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Analysis of results from event investigations in industrial and patient safety contexts. | PSNet

psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts

July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient safety contexts. Citation Text: Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. Copy Citation …

Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. | PSNet

psnet.ahrq.gov/issue/preventing-potential-patient-harm-through-clinical-content-interventions-during-oncology

October 30, 2024 - Study Preventing potential patient harm through clinical content interventions during oncology clinical trial implementation. Citation Text: Loo VC, Kim S, Johnson LM, et al. Preventing potential patient harm through clinical content interventions during oncology clinical trial implement…

Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. | PSNet

psnet.ahrq.gov/issue/machine-learning-evaluation-inequities-and-disparities-associated-nurse-sensitive-indicator

July 19, 2023 - Study Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safety events. Citation Text: Georgantes ER, Gunturkun F, McGreevy TJ, et al. Machine learning evaluation of inequities and disparities associated with nurse sensitive indicator safe…

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet

psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective

March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

psnet.ahrq.gov/issue/infections-and-interaction-rituals-organisation-clinician-accounts-speaking-or-remaining

November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. | PSNet

psnet.ahrq.gov/issue/impact-initial-hospital-diagnosis-mortality-acute-myocardial-infarction-national-cohort-study

April 19, 2017 - Study Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. Citation Text: Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur…

Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. | PSNet

psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-systems-same

June 13, 2011 - Study Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. Citation Text: Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions from two paper-…

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. | PSNet

psnet.ahrq.gov/issue/he-thought-lady-door-was-lady-window-qualitative-study-patient-identification-practices

June 14, 2017 - Study He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices. Citation Text: Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identifica…

Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. | PSNet

psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting

January 31, 2018 - Study Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. Citation Text: South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…

Good Practice Guides on Medication Errors: Part 1 and Part 2. | PSNet

psnet.ahrq.gov/issue/good-practice-guides-medication-errors-part-1-and-part-2

August 03, 2016 - Book/Report Good Practice Guides on Medication Errors: Part 1 and Part 2. Citation Text: Goedecke T, Ord K, Newbould V, et al. Medication Errors: New Eu Good Practice Guide On Risk Minimisation And Error Prevention. Springer Science and Business Media LLC; 2016. doi:10.1007/s40264-016-04…

A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. | PSNet

psnet.ahrq.gov/issue/multicenter-phased-cluster-randomized-controlled-trial-reduce-central-line-associated

January 02, 2017 - Study A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units. Citation Text: Marsteller JA, Sexton B, Hsu Y-J, et al. A multicenter, phased, cluster-randomized controlled trial to reduce central line-a…

The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. | PSNet

psnet.ahrq.gov/issue/effect-staged-emergency-department-specific-rapid-response-system-reporting-clinical

March 24, 2021 - Study The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Citation Text: Considine J, Rawet J, Currey J. The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Aus…

The July Effect in podiatric medicine and surgery residency. | PSNet

psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-surgery-residency

July 14, 2021 - Study The July Effect in podiatric medicine and surgery residency. Citation Text: Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020. Copy Citation Format: …

Evaluation of medication errors at the transition of care from an ICU to non-ICU location. | PSNet

psnet.ahrq.gov/issue/evaluation-medication-errors-transition-care-icu-non-icu-location

September 23, 2020 - Study Emerging Classic Evaluation of medication errors at the transition of care from an ICU to non-ICU location. Citation Text: Tully AP, Hammond DA, Li C, et al. Evaluation of Medication Errors at the Transition of Care From an ICU to Non-ICU Location. Crit Ca…

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/adverse-events-during-intrahospital-transport-critically-ill-patients-systematic-review-and

March 02, 2022 - Study Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. Citation Text: Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. …

Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. | PSNet

psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy

November 10, 2015 - Review Emerging Classic Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Citation Text: Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. | PSNet

psnet.ahrq.gov/issue/global-trigger-tool-shows-adverse-events-hospitals-may-be-ten-times-greater-previously

February 15, 2011 - Study Classic 'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured. Citation Text: Classen D, Resar RK, Griffin F, et al. 'Global trigger tool' shows that adverse events in hospitals may be ten times grea…

Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. | PSNet

psnet.ahrq.gov/issue/reporting-and-using-near-miss-events-improve-patient-safety-diverse-primary-care-practices

June 22, 2011 - Study Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. Citation Text: Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Pr…

Incidence and types of preventable adverse events in elderly patients: population based review of medical records. | PSNet

psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review

June 23, 2015 - Study Classic Incidence and types of preventable adverse events in elderly patients: population based review of medical records. Citation Text: Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based revie…

How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and

August 26, 2020 - Review Emerging Classic How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. Citation Text: Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…

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