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Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. | PSNet

psnet.ahrq.gov/issue/improving-communication-and-teamwork-during-labor-feasibility-acceptability-and-safety-study

July 20, 2022 - Study Improving communication and teamwork during labor: a feasibility, acceptability, and safety study. Citation Text: Weiseth A, Plough A, Aggarwal R, et al. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study. Birth. 2022;49(4):637-647. do…

Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. | PSNet

psnet.ahrq.gov/issue/responding-safe-care-healthcare-staff-experiences-caring-child-intellectual-disability

June 15, 2022 - Review Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. Citation Text: Ong N, Long JC, Weise J, et al. Responding to safe care: healthcare staff experiences caring for a child with i…

Implementation of participatory organizational change in long term care to improve safety. | PSNet

psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety

February 01, 2012 - Study Implementation of participatory organizational change in long term care to improve safety. Citation Text: Van Eerd D, D'Elia T, Ferron EM, et al. Implementation of participatory organizational change in long term care to improve safety. J Safety Res. 2021;78:9-18. doi:10.1016/j.jsr…

Unexpected death within 72 hours of emergency department visit: were those deaths preventable? | PSNet

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July 08, 2020 - Study Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Citation Text: Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s…

Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet

psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing

May 08, 2017 - Study Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Citation Text: Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…

The costs associated with adverse drug events among older adults in the ambulatory setting. | PSNet

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May 20, 2020 - Study The costs associated with adverse drug events among older adults in the ambulatory setting. Citation Text: Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176. Copy…

Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. | PSNet

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October 07, 2020 - Study Potentially inappropriate medication administration is associated with adverse postoperative outcomes in older surgical patients: a retrospective cohort study. Citation Text: Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is associ…

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet

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October 07, 2020 - Study Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Citation Text: Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…

Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. | PSNet

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July 07, 2021 - Study Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Citation Text: Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simu…

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

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December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

A review of medication errors and the second victim in pediatric pharmacy. | PSNet

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January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. | PSNet

psnet.ahrq.gov/issue/evaluating-mobile-application-improving-clinical-laboratory-test-ordering-and-diagnosis

August 07, 2019 - Study Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. Citation Text: Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):84…

Implementing computerized provider order entry with an existing clinical information system. | PSNet

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October 19, 2022 - Study Implementing computerized provider order entry with an existing clinical information system. Citation Text: Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-…

Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. | PSNet

psnet.ahrq.gov/issue/perception-medication-safety-related-behaviors-among-different-age-groups-web-based-cross

April 24, 2024 - Study Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. Citation Text: Lang Y, Chen K-Y, Zhou Y, et al. Perception of medication safety-related behaviors among different age groups: web-based cross-sectional study. Interact J M…

Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. | PSNet

psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education

June 02, 2021 - Study Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. Citation Text: Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J …

Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/effectiveness-different-nursing-handover-styles-ensuring-continuity-information-hospitalised

May 19, 2018 - Review Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Citation Text: Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. …

Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. | PSNet

psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey

November 11, 2020 - Study Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Citation Text: Lin DM, Lane-Fall MB, Lea JA, et al. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Jt Comm J Qual Patient Saf. 2024;50(11):…

Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet

psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and

February 03, 2021 - Study Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. Citation Text: Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…

Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. | PSNet

psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room-labelled-surgical

November 16, 2022 - Study Call me Ishmael: addressing the white whale of team communication in the operating room with labelled surgical caps at an academic medical centre. Citation Text: Goldhaber NH, Mehta S, Longhurst CA, et al. Call me Ishmael: addressing the white whale of team communication in the ope…

Comparing VA and Non-VA quality of care: a systematic review. | PSNet

psnet.ahrq.gov/issue/comparing-va-and-non-va-quality-care-systematic-review

May 15, 2024 - Review Comparing VA and Non-VA quality of care: a systematic review. Citation Text: O'Hanlon C, Huang C, Sloss E, et al. Comparing VA and Non-VA Quality of Care: A Systematic Review. J Gen Intern Med. 2017;32(1):105-121. doi:10.1007/s11606-016-3775-2. Copy Citation Format: …

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