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Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. | PSNet

psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health-ecosystem

October 19, 2022 - Study Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. Citation Text: Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a prospective learning health ecosystem for di…

Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study. | PSNet

psnet.ahrq.gov/issue/patient-safety-when-receiving-telephone-advice-primary-care-swedish-qualitative-interview

October 13, 2021 - Study Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study. Citation Text: Berntsson K, Eliasson M, Beckman L. Patient safety when receiving telephone advice in primary care – a Swedish qualitative interview study. BMC Nurs. 2022;21(1):24…

Impact of a comprehensive patient safety strategy on obstetric adverse events. | PSNet

psnet.ahrq.gov/issue/impact-comprehensive-patient-safety-strategy-obstetric-adverse-events

October 20, 2014 - Study Impact of a comprehensive patient safety strategy on obstetric adverse events. Citation Text: Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.0…

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents

August 23, 2023 - Study A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. Citation Text: Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …

Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. | PSNet

psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality

February 14, 2018 - Review Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. Citation Text: Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…

The role of organizational and professional cultures in medication safety: a scoping review of the literature. | PSNet

psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature

February 12, 2020 - Review The role of organizational and professional cultures in medication safety: a scoping review of the literature. Citation Text: Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…

Nurse leader perspectives and experiences on caregiver support following a serious medical error. | PSNet

psnet.ahrq.gov/issue/nurse-leader-perspectives-and-experiences-caregiver-support-following-serious-medical-error

March 06, 2024 - Study Nurse leader perspectives and experiences on caregiver support following a serious medical error. Citation Text: Prothero MM, Sorhus M, Huefner K. Nurse leader perspectives and experiences on caregiver support following a serious medical error. J Nurs Adm. 2024;54(12):664-669. doi:…

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. | PSNet

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October 28, 2020 - Review Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Citation Text: Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…

Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. | PSNet

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February 10, 2021 - Review Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. Citation Text: Vanstone M, Canfield C, Evans C, et al. Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. Heal…

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? | PSNet

psnet.ahrq.gov/issue/quality-improvement-primary-approach-change-healthcare-precarious-self-limiting-choice

June 08, 2022 - Commentary Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? Citation Text: Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…

Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/serious-hazards-transfusion-evaluating-dangers-wrong-patient-autologous-salvaged-blood

May 11, 2022 - Commentary Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in cardiac surgery. Citation Text: Uramatsu M, Maeda H, Mishima S, et al. Serious hazards of transfusion: evaluating the dangers of a wrong patient autologous salvaged blood in …

Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. | PSNet

psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study

January 31, 2024 - Study Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Citation Text: Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…

Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. | PSNet

psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools

January 21, 2019 - Study Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. Citation Text: Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…

Register-based research of adverse events revealing incomplete records threatening patient safety. | PSNet

psnet.ahrq.gov/issue/register-based-research-adverse-events-revealing-incomplete-records-threatening-patient

October 06, 2021 - Review Register-based research of adverse events revealing incomplete records threatening patient safety. Citation Text: Kinnunen U-M, Kivekäs E, Palojoki S, et al. Register-based research of adverse events revealing incomplete records threatening patient safety. Stud Health Technol Info…

Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-long-term-care-and-its-relationship-probable-delirium

September 23, 2020 - Study Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. Citation Text: Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25…

When no news is bad news: improving diagnostic testing communication through patient engagement. | PSNet

psnet.ahrq.gov/issue/when-no-news-bad-news-improving-diagnostic-testing-communication-through-patient-engagement

August 20, 2018 - Study When no news is bad news: improving diagnostic testing communication through patient engagement. Citation Text: Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26…

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims

September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. | PSNet

psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety

July 15, 2020 - Review 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. Citation Text: St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient …

Associations between patient safety culture and workplace safety culture in hospital settings. | PSNet

psnet.ahrq.gov/issue/associations-between-patient-safety-culture-and-workplace-safety-culture-hospital-settings

December 09, 2020 - Study Associations between patient safety culture and workplace safety culture in hospital settings. Citation Text: Hesgrove B, Zebrak K, Yount N, et al. Associations between patient safety culture and workplace safety culture in hospital settings. BMC Health Serv Res. 2024;24(1):568. do…

Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. | PSNet

psnet.ahrq.gov/issue/translating-staff-experience-organisational-improvement-heads-stepped-wedge-cluster

April 24, 2018 - Study Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. Citation Text: Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, clus…

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