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Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. | PSNet

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January 12, 2022 - Study Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory. Citation Text: Haque H, Alrowily A, Jalal Z, et al. Direct oral anticoagulant-related medication incidents and pharmac…

An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. | PSNet

psnet.ahrq.gov/issue/analysis-structure-and-content-dashboards-used-monitor-patient-safety-inpatient-setting

March 09, 2022 - Study An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. Citation Text: Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting.…

Patient safety goals for the proposed Federal Health Information Technology Safety Center. | PSNet

psnet.ahrq.gov/issue/patient-safety-goals-proposed-federal-health-information-technology-safety-center

November 30, 2011 - Commentary Classic Patient safety goals for the proposed Federal Health Information Technology Safety Center. Citation Text: Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform…

Physician use of stigmatizing language in patient medical records. | PSNet

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June 06, 2021 - Study Physician use of stigmatizing language in patient medical records. Citation Text: Park J, Saha S, Chee B, et al. Physician use of stigmatizing language in patient medical records. JAMA Netw Open. 2021;4(7):e2117052. doi:10.1001/jamanetworkopen.2021.17052. Copy Citation Format…

More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. | PSNet

psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda

May 01, 2019 - Study More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. Citation Text: Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform…

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. | PSNet

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October 19, 2022 - Study Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. Citation Text: Woods-Hill CZ, Colantuoni EA, Koontz DW, et al. Association of diagnostic stewardsh…

Device use errors among patients with asthma and COPD and the role of training: a real-life study. | PSNet

psnet.ahrq.gov/issue/device-use-errors-among-patients-asthma-and-copd-and-role-training-real-life-study

June 22, 2022 - Study Device use errors among patients with asthma and COPD and the role of training: a real-life study. Citation Text: Papaioannou AI, Bartziokas K, Hillas G, et al. Device use errors among patients with asthma and COPD and the role of training: a real-life study. Postgrad Med. 2021;133…

Patient safety in nursing homes from an ecological perspective: an integrated review. | PSNet

psnet.ahrq.gov/issue/patient-safety-nursing-homes-ecological-perspective-integrated-review

December 07, 2022 - Review Patient safety in nursing homes from an ecological perspective: an integrated review. Citation Text: Min D, Park S, Kim S, et al. Patient safety in nursing homes from an ecological perspective: an integrated review. J Patient Saf. 2024;20(2):77-84. doi:10.1097/pts.0000000000001189…

Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. | PSNet

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July 24, 2024 - Review Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. Citation Text: Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:1…

What causes delays in diagnosing blood cancers? A rapid review of the evidence. | PSNet

psnet.ahrq.gov/issue/what-causes-delays-diagnosing-blood-cancers-rapid-review-evidence

August 14, 2019 - Review What causes delays in diagnosing blood cancers? A rapid review of the evidence. Citation Text: Black GB, Boswell L, Harris J, et al. What causes delays in diagnosing blood cancers? A rapid review of the evidence. Prim Health Care Res Dev. 2023;24:e26. doi:10.1017/s1463423623000129…

Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. | PSNet

psnet.ahrq.gov/issue/safe-clinical-practice-patients-hospitalised-mental-health-wards-during-suicidal-crisis

August 17, 2022 - Study Safe clinical practice for patients hospitalised in mental health wards during a suicidal crisis: qualitative study of patient experiences. Citation Text: Berg SH, Rørtveit K, Walby FA, et al. Safe clinical practice for patients hospitalised in mental health wards during a suicidal…

Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. | PSNet

psnet.ahrq.gov/issue/speaking-extension-socio-cultural-dynamics-hospital-settings-study-staff-experiences-speaking

May 19, 2021 - Study Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. Citation Text: Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a…

Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data. | PSNet

psnet.ahrq.gov/issue/exploring-psychological-safety-healthcare-teams-inform-development-interventions-combining

March 18, 2020 - Study Exploring psychological safety in healthcare teams to inform the development of interventions: combining observational, survey and interview data. Citation Text: O’Donovan R, McAuliffe E. Exploring psychological safety in healthcare teams to inform the development of interventions:…

The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. | PSNet

psnet.ahrq.gov/issue/psychological-experiences-nurses-after-inpatient-suicide-meta-synthesis-qualitative-research

February 23, 2022 - Review The psychological experiences of nurses after inpatient suicide: a meta-synthesis of qualitative research studies. Citation Text: Shao Q, Wang Y, Hou K, et al. The psychological experiences of nurses after inpatient suicide: a meta‐synthesis of qualitative research studies. J Adv …

Organisational culture: variation across hospitals and connection to patient safety climate. | PSNet

psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate

March 17, 2010 - Study Organisational culture: variation across hospitals and connection to patient safety climate. Citation Text: Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…

Creating a safer health care system: finding the constraint. | PSNet

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February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. | PSNet

psnet.ahrq.gov/issue/preventable-adverse-drug-events-hospitalized-patients-comparative-study-intensive-care-and

March 31, 2021 - Study Classic Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. Citation Text: Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…

Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. | PSNet

psnet.ahrq.gov/issue/patients-diagnostic-collaborators-sharing-visit-notes-promote-accuracy-and-safety

April 15, 2020 - Commentary Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Citation Text: Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.…

How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. | PSNet

psnet.ahrq.gov/issue/how-do-we-know-when-we-have-done-enough-ensuring-sufficient-patient-notification-efforts

August 18, 2021 - Commentary How do we know when we have done enough? Ensuring sufficient patient notification efforts after a large-scale adverse event. Citation Text: Alfandre D, Foglia MB, Holodniy M, et al. How do we know when we have done enough? Ensuring sufficient patient notification efforts after…

Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). | PSNet

psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross

February 15, 2023 - Study Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). Citation Text: Neyens L, Stouten E, Vanhaecht K, et al. Open disclosure among general practitioners as second victim of a patient safety inciden…

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