. Citation Text: Coghlan A, Turner S, Coverdale S. Danger in discharge summaries: abbreviations create confusion for both author and recipient. Intern Med J. 2023;53(4):550-558. doi:10.1111/i…

Technology as a Tool for Improving Patient Safety | PSNet

psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety

April 26, 2023 - use algorithms to absorb large amounts of historical and real-time data and then predict outcomes and recommend

Duty to Disclose Someone Else's Error? | PSNet

psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error

June 01, 2004 - malpractice lawsuit may have motivated the risk managers at the tertiary care hospital to specifically recommend

Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals. | PSNet

psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient

April 21, 2015 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend

Relationship between preventable hospital deaths and other measures of safety: an exploratory study. | PSNet

psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study

November 12, 2014 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend

Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. | PSNet

psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare

September 24, 2018 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive

August 12, 2014 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend

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