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Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. | PSNet

psnet.ahrq.gov/issue/integrated-approach-reduce-perinatal-adverse-events-standardized-processes-interdisciplinary

September 01, 2018 - Study Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. Citation Text: Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interd…

Radiologic safety events within a pediatric emergency medicine network. | PSNet

psnet.ahrq.gov/issue/radiologic-safety-events-within-pediatric-emergency-medicine-network

August 01, 2018 - Study Radiologic safety events within a pediatric emergency medicine network. Citation Text: Blumberg SM, Mahajan P, OʼConnell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. Copy…

US poison control center calls for infants 6 months of age and younger. | PSNet

psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger

November 16, 2022 - Study US poison control center calls for infants 6 months of age and younger. Citation Text: Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. Copy Citation Format: DOI G…

Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. | PSNet

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February 14, 2024 - Commentary Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. Citation Text: Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts. J Am Med Inform Assoc. 201…

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. | PSNet

psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model

November 24, 2021 - Study Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. Citation Text: Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense‐making model. Med Educ. 2023;57(5):430-439. doi:10.1111…

Performance variability in perioperative sentinel events: report on a nationwide data set. | PSNet

psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set

November 04, 2020 - Study Performance variability in perioperative sentinel events: report on a nationwide data set. Citation Text: Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.109…

Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. | PSNet

psnet.ahrq.gov/issue/community-acquired-and-hospital-acquired-medication-harm-among-older-inpatients-and-impact

August 28, 2024 - Study Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention. Citation Text: Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients an…

Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. | PSNet

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September 23, 2020 - Study Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. Citation Text: Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of R…

The effect of facility complexity on perceptions of safety climate in the operating room: size matters. | PSNet

psnet.ahrq.gov/issue/effect-facility-complexity-perceptions-safety-climate-operating-room-size-matters

December 21, 2014 - Study The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Citation Text: Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25…

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. | PSNet

psnet.ahrq.gov/issue/designing-distractions-human-factors-approach-decreasing-interruptions-centralised-medication

July 27, 2018 - Study Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. Citation Text: Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication…

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. | PSNet

psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review

April 01, 2015 - Review Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Citation Text: Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a sys…

Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net

September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. | PSNet

psnet.ahrq.gov/issue/physician-transition-care-benefits-i-pass-and-electronic-handoff-system-community-pediatric

November 02, 2022 - Study Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. Citation Text: Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatri…

Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. | PSNet

psnet.ahrq.gov/issue/assessing-information-sources-elucidate-diagnostic-process-errors-radiologic-imaging-human

May 29, 2019 - Study Assessing information sources to elucidate diagnostic process errors in radiologic imaging—a human factors framework. Citation Text: Cochon L, Lacson R, Wang A, et al. Assessing information sources to elucidate diagnostic process errors in radiologic imaging - a human factors frame…

Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. | PSNet

psnet.ahrq.gov/issue/quality-improvement-ambulatory-surgery-centers-major-national-effort-aimed-reducing

September 23, 2020 - Study Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. Citation Text: Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducin…

Cost of health care-associated infections in the United States. | PSNet

psnet.ahrq.gov/issue/cost-health-care-associated-infections-united-states

November 02, 2022 - Study Cost of health care-associated infections in the United States. Citation Text: Forrester JD, Maggio PM, Tennakoon L. Cost of health care-associated infections in the United States. J Patient Saf. 2022;18(2):e477-e479. doi:10.1097/pts.0000000000000845. Copy Citation Format: …

Economic analysis of the prevalence and clinical and economic burden of medication error in England. | PSNet

psnet.ahrq.gov/issue/economic-analysis-prevalence-and-clinical-and-economic-burden-medication-error-england

April 17, 2024 - Study Economic analysis of the prevalence and clinical and economic burden of medication error in England. Citation Text: Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Qual Saf. 2021;30(2…

Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. | PSNet

psnet.ahrq.gov/issue/changing-and-sustaining-medical-students-knowledge-skills-and-attitudes-about-patient-safety

December 19, 2012 - Study Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Citation Text: Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …

An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting. | PSNet

psnet.ahrq.gov/issue/integrative-review-exploring-perceptions-patients-and-healthcare-professionals-towards

March 06, 2019 - Review An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting. Citation Text: Alzyood M, Jackson D, Brooke J, et al. An integrative review exploring the perceptions …

Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet

psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative

August 04, 2021 - Study Classic Reducing adverse drug events: lessons from a breakthrough series collaborative. Citation Text: Leape L, Kabcenell AI, Gandhi TK, et al. Reducing adverse drug events: lessons from a breakthrough series collaborative. Jt Comm J Qual Improv. 2000;26(6…

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