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  1. Designing a critical care nurse–led rapid response team using only available resources: 6 years later. | PSNet

    psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years
    December 21, 2014 - Study Designing a critical care nurse–led rapid response team using only available resources: 6 years later. Citation Text: Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):…

  2. Engaging patients as vigilant partners in safety: a systematic review. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-vigilant-partners-safety-systematic-review
    February 06, 2019 - Review Classic Engaging patients as vigilant partners in safety: a systematic review. Citation Text: Schwappach DLB. Engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev. 2010;67(2):119-148. doi:10.1177/1077558709342254. Co…

  3. How payers can help hospitals become safer through value-based programs. | PSNet

    psnet.ahrq.gov/issue/how-payers-can-help-hospitals-become-safer-through-value-based-programs
    December 21, 2022 - Commentary How payers can help hospitals become safer through value-based programs. Citation Text: Hsu E, Ma S, Winn B, et al. How payers can help hospitals become safer through value-based programs. NEJM Catalyst. 2024;5(7):CAT.24.0049. doi:10.1056/cat.24.0049. Copy Citation Forma…

  4. Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. | PSNet

    psnet.ahrq.gov/issue/facilitated-self-reported-anaesthetic-medication-errors-and-after-implementation-safety
    February 09, 2011 - Study Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system. Citation Text: Bowdle TA, Jelacic S, Nair B, et al. Facilitated self-reported anaesthetic medication errors before and after implementation of…

  5. Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-following-emergency-surgery-fram-analysis-management-deteriorating-patient
    May 19, 2021 - Study Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. Citation Text: Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon.…

  6. A systematic review of interventions to follow-up test results pending at discharge. | PSNet

    psnet.ahrq.gov/issue/systematic-review-interventions-follow-test-results-pending-discharge
    November 16, 2022 - Review A systematic review of interventions to follow-up test results pending at discharge. Citation Text: Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.100…

  7. Nursing staff's perceptions of patient safety in psychiatric inpatient care. | PSNet

    psnet.ahrq.gov/issue/nursing-staffs-perceptions-patient-safety-psychiatric-inpatient-care
    September 27, 2017 - Study Nursing staff's perceptions of patient safety in psychiatric inpatient care. Citation Text: Kanerva A, Lammintakanen J, Kivinen T. Nursing Staff's Perceptions of Patient Safety in Psychiatric Inpatient Care. Perspect Psych Care. 2016;52(1):25-31. doi:10.1111/ppc.12098. Copy Citat…

  8. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective
    February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. Citation Text: Zwart DLM, Heddema WS, Vermeulen MI, et al. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospecti…

  9. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet

    psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
    January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

  10. Differential perceptions of what constitutes a medical error associated with electronic medical records. | PSNet

    psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records
    August 09, 2023 - Commentary Differential perceptions of what constitutes a medical error associated with electronic medical records. Citation Text: Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error associated with electronic medical records. Stud Health …

  11. Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. | PSNet

    psnet.ahrq.gov/issue/using-simulation-improve-first-year-pharmacy-students-ability-identify-medication-errors
    January 23, 2017 - Study Using simulation to improve first-year pharmacy students' ability to identify medication errors involving the top 100 prescription medications. Citation Text: Atayee RS, Awdishu L, Namba J. Using Simulation to Improve First-Year Pharmacy Students' Ability to Identify Medication Err…

  12. Improving the governance of patient safety in emergency care: a systematic review of interventions. | PSNet

    psnet.ahrq.gov/issue/improving-governance-patient-safety-emergency-care-systematic-review-interventions
    March 06, 2013 - Review Improving the governance of patient safety in emergency care: a systematic review of interventions. Citation Text: Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837…

  13. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. | PSNet

    psnet.ahrq.gov/issue/starting-elective-cardiac-surgery-after-3-pm-does-not-impact-patient-morbidity-mortality-or
    February 12, 2020 - Study Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. Citation Text: Axtell AL, Moonsamy P, Melnitchouk S, et al. Starting elective cardiac surgery after 3 pm does not impact patient morbidity, mortality, or hospital costs. J …

  14. Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. | PSNet

    psnet.ahrq.gov/issue/simulator-based-crew-resource-management-training-interhospital-transfer-critically-ill
    February 14, 2024 - Study Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU. Citation Text: Droogh JM, Kruger HL, Ligtenberg JJM, et al. Simulator-Based Crew Resource Management Training for Interhospital Transfer of Critically Ill Pati…

  15. A usability and safety analysis of electronic health records: a multi-center study. | PSNet

    psnet.ahrq.gov/issue/usability-and-safety-analysis-electronic-health-records-multi-center-study
    October 13, 2018 - Study Emerging Classic A usability and safety analysis of electronic health records: a multi-center study. Citation Text: Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-center study. J Am Med Inform Ass…

  16. Association between parent comfort with English and adverse events among hospitalized children. | PSNet

    psnet.ahrq.gov/issue/association-between-parent-comfort-english-and-adverse-events-among-hospitalized-children
    June 29, 2022 - Study Association between parent comfort with English and adverse events among hospitalized children. Citation Text: Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.…

  17. Anesthesia-related closed claims in free-standing ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers
    March 29, 2023 - Study Anesthesia-related closed claims in free-standing ambulatory surgery centers. Citation Text: Pimentel MPT, Chung S, Ross JM, et al. Anesthesia-related closed claims in free-standing ambulatory surgery centers. Anesth Analg. 2024;139(3):521-531. doi:10.1213/ane.0000000000006700. C…

  18. Toward a safer health care system: the critical need to improve measurement. | PSNet

    psnet.ahrq.gov/issue/toward-safer-health-care-system-critical-need-improve-measurement
    November 03, 2015 - Commentary Classic Toward a safer health care system: the critical need to improve measurement. Citation Text: Jha AK, Pronovost P. Toward a Safer Health Care System: The Critical Need to Improve Measurement. JAMA. 2016;315(17):1831-2. doi:10.1001/jama.2016.3448…

  19. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. | PSNet

    psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
    May 01, 2019 - Study More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. Citation Text: Lyell D, Wang Y, Coiera E, et al. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. J Am Med Inform…

  20. Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. | PSNet

    psnet.ahrq.gov/issue/machine-learning-models-outperform-manual-result-review-identification-wrong-blood-tube
    May 13, 2020 - Study Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. Citation Text: Farrell C‐JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in…
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