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Survey of nurses' experiences applying The Joint Commission's medication management titration standards. | PSNet

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September 15, 2021 - Study Survey of nurses' experiences applying The Joint Commission's medication management titration standards. Citation Text: Davidson JE, Doran N, Petty A, et al. Survey of nurses' experiences applying The Joint Commission's medication management titration standards. Am J Crit Care. 202…

The impact of rationing nursing care on patient safety: a systematic review. | PSNet

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December 06, 2023 - Review The impact of rationing nursing care on patient safety: a systematic review. Citation Text: Uchmanowicz I, Lisiak M, Wleklik M, et al. The impact of rationing nursing care on patient safety: a systematic review. Med Sci Monit. 2024;30:e942031. doi:10.12659/msm.942031. Copy Citat…

Standardizing medication reconciliation in a pediatric emergency department. | PSNet

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March 10, 2019 - Study Standardizing medication reconciliation in a pediatric emergency department. Citation Text: Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964. …

The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. | PSNet

psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse-perioperative

July 21, 2021 - Study The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events. Citation Text: Chung EH, Truong T, Jooste KR, et al. The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative e…

Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. | PSNet

psnet.ahrq.gov/issue/where-trust-flourishes-perceptions-clinicians-who-trust-their-organizations-and-are-trusted

March 15, 2023 - Study Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients. Citation Text: Linzer M, Neprash HT, Brown RL, et al. Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients…

Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. | PSNet

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March 04, 2011 - Study Effect of warning symbols in combination with education on the frequency of erroneously crushing medication in nursing homes: an uncontrolled before and after study. Citation Text: van Welie S, Wijma L, Beerden T, et al. Effect of warning symbols in combination with education on th…

Why studying human behavior is a critical component of patient safety. | PSNet

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January 15, 2020 - Commentary Why studying human behavior is a critical component of patient safety. Citation Text: Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. Copy Citation F…

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet

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April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…

Good people who try their best can have problems: recognition of human factors and how to minimise error. | PSNet

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October 29, 2017 - Review Good people who try their best can have problems: recognition of human factors and how to minimise error. Citation Text: Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition of human factors and how to minimise error. Br J Oral Ma…

Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. | PSNet

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February 22, 2011 - Study Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. Citation Text: Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…

The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

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November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Citation Text: Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improve…

Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. | PSNet

psnet.ahrq.gov/issue/non-intercepted-dose-errors-prescribing-antineoplastic-treatment-prospective-comparative

June 18, 2013 - Study Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. Citation Text: Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann O…

Serious experience events: applying patient safety concepts to improve patient experience. | PSNet

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August 04, 2021 - Commentary Serious experience events: applying patient safety concepts to improve patient experience. Citation Text: Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:23743735…

Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. | PSNet

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May 11, 2016 - Study Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Citation Text: Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-3…

Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. | PSNet

psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand

April 27, 2015 - Study Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. Citation Text: Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative St…

The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. | PSNet

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March 04, 2011 - Study The effect of a clinical pharmacist-led training programme on intravenous medication errors: a controlled before and after study. Citation Text: Nguyen H-T, Pham H-T, Vo D-K, et al. The effect of a clinical pharmacist-led training programme on intravenous medication errors: a cont…

How event reporting by US hospitals has changed from 2005 to 2009. | PSNet

psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009

April 21, 2010 - Study How event reporting by US hospitals has changed from 2005 to 2009. Citation Text: Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. Copy Citation Format: D…

Adverse drug event reporting systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review

December 21, 2017 - Review Adverse drug event reporting systems: a systematic review. Citation Text: Bailey C, Peddie D, Wickham ME, et al. Adverse drug event reporting systems: a systematic review. Br J Clin Pharm. 2016;82(1):17-29. doi:10.1111/bcp.12944. Copy Citation Format: DOI Google Scho…

Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. | PSNet

psnet.ahrq.gov/issue/healthcare-worker-serious-safety-events-applying-concepts-patient-safety-improve-healthcare

July 06, 2022 - Study Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Citation Text: Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety…

Measuring patient safety climate: a review of surveys. | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys

June 14, 2011 - Review Classic Measuring patient safety climate: a review of surveys. Citation Text: Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. Copy Citation Format: Goog…

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