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Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. | PSNet

psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse

August 20, 2018 - Study Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. Citation Text: Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is …

Maternal mortality: near-miss events in middle-income countries, a systematic review. | PSNet

psnet.ahrq.gov/issue/maternal-mortality-near-miss-events-middle-income-countries-systematic-review

October 13, 2021 - Review Maternal mortality: near-miss events in middle-income countries, a systematic review. Citation Text: Heitkamp A, Meulenbroek A, van Roosmalen J, et al. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bull World Health Organ. 2021;99(10):693-70…

Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. | PSNet

psnet.ahrq.gov/issue/bariatric-surgery-operating-room-teams-stayed-fixed-during-day-multicenter-study-analyzing

December 21, 2014 - Study Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration. Citation Text: Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating r…

Applying decision science to the prioritization of healthcare-associated infection initiatives. | PSNet

psnet.ahrq.gov/issue/applying-decision-science-prioritization-healthcare-associated-infection-initiatives

October 20, 2021 - Study Applying decision science to the prioritization of healthcare-associated infection initiatives. Citation Text: Tsai TH, Gerst MD, Engineer C, et al. Applying decision science to the prioritization of healthcare-associated infection initiatives. J Patient Saf. 2021;17(7):506-512. do…

Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. | PSNet

psnet.ahrq.gov/issue/using-machine-learning-or-deep-learning-models-hospital-setting-detect-inappropriate

January 17, 2024 - Review Using machine learning or deep learning models in a hospital setting to detect inappropriate prescriptions: a systematic review. Citation Text: Johns E, Alkanj A, Beck M, et al. Using machine learning or deep learning models in a hospital setting to detect inappropriate prescripti…

Enhancing safety of a system-wide in situ simulation program using no-go considerations. | PSNet

psnet.ahrq.gov/issue/enhancing-safety-system-wide-situ-simulation-program-using-no-go-considerations

June 13, 2018 - Study Enhancing safety of a system-wide in situ simulation program using no-go considerations. Citation Text: Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/si…

Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. | PSNet

psnet.ahrq.gov/issue/pediatric-trainees-speaking-about-unprofessional-behavior-and-traditional-patient-safety

December 21, 2017 - Study Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Citation Text: Kesselheim JC, Shelburne JT, Bell SK, et al. Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. Acad Pediatr. 2021…

The problem with root cause analysis. | PSNet

psnet.ahrq.gov/issue/problem-root-cause-analysis

August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

Ensuring safe practice by late career physicians: institutional policies and implementation experiences. | PSNet

psnet.ahrq.gov/issue/ensuring-safe-practice-late-career-physicians-institutional-policies-and-implementation

May 20, 2019 - Study Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Citation Text: White AA, Gallagher TH, Osinska PH, et al. Ensuring safe practice by late career physicians: institutional policies and implementation experiences. Ann Intern Med…

The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care

August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

Effect of noise on auditory processing in the operating room. | PSNet

psnet.ahrq.gov/issue/effect-noise-auditory-processing-operating-room

November 16, 2022 - Study Effect of noise on auditory processing in the operating room. Citation Text: Way J, Long A, Weihing J, et al. Effect of noise on auditory processing in the operating room. J Am Coll Surg. 2013;216(5):933-8. doi:10.1016/j.jamcollsurg.2012.12.048. Copy Citation Format: …

Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. | PSNet

psnet.ahrq.gov/issue/characterising-physician-listening-behaviour-during-hospitalist-handoffs-using-hear-checklist

March 11, 2013 - Study Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. Citation Text: Greenstein EA, Arora V, Staisiunas PG, et al. Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist. BMJ Qual Saf. 2013;22…

Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. | PSNet

psnet.ahrq.gov/issue/implementation-custom-alert-prevent-medication-timing-errors-associated-computerized

April 25, 2016 - Study Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Citation Text: Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing errors associated with computerized presc…

The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. | PSNet

psnet.ahrq.gov/issue/racial-disparities-maternal-mortality-and-impact-structural-racism-and-implicit-racial-bias

July 13, 2009 - Review The racial disparities in maternal mortality and impact of structural racism and implicit racial bias on pregnant Black women: a review of the literature. Citation Text: Montalmant KE, Ettinger AK. The racial disparities in maternal mortality and impact of structural racism and im…

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. | PSNet

psnet.ahrq.gov/issue/didactic-and-simulation-nontechnical-skills-team-training-improve-perinatal-patient-outcomes

October 21, 2011 - Study Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Citation Text: Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a commun…

Teaching medical error disclosure to physicians-in-training: a scoping review. | PSNet

psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review

June 09, 2015 - Review Teaching medical error disclosure to physicians-in-training: a scoping review. Citation Text: Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f. Cop…

Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. | PSNet

psnet.ahrq.gov/issue/teamwork-climate-safety-climate-and-physician-burnout-national-cross-sectional-study

October 26, 2022 - Study Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Citation Text: Rotenstein L, Wang H, West CP, et al. Teamwork climate, safety climate, and physician burnout: a national, cross-sectional study. Jt Comm J Qual Patient Saf. 2024;50(6):458-46…

Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-satisfaction-and-quality-care-systematic-review-and-meta

November 18, 2016 - Review Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. Citation Text: Li LZ, Yang P, Singer SJ, et al. Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Netw Open. 2…

Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet

psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review

September 07, 2016 - Review Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. Citation Text: Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 20…

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. | PSNet

psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory

March 04, 2015 - Review Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. Citation Text: Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situat…

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