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psnet.ahrq.gov/issue/review-article-improving-hospital-clinical-handover-between-paramedics-and-emergency
February 28, 2024 - Review
Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient.
Citation Text:
Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between paramedics and emergency departme…
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psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
April 06, 2022 - Study
Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.
Citation Text:
Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national sample of ped…
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psnet.ahrq.gov/issue/changes-early-high-risk-opioid-prescribing-practices-after-policy-interventions-washington
November 03, 2021 - Study
Changes in early high-risk opioid prescribing practices after policy interventions in Washington State.
Citation Text:
Sears JM, Haight JR, Fulton‐Kehoe D, et al. Changes in early high‐risk opioid prescribing practices after policy interventions in Washington State. Health Serv Res…
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psnet.ahrq.gov/issue/observer-based-tools-non-technical-skills-assessment-simulated-and-real-clinical-environments
September 02, 2015 - Review
Emerging Classic
Observer-based tools for non-technical skills assessment in simulated and real clinical environments in healthcare: a systematic review.
Citation Text:
Higham H, Greig PR, Rutherford J, et al. Observer-based tools for non-technical skills…
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psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
November 15, 2011 - Study
Classic
Learning from mistakes: factors that influence how students and residents learn from medical errors.
Citation Text:
Fischer M, Mazor KM, Baril JL, et al. Learning from mistakes. Factors that influence how students and residents learn from medical…
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psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates
April 12, 2017 - Study
Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains.
Citation Text:
Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict …
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psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
October 19, 2022 - Study
Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality.
Citation Text:
Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…
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psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box-half-empty-or-half-full
December 19, 2011 - Study
FDA drug prescribing warnings: is the black box half empty or half full?
Citation Text:
Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86.
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psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
July 03, 2016 - Study
Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database.
Citation Text:
Williams H, Donaldson SL, Noble S, et al. Quality improvement priorities for safer out-of-hours palliative care: Le…
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psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats
April 14, 2021 - Study
Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats.
Citation Text:
Bentley SK, Meshel A, Boehm L, et al. Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Adv Simul (Lond). 2022;7(1):15. doi:1…
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psnet.ahrq.gov/issue/impact-original-methodological-tool-identification-corrective-and-preventive-actions-after
March 15, 2017 - Study
Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial.
Citation Text:
Vacher A, El Mhamdi S, dʼHollander A, et al. Impact o…
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psnet.ahrq.gov/issue/prescribing-discrepancies-likely-cause-adverse-drug-events-after-patient-transfer
December 08, 2010 - Study
Prescribing discrepancies likely to cause adverse drug events after patient transfer.
Citation Text:
Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc…
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psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and
February 14, 2017 - Study
Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals.
Citation Text:
Martinez W, Pichert JW, Hickson GB, et al. Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by …
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psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
September 07, 2022 - Study
Improving critical incident reporting in primary care through education and involvement.
Citation Text:
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/b…
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - Study
Predictors of adverse events in patients after discharge from the intensive care unit.
Citation Text:
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
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psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
November 11, 2020 - Study
Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.
Citation Text:
Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcar…
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psnet.ahrq.gov/issue/relationship-between-hospital-adverse-events-and-hospital-performance-30-day-all-cause
June 22, 2022 - Study
Relationship between in-hospital adverse events and hospital performance on 30-day all-cause mortality and readmission for patients with heart failure.
Citation Text:
Wang Y, Eldridge N, Metersky ML, et al. Relationship between in-hospital adverse events and hospital performance on…
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psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-and-colorado
June 23, 2015 - Study
Classic
Negligent care and malpractice claiming behavior in Utah and Colorado.
Citation Text:
Studdert DM, Thomas EJ, Burstin HR, et al. Negligent care and malpractice claiming behavior in Utah and Colorado. Med Care. 2000;38(3):250-60.
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psnet.ahrq.gov/issue/next-organizational-challenge-finding-and-addressing-diagnostic-error
November 16, 2022 - Commentary
The next organizational challenge: finding and addressing diagnostic error.
Citation Text:
Graber ML, Trowbridge RL, Myers JS, et al. The next organizational challenge: finding and addressing diagnostic error. Jt Comm J Qual Patient Saf. 2014;40(3):102-10.
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psnet.ahrq.gov/issue/covid-19-pandemic-preparation-using-simulation-systems-based-learning-prepare-largest
August 19, 2020 - Commentary
Emerging Classic
COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada.
Citation Text:
Dubé MM, Kaba A, Cronin T, et al. COVID-19 pandemic preparation: using simulat…