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Fall prevention in acute care hospitals: a randomized trial. | PSNet

psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial

February 01, 2023 - Study Classic Fall prevention in acute care hospitals: a randomized trial. Citation Text: Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918. doi:10.1001/jama.2010.1567. Copy Citat…

Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet

psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home

April 28, 2021 - Study Adverse events in long-term care residents transitioning from hospital back to nursing home. Citation Text: Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:…

Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid-19

March 23, 2022 - Commentary Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. Citation Text: Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.…

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. | PSNet

psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned

September 25, 2019 - Study Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. Citation Text: Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. | PSNet

psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving

March 03, 2021 - Review Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. Citation Text: Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…

How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? | PSNet

psnet.ahrq.gov/issue/how-can-interventions-more-directly-address-drivers-unprofessional-behaviour-between

October 09, 2024 - Study How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? Citation Text: Aunger JA, Abrams R, Mannion R, et al. How can interventions more directly address drivers of unprofessional behaviour between healthcare staff? BMJ Open Qual. 2…

Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. | PSNet

psnet.ahrq.gov/issue/risk-factors-associated-medication-administration-errors-children-prospective-direct

August 28, 2024 - Study Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective…

Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. | PSNet

psnet.ahrq.gov/issue/stepped-wedge-cluster-rct-assess-effects-electronic-medication-system-medication

August 28, 2024 - Study Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Citation Text: Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…

Communication practices on 4 Harvard surgical services: a surgical safety collaborative. | PSNet

psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative

September 29, 2017 - Study Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Citation Text: Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.…

Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. | PSNet

psnet.ahrq.gov/issue/clinical-and-economic-impacts-explicit-tools-detecting-prescribing-errors-systematic-review

January 12, 2022 - Review Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review. Citation Text: Farhat A, Al‐Hajje A, Csajka C, et al. Clinical and economic impacts of explicit tools detecting prescribing errors: A systematic review. J Clin Pharm Ther. 2021;46(4)…

Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet

psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level

June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. Citation Text: Ramsay AIG, Turner S, Cavell G, et al. Governing patient safety: lessons learned from a mixed methods ev…

Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. | PSNet

psnet.ahrq.gov/issue/using-sociotechnical-theory-understand-medication-safety-work-primary-care-and-prescribers

November 09, 2022 - Study Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study. Citation Text: Jeffries M, Salema N-E, Laing L, et al. Using sociotechnical theory to understand medication safety work in primar…

Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. | PSNet

psnet.ahrq.gov/issue/developing-process-measure-actual-harm-medication-errors-paediatric-inpatients-design

January 18, 2023 - Study Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to implementation. Citation Text: Mumford V, Raban MZ, Li L, et al. Developing a process to measure actual harm from medication errors in paediatric inpatients: from design to i…

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. | PSNet

psnet.ahrq.gov/issue/collective-leadership-safety-culture-co-lead-team-intervention-promote-teamwork-and-patient

March 18, 2020 - Study The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Citation Text: De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.…

Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/medication-related-interventions-delivered-both-hospital-and-following-discharge-systematic

August 26, 2020 - Review Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. Citation Text: Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic …

Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-medication-errors-and-medication-related-harm-following-discharge

August 11, 2021 - Review Classic Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review. Citation Text: Alqenae FA, Steinke DT, Keers RN. Prevalence and nature of medication errors and me…

Medication discrepancies in resident sign-outs and their potential to harm. | PSNet

psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm

March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

Paediatric family activated rapid response interventions; qualitative systematic review. | PSNet

psnet.ahrq.gov/issue/paediatric-family-activated-rapid-response-interventions-qualitative-systematic-review

November 24, 2021 - Review Paediatric family activated rapid response interventions; qualitative systematic review. Citation Text: Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):1033…

Incidence of adverse drug events and potential adverse drug events: implications for prevention. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention

February 10, 2011 - Study Classic Incidence of adverse drug events and potential adverse drug events: implications for prevention. Citation Text: Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …

The top patient safety strategies that can be encouraged for adoption now. | PSNet

psnet.ahrq.gov/issue/top-patient-safety-strategies-can-be-encouraged-adoption-now

September 20, 2011 - Commentary The top patient safety strategies that can be encouraged for adoption now. Citation Text: Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-…

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