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IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet

psnet.ahrq.gov/issue/idea4ps-development-research-oriented-learning-healthcare-system

April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system. Citation Text: Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. | PSNet

psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format

March 10, 2010 - Study Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Citation Text: Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format tha…

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet

psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection

May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

Improving adverse drug event reporting by healthcare professionals. | PSNet

psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals

April 12, 2019 - Review Improving adverse drug event reporting by healthcare professionals. Citation Text: Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2. …

Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. | PSNet

psnet.ahrq.gov/issue/severe-hypertension-pregnancy-progress-made-and-future-directions-patient-safety-quality

October 23, 2024 - Commentary Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. Citation Text: Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directio…

Stop the line: interventions to prevent retained surgical items. | PSNet

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July 10, 2024 - Commentary Stop the line: interventions to prevent retained surgical items. Citation Text: Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. | PSNet

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November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…

Dual surgeon operating to improve patient safety. | PSNet

psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety

July 22, 2020 - Commentary Dual surgeon operating to improve patient safety. Citation Text: Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg. 2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014. Copy Citation Format: DOI Google Scholar BibTeX …

Emotional impact of patient safety incidents on family physicians and their office staff. | PSNet

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December 11, 2013 - Study Emotional impact of patient safety incidents on family physicians and their office staff. Citation Text: O'Beirne M, Sterling P, Palacios-Derflingher L, et al. Emotional impact of patient safety incidents on family physicians and their office staff. J Am Board Fam Med. 2012;25(2)…

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. | PSNet

psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates

May 01, 2019 - Study Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions. Citation Text: Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admiss…

Running a hospital patient safety campaign: a qualitative study. | PSNet

psnet.ahrq.gov/issue/running-hospital-patient-safety-campaign-qualitative-study

May 01, 2015 - Study Running a hospital patient safety campaign: a qualitative study. Citation Text: Ozieranski P, Robins V, Minion J, et al. Running a hospital patient safety campaign: a qualitative study. J Health Organ Manag. 2014;28(4):562-75. Copy Citation Format: Google Scholar PubM…

An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. | PSNet

psnet.ahrq.gov/issue/overview-intravenous-related-medication-administration-errors-reported-medmarxr-national

April 14, 2021 - Study An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program. Citation Text: Hicks RW, Becker SC. An overview of intravenous-related medication administration errors as reported to MEDMARX, a national…

Quality gaps identified through mortality review. | PSNet

psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review

November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. | PSNet

psnet.ahrq.gov/issue/combining-ratings-multiple-physician-reviewers-helped-overcome-uncertainty-associated-adverse

December 22, 2010 - Study Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. Citation Text: Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty a…

Race, postoperative complications, and death in apparently healthy children. | PSNet

psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children

August 10, 2022 - Study Classic Race, postoperative complications, and death in apparently healthy children. Citation Text: Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…

Impact of including readmissions for qualifying events in the Patient Safety Indicators. | PSNet

psnet.ahrq.gov/issue/impact-including-readmissions-qualifying-events-patient-safety-indicators

January 26, 2022 - Study Impact of including readmissions for qualifying events in the Patient Safety Indicators. Citation Text: Davies SM, Saynina O, Baker LC, et al. Impact of including readmissions for qualifying events in the patient safety indicators. Am J Med Qual. 2015;30(2):114-8. doi:10.1177/10628…

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-barriers-and-facilitators-perspectives-resident-physicians-and

October 23, 2024 - Study Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. Citation Text: Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pha…

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and

March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. | PSNet

psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional

April 06, 2011 - Study Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Citation Text: Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessio…

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

psnet.ahrq.gov/issue/residents-reflections-quality-improvement-temporal-stability-and-associations-preventability

September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

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