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Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. | PSNet

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November 09, 2022 - Study Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. Citation Text: Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for imp…

Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. | PSNet

psnet.ahrq.gov/issue/systems-engineering-and-human-factors-support-system-novel-ehr-integrated-tools-prevent-harm

January 15, 2020 - Study Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. Citation Text: Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in…

Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet

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July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…

Adoption factors associated with electronic health record among long-term care facilities: a systematic review. | PSNet

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March 17, 2021 - Review Adoption factors associated with electronic health record among long-term care facilities: a systematic review. Citation Text: Kruse CS, Mileski M, Alaytsev V, et al. Adoption factors associated with electronic health record among long-term care facilities: a systematic review. BM…

Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? | PSNet

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November 16, 2022 - Study Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? Citation Text: Boike JR, Bortman JS, Radosta JM, et al. Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors? J Patient…

Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. | PSNet

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June 23, 2021 - Study Comparison of a focused family cancer history questionnaire to family history documentation in the electronic medical record. Citation Text: Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire to family history documentation in…

Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet

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May 16, 2018 - Study Emerging Classic Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. Citation Text: Yardley I, Yardley S, Williams H, et al. Patient safety in palliative care: A mixed-methods study of reports to…

Exploring approaches to patient safety: the case of spinal manipulation therapy. | PSNet

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September 11, 2024 - Study Exploring approaches to patient safety: the case of spinal manipulation therapy. Citation Text: Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2. Cop…

The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. | PSNet

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December 23, 2020 - Review The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. Citation Text: Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic r…

Identification of in-hospital complications from claims data. Is it valid? | PSNet

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June 13, 2011 - Study Classic Identification of in-hospital complications from claims data. Is it valid? Citation Text: Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95. Copy Cit…

Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. | PSNet

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February 17, 2021 - Study Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Citation Text: Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. Am J Health Syst Pharm. 2010;6…

Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet

psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care

December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. | PSNet

psnet.ahrq.gov/issue/reducing-serious-safety-events-and-priority-hospital-acquired-conditions-pediatric-hospital

July 19, 2023 - Study Reducing serious safety events and priority hospital-acquired conditions in a pediatric hospital with the implementation of a patient safety program. Citation Text: Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in…

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

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November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

Trends in survival after in-hospital cardiac arrest during nights and weekends. | PSNet

psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends

February 17, 2011 - Study Emerging Classic Trends in survival after in-hospital cardiac arrest during nights and weekends. Citation Text: Ofoma UR, Basnet S, Berger A, et al. Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. J Am Coll Cardiol. 2018;71(…

Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. | PSNet

psnet.ahrq.gov/issue/empowerment-failure-how-shortcomings-physician-communication-unwittingly-undermine-patient

January 17, 2019 - Study Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy. Citation Text: Ubel PA, Scherr KA, Fagerlin A. Empowerment Failure: How Shortcomings in Physician Communication Unwittingly Undermine Patient Autonomy. Am J Bioeth. 2017;17(11):…

The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. | PSNet

psnet.ahrq.gov/issue/relationship-between-patient-safety-culture-and-implementation-organizational-patient-safety

April 23, 2014 - Study The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. Citation Text: van Noord I, de Bruijne M, Twisk JWR. The relationship between patient safety culture and the implementation of organizational…

A review of adverse event reports from emergency departments in the Veterans Health Administration. | PSNet

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November 17, 2021 - Study A review of adverse event reports from emergency departments in the Veterans Health Administration. Citation Text: Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-…

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet

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June 23, 2021 - Study Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. Citation Text: Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…

How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. | PSNet

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September 07, 2022 - Study How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. Citation Text: Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A prospective, mixed methods study in primary care. BMJ Open…

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