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Lessons learned in implementing a chronic opioid therapy management system. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system

July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. Citation Text: Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …

The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. | PSNet

psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study

July 21, 2017 - Study The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. Citation Text: O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(…

Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. | PSNet

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February 17, 2021 - Study Influence of doctor–patient conversations on behaviours of patients presenting to primary care with new or persistent symptoms: a video observation study. Citation Text: Amelung D, Whitaker KL, Lennard D, et al. Influence of doctor-patient conversations on behaviours of patients pr…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

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March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

Analyzing diagnostic errors in the acute setting: a process-driven approach. | PSNet

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December 07, 2022 - Study Analyzing diagnostic errors in the acute setting: a process-driven approach. Citation Text: Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. Copy Citatio…

Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet

psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center

September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. | PSNet

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June 07, 2023 - Study Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation. Citation Text: Bourne RS, Shulman R, Jennings JK. Reducing medication errors in critical care patients: pharmacist key resources and relationship with medici…

The WHO surgical safety checklist: survey of patients' views. | PSNet

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January 19, 2016 - Study The WHO surgical safety checklist: survey of patients' views. Citation Text: Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. Copy Citation Format: DOI Google Schol…

Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. | PSNet

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June 29, 2022 - Study Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. Citation Text: Zheng Y, Jiang Y, Dorsch MP, et al. Work effort, readability and quality of pharmacy transcription of pa…

Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. | PSNet

psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical

July 28, 2021 - Study Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. Citation Text: Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North Amer…

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. | PSNet

psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event

June 03, 2020 - Review Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. Citation Text…

Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. | PSNet

psnet.ahrq.gov/issue/multimethod-study-large-scale-programme-improve-patient-safety-using-harm-free-care-approach

January 23, 2019 - Study Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. Citation Text: Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e0…

Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database

September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet

psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic

May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet

psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge

July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…

Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. | PSNet

psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws

October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…

Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized

December 17, 2014 - Study Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Citation Text: Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…

Exploration of a rapid response team model of care: a descriptive dual methods study. | PSNet

psnet.ahrq.gov/issue/exploration-rapid-response-team-model-care-descriptive-dual-methods-study

March 24, 2021 - Study Exploration of a rapid response team model of care: a descriptive dual methods study. Citation Text: Shiell A, Fry M, Elliott D, et al. Exploration of a rapid response team model of care: a descriptive dual methods study. Intensive Crit Care Nurs. 2022;73:103294. doi:10.1016/j.iccn…

Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. | PSNet

psnet.ahrq.gov/issue/using-targeted-solutions-toolr-improve-emergency-department-handoffs-community-hospital

April 13, 2022 - Study Using the Targeted Solutions Tool® to improve emergency department handoffs in a community hospital. Citation Text: Benjamin MF, Hargrave S, Nether K. Using the Targeted Solutions Tool® to Improve Emergency Department Handoffs in a Community Hospital. Jt Comm J Qual Patient Saf. 2…

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. | PSNet

psnet.ahrq.gov/issue/differences-safety-climate-among-hospital-anesthesia-departments-and-effect-realistic

October 19, 2022 - Study Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. Citation Text: Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a reali…

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