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S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. | PSNet

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November 30, 2022 - Commentary S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. Citation Text: Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety…

Breast cancer missed at screening; hindsight or mistakes? | PSNet

psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes

November 15, 2023 - Study Breast cancer missed at screening; hindsight or mistakes? Citation Text: Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. Copy Citation Format: DOI Google …

A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. | PSNet

psnet.ahrq.gov/issue/quality-initiative-decrease-pathology-specimen-labeling-errors-using-radiofrequency

August 28, 2017 - Study A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. Citation Text: Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequenc…

US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet

psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016

January 23, 2017 - Study US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. Citation Text: Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…

Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. | PSNet

psnet.ahrq.gov/issue/do-patients-and-relatives-have-different-dispositions-when-challenging-healthcare

March 31, 2021 - Study Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. Citation Text: Rodrigo-Rincon I, Irigoyen-Aristorena I, Tirapu-Leon B, et al. Do patients and relatives have differ…

Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. | PSNet

psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety

December 29, 2014 - Study Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Citation Text: Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…

Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. | PSNet

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January 29, 2014 - Study Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. Citation Text: Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2…

Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study. | PSNet

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November 07, 2018 - Study Influence of shift duration on cognitive performance of emergency physicians: a prospective cross-sectional study. Citation Text: Persico N, Maltese F, Ferrigno C, et al. Influence of Shift Duration on Cognitive Performance of Emergency Physicians: A Prospective Cross-Sectional Stu…

Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. | PSNet

psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information

December 18, 2014 - Study Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. Citation Text: Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, an…

Relationship of staff information sharing and advice networks to patient safety outcomes. | PSNet

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June 22, 2011 - Study Relationship of staff information sharing and advice networks to patient safety outcomes. Citation Text: Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10…

Ten years later, alarm fatigue is still a safety concern. | PSNet

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October 25, 2023 - Commentary Ten years later, alarm fatigue is still a safety concern. Citation Text: Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662. Copy Citation Format: …

Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. | PSNet

psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons

May 18, 2022 - Study Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. Citation Text: Adelani MA, Hong Z, Miller AN. Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. J Am Acad Orthop Surg. 2023;31(16):893-9…

Time out—charting a path for improving performance measurement. | PSNet

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March 06, 2005 - Commentary Classic Time out—charting a path for improving performance measurement. Citation Text: MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. C…

The PROMISES Project. | PSNet

psnet.ahrq.gov/issue/promises-project

January 30, 2019 - Multi-use Website The PROMISES Project. Citation Text: The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…

Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/evaluation-design-and-structure-electronic-medication-labels-improve-patient-health-knowledge

October 16, 2024 - Review Evaluation of the design and structure of electronic medication labels to improve patient health knowledge and safety: a systematic review. Citation Text: Saif S, Bui TTT, Srivastava G, et al. Evaluation of the design and structure of electronic medication labels to improve patien…

How health systems decide to use artificial intelligence for clinical decision support. | PSNet

psnet.ahrq.gov/issue/how-health-systems-decide-use-artificial-intelligence-clinical-decision-support

March 30, 2022 - Study How health systems decide to use artificial intelligence for clinical decision support. Citation Text: Gonzalez-Smith J, Shen H, Singletary E, et al. How health systems decide to use artificial intelligence for clinical decision support. NEJM Catal Innov Care Deliv. 2022;3(4). doi:…

Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-implementing-interventions-reducing-avoidable-hospital-readmission

April 25, 2018 - Review Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. Citation Text: Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital …

Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. | PSNet

psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine-dosing-errors

October 06, 2021 - Study Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Citation Text: Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital settin…

Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. | PSNet

psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric

July 28, 2021 - Study Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. Citation Text: Raghuram N, Alodan K, Bartels U, et al. Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.…

Accurate measurement in California's safety-net health systems has gaps and barriers. | PSNet

psnet.ahrq.gov/issue/accurate-measurement-californias-safety-net-health-systems-has-gaps-and-barriers

April 04, 2018 - Study Accurate measurement in California's safety-net health systems has gaps and barriers. Citation Text: Khoong EC, Cherian R, Rivadeneira NA, et al. Accurate Measurement In California's Safety-Net Health Systems Has Gaps And Barriers. Health Aff (Millwood). 2018;37(11):1760-1769. doi:…

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