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Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. | PSNet

psnet.ahrq.gov/issue/antimicrobial-residual-drug-error-intensive-care-unit-single-blinded-prospective

November 21, 2021 - Study Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Citation Text: Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…

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…

Adverse health events related to self-medication practices among elderly: a systematic review. | PSNet

psnet.ahrq.gov/issue/adverse-health-events-related-self-medication-practices-among-elderly-systematic-review

June 15, 2022 - Review Adverse health events related to self-medication practices among elderly: a systematic review. Citation Text: Locquet M, Honvo G, Rabenda V, et al. Adverse health events related to self-medication practices among elderly: a systematic review. Drugs Aging. 2017;34(5):359-365. doi:1…

Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. | PSNet

psnet.ahrq.gov/issue/elder-abuse-and-neglect-overlooked-patient-safety-issue-focus-group-study-nursing-home

March 20, 2019 - Study Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect. Citation Text: Myhre J, Saga S, Malmedal W, et al. Elder abuse and neglect: an overlooked patient safety issue. A focus group study of n…

Exploring medication safety structures and processes in nursing homes: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/exploring-medication-safety-structures-and-processes-nursing-homes-cross-sectional-study

July 25, 2018 - Study Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Citation Text: Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471…

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…

Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. | PSNet

psnet.ahrq.gov/issue/identifying-barriers-and-enablers-robust-independent-second-check-medication-adult-intensive

March 09, 2016 - Study Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Citation Text: Milic V, Cameron L, Jones C. Identifying barriers and enablers for a robust independent second check of medication in adult intensive care. Br J Nurs. 2023;…

Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. | PSNet

psnet.ahrq.gov/issue/failure-rescue-and-30-day-hospital-mortality-hospitals-and-without-crew-resource-management

January 26, 2022 - Study Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. Citation Text: Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30‐day in‐hospital mortality in hospitals with and without crew‐resource‐management safety…

COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. | PSNet

psnet.ahrq.gov/issue/covid-19-hospital-outbreaks-protecting-healthcare-workers-protect-frail-patients-italian

March 18, 2020 - Study COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. Citation Text: Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian ob…

Detecting unapproved abbreviations in the electronic medical record. | PSNet

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August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …

Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. | PSNet

psnet.ahrq.gov/issue/front-line-staff-perspectives-opportunities-improving-safety-and-efficiency-hospital-work

February 04, 2009 - Study Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Citation Text: Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. H…

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. | PSNet

psnet.ahrq.gov/issue/interprofessional-clinical-event-debriefing-does-it-make-difference-attitudes-emergency

April 06, 2022 - Study Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. Citation Text: Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? At…

Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based

July 21, 2017 - Review Emerging Classic Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. Citation Text: McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact …

Smart pumps improve medication safety but increase alert burden in neonatal care | PSNet

psnet.ahrq.gov/issue/smart-pumps-improve-medication-safety-increase-alert-burden-neonatal-care

September 09, 2020 - Study Smart pumps improve medication safety but increase alert burden in neonatal care Citation Text: Melton KR, Timmons K, Walsh KE, et al. Smart pumps improve medication safety but increase alert burden in neonatal care. BMC Medical Inform Decis Mak. 2019;19(1):213. doi:10.1186/s12911-…

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 …

Patient engagement in the inpatient setting: a systematic review. | PSNet

psnet.ahrq.gov/issue/patient-engagement-inpatient-setting-systematic-review

November 02, 2018 - Review Patient engagement in the inpatient setting: a systematic review. Citation Text: Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141. Copy Citation F…

Disclosing adverse events in clinical practice: the delicate act of being open. | PSNet

psnet.ahrq.gov/issue/disclosing-adverse-events-clinical-practice-delicate-act-being-open

April 14, 2021 - Review Disclosing adverse events in clinical practice: the delicate act of being open. Citation Text: Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.18…

Does error and adverse event reporting by physicians and nurses differ? | PSNet

psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ

February 24, 2011 - Study Does error and adverse event reporting by physicians and nurses differ? Citation Text: Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. Copy Citation Format: G…

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet

psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant

November 25, 2009 - Study Classic Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Text: Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…

The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. | PSNet

psnet.ahrq.gov/issue/prone-score-algorithm-predicting-doctors-risks-formal-patient-complaints-using-routinely

September 07, 2011 - Study The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. Citation Text: Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using …

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