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Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. | PSNet

psnet.ahrq.gov/issue/missed-nursing-care-surgical-care-hazard-patient-safety-quantitative-study-within-incharge

July 12, 2023 - Study Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. Citation Text: Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE pr…

Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

psnet.ahrq.gov/issue/ticket-ride-reducing-handoff-risk-during-hospital-patient-transport

May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. | PSNet

psnet.ahrq.gov/issue/do-you-have-re-examine-reconsider-your-diagnosis-checklists-and-cardiac-exam

February 06, 2014 - Study Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. Citation Text: Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-…

Potential harm caused by physicians' a-priori beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome--a simulation approach. | PSNet

psnet.ahrq.gov/issue/potential-harm-caused-physicians-priori-beliefs-clinical-effectiveness-hydroxychloroquine-and

November 21, 2021 - Study Potential harm caused by physicians' a-priori beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome--a simulation approach. Citation Text: Ebm C, Carfagna F, Edwards S, et al. Potential harm caused by physicians' a-priori belief…

Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. | PSNet

psnet.ahrq.gov/issue/use-novel-electronic-health-record-centered-interprofessional-icu-rounding-simulation

March 04, 2019 - Study Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. Citation Text: Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Un…

Assessing the relationship between patient safety culture and EHR strategy. | PSNet

psnet.ahrq.gov/issue/assessing-relationship-between-patient-safety-culture-and-ehr-strategy

December 21, 2018 - Study Assessing the relationship between patient safety culture and EHR strategy. Citation Text: Ford E, Silvera GA, Kazley AS, et al. Assessing the relationship between patient safety culture and EHR strategy. Int J Health Care Qual Assur. 2016;29(6):614-27. doi:10.1108/IJHCQA-10-2015-0…

Using clinical simulation to study how to improve quality and safety in healthcare. | PSNet

psnet.ahrq.gov/issue/using-clinical-simulation-study-how-improve-quality-and-safety-healthcare

March 31, 2021 - Review Classic Using clinical simulation to study how to improve quality and safety in healthcare. Citation Text: Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2)…

Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care

March 18, 2016 - Study Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. Citation Text: Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Q…

Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. | PSNet

psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care

December 29, 2014 - Study Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. Citation Text: McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting…

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining

November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

Health professional networks as a vector for improving healthcare quality and safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/health-professional-networks-vector-improving-healthcare-quality-and-safety-systematic-review

December 13, 2023 - Review Health professional networks as a vector for improving healthcare quality and safety: a systematic review. Citation Text: Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving healthcare quality and safety: a systematic review. BMJ…

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…

Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability. | PSNet

psnet.ahrq.gov/issue/understanding-factors-could-influence-patient-acceptability-use-pincer-intervention-primary

May 24, 2023 - Study Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability. Citation Text: Laing L, Salema N-E, Jeffries M, et al. Understanding factors that coul…

Racial inequality in receipt of medications for opioid use disorder. | PSNet

psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder

April 24, 2018 - Study Racial inequality in receipt of medications for opioid use disorder. Citation Text: Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412. Copy Citation Fo…

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…

Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet

psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident

January 15, 2020 - Journal Article Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths Citation Text: Mitchell R, Faris M, Lystad R, et al. Using the WHO International Classification…

So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. | PSNet

psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff

April 28, 2021 - Study So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Citation Text: Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …

Association of interruptions with an increased risk and severity of medication administration errors. | PSNet

psnet.ahrq.gov/issue/association-interruptions-increased-risk-and-severity-medication-administration-errors

August 26, 2020 - Study Classic Association of interruptions with an increased risk and severity of medication administration errors. Citation Text: Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of medication administration…

The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. | PSNet

psnet.ahrq.gov/issue/psychological-safety-scale-safety-communication-operational-reliability-and-engagement-score

August 24, 2022 - Study The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. Citation Text: Adair KC, Heath A, Frye MA, et al. The Psychological S…

Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems

January 12, 2022 - Commentary Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. Citation Text: Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):…

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