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Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. | PSNet

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April 19, 2023 - Study Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. Citation Text: Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing med…

Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. | PSNet

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November 19, 2009 - Study Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial. Citation Text: Huis A, Schoonhoven L, Grol R, et al. Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guid…

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

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August 12, 2014 - Study Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Citation Text: Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…

Patient falls in the operating room setting: an analysis of reported safety events. | PSNet

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November 17, 2021 - Study Patient falls in the operating room setting: an analysis of reported safety events. Citation Text: Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503…

Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. | PSNet

psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000

May 18, 2022 - Study Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. Citation Text: Hibbs BF, Moro PL, Lewis P, et al. Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000-2013. Vaccine. 2015;…

Factors associated with workplace violence among healthcare workers in an academic medical center. | PSNet

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May 11, 2022 - Study Factors associated with workplace violence among healthcare workers in an academic medical center. Citation Text: Otachi JK, Robertson H, Okoli CTC. Factors associated with workplace violence among healthcare workers in an academic medical center. Perspect Psychiatr Care. 2022;58(4…

Efficiency and safety of speech recognition for documentation in the electronic health record. | PSNet

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February 14, 2024 - Study Efficiency and safety of speech recognition for documentation in the electronic health record. Citation Text: Hodgson T, Magrabi F, Coiera E. Efficiency and safety of speech recognition for documentation in the electronic health record. J Am Med Inform Assoc. 2017;24(6):1127-1133. …

Optimizing the use of dose error reduction software on intravenous infusion pumps. | PSNet

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August 02, 2015 - Study Optimizing the use of dose error reduction software on intravenous infusion pumps. Citation Text: Hughes K, Cole M, Tims D, et al. Optimizing the use of dose error reduction software on intravenous infusion pumps. Hosp Pediatr. 2024;14(6):448-454. doi:10.1542/hpeds.2023-007385. C…

Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. | PSNet

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October 27, 2016 - Study Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. Citation Text: Shen Y-C, Hsia RY. Ambulance diversion associated with reduced access to cardiac technology and increased one-year mortality. Health Aff (Millwood). 2015;34(8):…

A study of error reporting by nurses: the significant impact of nursing team dynamics. | PSNet

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April 12, 2014 - Study A study of error reporting by nurses: the significant impact of nursing team dynamics. Citation Text: Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194…

A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

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July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

30-day potentially avoidable readmissions due to adverse drug events. | PSNet

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June 14, 2017 - Study 30-day potentially avoidable readmissions due to adverse drug events. Citation Text: Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346. Copy Citati…

Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. | PSNet

psnet.ahrq.gov/issue/effects-skilled-nursing-facility-structure-and-process-factors-medication-errors-during

April 24, 2018 - Study Effects of skilled nursing facility structure and process factors on medication errors during nursing home admission. Citation Text: Lane SJ, Troyer JL, Dienemann JA, et al. Effects of skilled nursing facility structure and process factors on medication errors during nursing home a…

Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. | PSNet

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December 21, 2022 - Commentary Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. Citation Text: Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Cli…

Identifying health information technology related safety event reports from patient safety event report databases. | PSNet

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July 07, 2021 - Study Identifying health information technology related safety event reports from patient safety event report databases. Citation Text: Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J …

The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). | PSNet

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September 30, 2020 - Study The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Citation Text: Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2)…

STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. | PSNet

psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration

February 14, 2006 - Commentary STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. Citation Text: Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi…

Human centered design workshops as a meta-solution to diagnostic disparities. | PSNet

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July 31, 2024 - Study Human centered design workshops as a meta-solution to diagnostic disparities. Citation Text: Wiegand AA, Dukhanin V, Sheikh T, et al. Human centered design workshops as a meta-solution to diagnostic disparities. Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. Copy …

Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-reduce-patient-safety-risks-related-dispensing

August 02, 2017 - Study Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. Citation Text: Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to t…

Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet

psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient

January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

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