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The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. | PSNet

psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification

August 04, 2021 - Study The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. Citation Text: Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking ne…

Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. | PSNet

psnet.ahrq.gov/issue/cost-effectiveness-quality-improvement-programme-reduce-central-line-associated-bloodstream

January 02, 2017 - Study Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. Citation Text: Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to reduce central line-…

Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/detection-adverse-events-acute-geriatric-hospital-over-6-year-period-using-global-trigger

March 09, 2022 - Study Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. Citation Text: Suarez C, Menendez MD, Alonso J, et al. Detection of adverse events in an acute geriatric hospital over a 6-year period using the Global Trigger Tool. J Am …

Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. | PSNet

psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care

February 09, 2016 - Study Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. Citation Text: Rhodes P, Campbell S, Sanders C. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. Health Exp…

Increased mortality and costs associated with adverse events in intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/increased-mortality-and-costs-associated-adverse-events-intensive-care-unit-patients

January 16, 2008 - Study Increased mortality and costs associated with adverse events in intensive care unit patients. Citation Text: Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081…

A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. | PSNet

psnet.ahrq.gov/issue/multicenter-phased-cluster-randomized-controlled-trial-reduce-central-line-associated

January 02, 2017 - Study A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. Citation Text: Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-a…

The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. | PSNet

psnet.ahrq.gov/issue/effect-staged-emergency-department-specific-rapid-response-system-reporting-clinical

March 24, 2021 - Study The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Citation Text: Considine J, Rawet J, Currey J. The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Aus…

A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. | PSNet

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August 03, 2011 - Study A qualitative study of patient involvement in medicines management after hospital discharge: an under-recognised source of systems resilience. Citation Text: Fylan B, Armitage G, Naylor D, et al. A qualitative study of patient involvement in medicines management after hospital disc…

Effects of interdisciplinary team care interventions on general medical wards: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review

April 24, 2018 - Review Classic Effects of interdisciplinary team care interventions on general medical wards: a systematic review. Citation Text: Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic …

Assessing patient work system factors for medication management during transition of care among older adults: an observational study. | PSNet

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July 20, 2022 - Study Assessing patient work system factors for medication management during transition of care among older adults: an observational study. Citation Text: Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management during transition of care among ol…

Opioid-prescribing patterns of emergency physicians and risk of long-term use. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use

August 15, 2018 - Study Opioid-prescribing patterns of emergency physicians and risk of long-term use. Citation Text: Barnett ML, Olenski AR, Jena AB. Opioid-Prescribing Patterns of Emergency Physicians and Risk of Long-Term Use. N Engl J Med. 2017;376(7):663-673. doi:10.1056/NEJMsa1610524. Copy Citatio…

High reliability in a safety net hospital leading to operational excellence. | PSNet

psnet.ahrq.gov/issue/high-reliability-safety-net-hospital-leading-operational-excellence

March 01, 2011 - Study High reliability in a safety net hospital leading to operational excellence. Citation Text: Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236. Co…

Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. | PSNet

psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-hospital-survey-20-user-database-report

December 18, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report. Citation Text: Tyler ER, Yalden O, Fan L, et al. Surveys On Patient Safety Culture (Sops) Hospital Survey 2.0: User Database Report. Rockville, MD: Agency for Healthcare Research and Quality; …

Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. | PSNet

psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools

May 26, 2021 - Review Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. Citation Text: Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systemati…

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet

psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety

January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…

Exposure to incivility hinders clinical performance in a simulated operative crisis. | PSNet

psnet.ahrq.gov/issue/exposure-incivility-hinders-clinical-performance-simulated-operative-crisis

June 14, 2019 - Study Emerging Classic Exposure to incivility hinders clinical performance in a simulated operative crisis. Citation Text: Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;…

Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. | PSNet

psnet.ahrq.gov/issue/impact-intensivist-led-multidisciplinary-extended-rapid-response-team-hospital-wide

June 14, 2017 - Study Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-wide cardiopulmonary arrests and mortality. Citation Text: Al-Qahtani S, Al-Dorzi HM, Tamim HM, et al. Impact of an intensivist-led multidisciplinary extended rapid response team on hospital-w…

Appropriate use of medical interpreters in the breast imaging clinic. | PSNet

psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic

October 16, 2024 - Commentary Appropriate use of medical interpreters in the breast imaging clinic. Citation Text: Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109. Copy Cit…

Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial. | PSNet

psnet.ahrq.gov/issue/decreasing-prescribing-errors-during-pediatric-emergencies-randomized-simulation-trial

October 08, 2013 - Study Decreasing prescribing errors during pediatric emergencies: a randomized simulation trial. Citation Text: Larose G, Levy A, Bailey B, et al. Decreasing Prescribing Errors During Pediatric Emergencies: A Randomized Simulation Trial. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-320…

Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. | PSNet

psnet.ahrq.gov/issue/rare-adverse-medical-events-va-inpatient-care-reliability-limits-using-patient-safety

February 27, 2008 - Study Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as performance measures. Citation Text: West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to using patient safety indicators as…

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