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Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. | PSNet

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May 06, 2009 - Study Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. Citation Text: Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteri…

Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet

psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care

February 07, 2018 - Study Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Citation Text: Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…

Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. | PSNet

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January 30, 2019 - Study Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. Citation Text: Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psych…

Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. | PSNet

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July 30, 2014 - Study Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. Citation Text: Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J A…

Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet

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September 10, 2014 - Book/Report Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. Citation Text: Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet.…

Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. | PSNet

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February 15, 2010 - Study Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Citation Text: Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)…

Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. | PSNet

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January 14, 2011 - Study Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Citation Text: Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490. …

A call to bridge across silos during care transitions. | PSNet

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November 20, 2024 - Commentary A call to bridge across silos during care transitions. Citation Text: Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. Copy Citation Format: …

An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. | PSNet

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May 04, 2012 - Study An observational analysis of surgical team compliance with perioperative safety practices after crew resource management training. Citation Text: France DJ, Leming-Lee S, Jackson T, et al. An observational analysis of surgical team compliance with perioperative safety practices a…

Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. | PSNet

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March 04, 2015 - Study Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. Citation Text: Chekmeyan M, Baccei SJ, Garwood ER. Cross-Check QA: a quality assurance workflow…

Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. | PSNet

psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care

May 18, 2022 - Study Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Citation Text: Jachan DE, Müller‐Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. N…

Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. | PSNet

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November 03, 2015 - Study Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Citation Text: Szymczak JE. Seeing risk and allocating responsibility: talk of culture and its consequences on the work of patient safety. Soc Sci Med. 2014;120:252-9. doi…

Safe surgery: how accurate are we at predicting intra-operative blood loss? | PSNet

psnet.ahrq.gov/issue/safe-surgery-how-accurate-are-we-predicting-intra-operative-blood-loss

March 21, 2018 - Study Safe surgery: how accurate are we at predicting intra-operative blood loss? Citation Text: Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x. Copy …

An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet

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June 21, 2017 - Study An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. Citation Text: Hagley GW, Mills PD, Shiner B, et al. An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause Analysis…

The global burden of unsafe medical care: analytic modelling of observational studies. | PSNet

psnet.ahrq.gov/issue/global-burden-unsafe-medical-care-analytic-modelling-observational-studies

September 29, 2017 - Study Classic The global burden of unsafe medical care: analytic modelling of observational studies. Citation Text: Jha AK, Larizgoitia I, Audera-Lopez C, et al. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf.…

Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. | PSNet

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April 13, 2011 - Study Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. Citation Text: Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. Copy…

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. | PSNet

psnet.ahrq.gov/issue/early-prognostic-value-medical-emergency-team-calling-criteria-patients-admitted-intensive

March 24, 2021 - Study Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. Citation Text: Etter R, Ludwig R, Lersch F, et al. Early prognostic value of the medical emergency team calling criteria in patients admitte…

Pharmacist medication reviews to improve safety monitoring in primary care patients. | PSNet

psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients

April 24, 2018 - Study Pharmacist medication reviews to improve safety monitoring in primary care patients. Citation Text: Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh…

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. | PSNet

psnet.ahrq.gov/issue/impacts-using-community-health-volunteers-coach-medication-safety-behaviors-among-rural

September 15, 2011 - Study The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses. Citation Text: Wang C-J, Fetzer SJ, Yang Y-C, et al. The impacts of using community health volunteers to coach medication safety behaviors among rural e…

Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting. | PSNet

psnet.ahrq.gov/issue/reporting-perioperative-adverse-events-pediatric-anesthesiologists-tertiary-childrens

April 24, 2018 - Study Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting. Citation Text: Williams GD, Muffly MK, Mendoza JM, et al. Reporting of Perioperative Adverse Events by Pediatric Ane…

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