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Horsham, PA: Institute for Safe Medication Practices; August 24, 2017.
Drug shortages can contribute to treatment delays and complications that lead to patient harm. This survey seeks insights from hospital directors of pharmacy regarding their experiences with drug shortages over the past 6 months.
Impact of oncology drug shortages on chemotherapy treatment.
Alpert A, Jacobson M. Clin Pharmacol Ther. 2019 Feb 10; [Epub ahead of print].
Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.
Lee WH, Zhang E, Chiang CY, et al. J Patient Saf. 2019;15:61-68.
Contribution of adverse events to death of hospitalised patients.
Haukland EC, Mevik K, von Plessen C, Nieder C, Vonen B. BMJ Open Qual. 2019;8:e000377.
The Harvard Medical Practice Study trigger system performance in deceased patients.
Klein DO, Rennenberg RJMW, Koopmans RP, Prins MH. BMC Health Serv Res. 2019;19:16.
Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.
Hatch LD, Rivard M, Bolton J, et al. Jt Comm J Qual Patient Saf. 2019;45:295–303.
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Khan A, Spector ND, Baird JD, et al. BMJ. 2018;363:k4764.
Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children.
Stockwell DC, Landrigan CP, Toomey SL, et al; GAPPS Study Group. Hosp Pediatr. 2019;9:1-5.
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2018. Report No. OEI-06-14-00530.
Fatal flaws in clinical decision making.
Davis SS, Babidge WJ, McCulloch GAJ, Maddern GJ. ANZ J Surg. 2018 Nov 29; [Epub ahead of print].
Using good catches to promote a just culture and perioperative patient safety.
Monahan JJ. AORN J. 2018;108:548-552.
Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.
Feinstein MM, Pannunzio AE, Castro P. Paediatr Anaesth. 2018;28:1071-1077.
Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.
Jeffries M, Keers RN, Phipps DL, et al. PLoS One. 2018;13:e0205419.
"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers.
Louch G, Mohammed MA, Hughes L, O'Hara J. Health Expect. 2019;22:102-113.
Important factors for effective patient safety governance auditing: a questionnaire survey.
van Gelderen SC, Zegers M, Robben PB, Boeijen W, Westert GP, Wollersheim HC. BMC Health Serv Res. 2018;18:798.
Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals.
Vermeulen JM, Doedens P, Cullen SW, et al. Psychiatr Serv. 2018;69:1087-1094.
Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis.
Cecil E, Bottle A, Esmail A, Wilkinson S, Vincent C, Aylin PP. BMJ Qual Saf. 2018;27:965-973.
Senior staff safety rounds: a commitment to ensure safety is the top priority.
O'Connell RT, Ivy ME. NEJM Catalyst. May 1, 2018.
Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent.
Stockwell DC, Landrigan CP, Schuster MA, et al. Pediatr Qual Saf. 2018;3:e081.
Adverse events in hospitalized pediatric patients.
Stockwell DC, Landrigan CP, Toomey SL, et al; GAPPS Study Group. Pediatrics. 2018;142;e20173360.
Time out—charting a path for improving performance measurement.
MacLean CH, Kerr EA, Qaseem A. N Engl J Med. 2018;378:1757-1761.
Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.
Sims S, Leamy M, Davies N, et al. BMJ Qual Saf. 2018;27:743-757.
Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology.
Schildmeijer KGI, Unbeck M, Ekstedt M, Lindblad M, Nilsson L. BMJ Open. 2018;8:e019267.
Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.
Lindblad M, Schildmeijer K, Nilsson L, Ekstedt M, Unbeck M. BMJ Qual Saf. 2018;27:502-511.
Providing feedback following Leadership WalkRounds is associated with better patient safety culture, higher employee engagement and lower burnout.
Sexton JB, Adair KC, Leonard MW, et al. BMJ Qual Saf. 2018;27:261-270.
Performance of a trigger tool for identifying adverse events in oncology.
Lipitz-Snyderman A, Classen D, Pfister D, et al. J Oncol Pract. 2017;13:e223-e230.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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