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Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. | PSNet

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September 23, 2020 - Study Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. Citation Text: Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of R…

Communication on safe caregiving between community nurse case managers and family caregivers. | PSNet

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March 09, 2022 - Study Communication on safe caregiving between community nurse case managers and family caregivers. Citation Text: Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving between community nurse case managers and family caregivers. Healthcare (Basel…

Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. | PSNet

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July 17, 2024 - Study Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. Citation Text: Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective surveillance study in walk…

Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. | PSNet

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September 29, 2017 - Study Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations in the United States, 2008 to 2021. Citation Text: Fink DA, Kilday D, Cao Z, et al. Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalization…

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. | PSNet

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March 09, 2010 - Study Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Citation Text: Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.…

Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. | PSNet

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October 13, 2018 - Study Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Citation Text: Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…

Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? | PSNet

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September 21, 2016 - Study Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? Citation Text: Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 20…

Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial. | PSNet

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December 09, 2015 - Study Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial. Citation Text: McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on reducing inappropriate antim…

Study of a multisite prospective adverse event surveillance system. | PSNet

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October 16, 2019 - Study Study of a multisite prospective adverse event surveillance system. Citation Text: Forster AJ, Huang A, Lee TC, et al. Study of a multisite prospective adverse event surveillance system. BMJ Qual Saf. 2020;29(4). doi:10.1136/bmjqs-2018-008664. Copy Citation Format: DO…

Walking the plank: an experimental paradigm to investigate safety voice. | PSNet

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January 18, 2023 - Study Walking the plank: an experimental paradigm to investigate safety voice. Citation Text: Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668. Copy Citation Format: …

Can patient safety be measured by surveys of patient experiences? | PSNet

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March 04, 2020 - Study Can patient safety be measured by surveys of patient experiences? Citation Text: Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274. Copy Citation Format: Google Sc…

The attributes of medical event reporting systems. | PSNet

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February 14, 2024 - Study Classic The attributes of medical event reporting systems. Citation Text: Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…

Innovation in patient safety: a new task design in reducing patient falls. | PSNet

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January 04, 2010 - Study Innovation in patient safety: a new task design in reducing patient falls. Citation Text: Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5. Copy Citation …

How accurately do older adult emergency department patients recall their medications? | PSNet

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September 02, 2020 - Study How accurately do older adult emergency department patients recall their medications? Citation Text: Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…

A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. | PSNet

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January 28, 2009 - Study A morbidity and mortality conference-based classification system for adverse events: surgical outcome analysis: part I. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A morbidity and mortality conference-based classification system for adverse events: surgical outcome ana…

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. | PSNet

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October 16, 2012 - Study Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital. Citation Text: Abdel-Qader DH, Harper L, Cantrill JA, et al. Pharmacists' interventions in prescribing erro…

Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. | PSNet

psnet.ahrq.gov/issue/variability-diagnostic-error-rates-10-mri-centers-performing-lumbar-spine-mri-examinations

March 14, 2022 - Study Classic Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. Citation Text: Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI cen…

Medication errors in the homes of children with chronic conditions. | PSNet

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April 27, 2010 - Study Medication errors in the homes of children with chronic conditions. Citation Text: Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479. Copy Citation Format: …

Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | PSNet

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March 03, 2020 - Study Reasons for repeat rapid response team calls, and associations with in-hospital mortality. Citation Text: Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. …

Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts. | PSNet

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October 27, 2021 - Study Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts. Citation Text: Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random variation in organisational performa…

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