-
psnet.ahrq.gov/issue/experience-feedback-committees-way-implementing-root-cause-analysis-practice-hospital-medical
October 30, 2024 - Study
Experience feedback committees: a way of implementing a root cause analysis practice in hospital medical departments.
Citation Text:
François P, Lecoanet A, Caporossi A, et al. Experience feedback committees: A way of implementing a root cause analysis practice in hospital medical …
-
psnet.ahrq.gov/issue/what-safety-nonemergent-operative-procedures-performed-night
July 20, 2022 - Study
What is the safety of nonemergent operative procedures performed at night?
Citation Text:
Turrentine FE, Wang H, Young JS, et al. What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using th…
-
psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
August 03, 2022 - Study
Body mass index category and adverse events in hospitalized children.
Citation Text:
Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004.
Copy Citation
…
-
psnet.ahrq.gov/issue/commercialised-experience-operating-embodied-preferences-ambiguous-variations-and-explaining
August 24, 2022 - Study
The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm.
Citation Text:
Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining …
-
psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study-hospitals-surgical
September 25, 2024 - Study
Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department.
Citation Text:
Jaakkola M, Lemmetty S, Collin K, et al. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. …
-
psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong
July 21, 2009 - Study
Patients use an internet technology to report when things go wrong.
Citation Text:
Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5.
Copy Citation
Format:
Google Scholar PubMe…
-
psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
November 17, 2014 - Review
Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare.
Citation Text:
Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…
-
psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
August 25, 2021 - Commentary
Classic
Human error and the problem of causality in analysis of accidents.
Citation Text:
Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462.
Copy Citation
…
-
psnet.ahrq.gov/issue/hospital-differences-adult-inpatient-stays-healthcare-associated-infections-2019-and-2021
August 03, 2022 - Book/Report
Hospital Differences in Adult Inpatient Stays with Healthcare-Associated Infections, 2019 and 2021.
Citation Text:
Miller MA, Lin L, Calfee DP, et al. Hospital Differences In Adult Inpatient Stays With Healthcare-Associated Infections, 2019 And 2021. Rockville, MD: Agency for…
-
psnet.ahrq.gov/issue/influence-standardisation-and-task-load-team-coordination-patterns-during-anaesthesia
November 05, 2008 - Study
The influence of standardisation and task load on team coordination patterns during anaesthesia inductions.
Citation Text:
Zala-Mezö E, Wacker J, Künzle B, et al. The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Qual Saf …
-
psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient
December 01, 2011 - Study
Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes.
Citation Text:
DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859.
Copy …
-
psnet.ahrq.gov/issue/quantitative-analysis-content-ems-handoff-critically-ill-and-injured-patients-emergency
August 04, 2021 - Study
Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department.
Citation Text:
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergen…
-
psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
August 07, 2024 - Study
Development of a trigger tool to identify adverse events and harm in emergency medical services.
Citation Text:
Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…
-
psnet.ahrq.gov/issue/diagnostic-delays-among-covid-19-patients-second-concurrent-diagnosis
March 08, 2023 - Study
Diagnostic delays among COVID-19 patients with a second concurrent diagnosis.
Citation Text:
Freund O, Azolai L, Sror N, et al. Diagnostic delays among COVID‐19 patients with a second concurrent diagnosis. J Hosp Med. 2023;18(4):321-328. doi:10.1002/jhm.13063.
Copy Citation
F…
-
psnet.ahrq.gov/node/73874/psn-pdf
September 29, 2021 - The generalizability of a medication administration
discrepancy detection system: quantitative comparative
analysis
September 29, 2021
Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration
discrepancy detection system: quantitative comparative analysis. JMIR Med Inform. 2…
-
psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking
August 03, 2022 - Review
Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review.
Citation Text:
Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…
-
psnet.ahrq.gov/issue/pharmacologically-inappropriate-prescriptions-elderly-patients-general-practice-how-common
March 08, 2023 - Study
Pharmacologically inappropriate prescriptions for elderly patients in general practice: how common?
Citation Text:
Brekke M, Rognstad S, Straand J, et al. Pharmacologically inappropriate prescriptions for elderly patients in general practice: How common? Baseline data from The Pr…
-
psnet.ahrq.gov/issue/child-health-pso-10-years-emerging-learning-network
July 28, 2021 - Commentary
The Child Health PSO at 10 years: an emerging learning network.
Citation Text:
Levy FH, Conrad KA, Kemper C, et al. The Child Health PSO at 10 Years: an emerging learning network. Pediatr Qual Saf. 2021;6(4):e449. doi:10.1097/pq9.0000000000000449.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/safety-first-using-checklist-intrafacility-transport-adult-intensive-care-patients
October 09, 2024 - Commentary
Safety first! Using a checklist for intrafacility transport of adult intensive care patients.
Citation Text:
Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16…
-
psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
June 13, 2011 - Review
A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy.
Citation Text:
Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000…