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Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication

July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. | PSNet

psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality

April 22, 2011 - Study The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Citation Text: Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…

Accuracy in patient understanding of common medical phrases. | PSNet

psnet.ahrq.gov/issue/accuracy-patient-understanding-common-medical-phrases

November 30, 2022 - Study Accuracy in patient understanding of common medical phrases. Citation Text: Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in patient understanding of common medical phrases. JAMA Netw Open. 2022;5(11):e2242972. doi:10.1001/jamanetworkopen.2022.42972. Copy Citation Form…

The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet

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May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…

Supporting nurses in acute and emergency care settings to speak up. | PSNet

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November 29, 2023 - Commentary Supporting nurses in acute and emergency care settings to speak up. Citation Text: Clarke-Romain B. Supporting nurses in acute and emergency care settings to speak up. Emerg Nurse. 2024;32(3):16-21. doi:10.7748/en.2023.e2162. Copy Citation Format: DOI Google Scho…

Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. | PSNet

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March 05, 2010 - Study Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. Citation Text: Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. …

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent

April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. | PSNet

psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-2

March 23, 2012 - Study STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Citation Text: O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093…

Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet

psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses

March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. Citation Text: Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…

Root cause analysis of adverse events in an outpatient anticoagulation management consortium. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-outpatient-anticoagulation-management-consortium

March 28, 2012 - Study Root cause analysis of adverse events in an outpatient anticoagulation management consortium. Citation Text: Graves CM, Haymart B, Kline-Rogers E, et al. Root Cause Analysis of Adverse Events in an Outpatient Anticoagulation Management Consortium. Jt Comm J Qual Patient Saf. 2017;4…

Impact of health information technology on detection of potential adverse drug events at the ordering stage. | PSNet

psnet.ahrq.gov/issue/impact-health-information-technology-detection-potential-adverse-drug-events-ordering-stage

June 25, 2008 - Study Impact of health information technology on detection of potential adverse drug events at the ordering stage. Citation Text: Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential adverse drug events at the ordering stage. Am J Hea…

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-hospital-pediatrics-during-covid-19-national-qualitative-study

November 17, 2021 - Study Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Citation Text: De Angulo NR, Penwill N, Pathak PR, et al. Quality and safety in hospital pediatrics during COVID-19: a national qualitative study. Hosp Pediatr. 2022;12(1):e2021006115. doi:10.1…

Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. | PSNet

psnet.ahrq.gov/issue/impact-patient-safety-bundle-and-team-based-training-obstetric-hypertensive-emergencies

July 21, 2021 - Study Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. Citation Text: Grogan L, Peterson E, Flatley M, et al. Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies. Am J Perinatol. 2025;42(4):452-461. d…

Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. | PSNet

psnet.ahrq.gov/issue/identifying-hot-spots-harm-and-blind-spots-across-care-pathway-patient-complaints-about

May 04, 2022 - Study Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. Citation Text: O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general pra…

Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. | PSNet

psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico

April 16, 2019 - Study Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. Citation Text: Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed …

How physicians think: a case-based diagnostic simulation exercise. | PSNet

psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise

August 14, 2019 - Study How physicians think: a case-based diagnostic simulation exercise. Citation Text: Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010. Copy Citation …

The delivery of safe and effective test result communication, management and follow-up. | PSNet

psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow

August 19, 2020 - Study The delivery of safe and effective test result communication, management and follow-up. Citation Text: Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.170…

It’s time to consider national culture when designing team training initiatives in healthcare. | PSNet

psnet.ahrq.gov/issue/its-time-consider-national-culture-when-designing-team-training-initiatives-healthcare

January 26, 2022 - Commentary It’s time to consider national culture when designing team training initiatives in healthcare. Citation Text: Rice JC, Daouk-Öyry L, Hitti E. It’s time to consider national culture when designing team training initiatives in healthcare. BMJ Qual Saf. 2021;30(5):412-417. doi:10…

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. | PSNet

psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and

June 24, 2020 - Study Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. Citation Text: Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safe…

Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. | PSNet

psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international

November 20, 2015 - Study Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. Citation Text: Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): internat…

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