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Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. | PSNet

psnet.ahrq.gov/issue/impact-percentage-overlapping-surgery-patient-outcomes-retrospective-cohort-study-87000

February 22, 2019 - Review Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Citation Text: Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 8…

Wrong-patient orders in obstetrics. | PSNet

psnet.ahrq.gov/issue/wrong-patient-orders-obstetrics

September 23, 2020 - Study Wrong-patient orders in obstetrics. Citation Text: Kern-Goldberger AR, Kneifati-Hayek J, Fernandes Y, et al. Wrong-patient orders in obstetrics. Obstet Gynecol. 2021;138(2):229-235. doi:10.1097/aog.0000000000004474. Copy Citation Format: DOI Google Scholar BibTeX EndN…

Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. | PSNet

psnet.ahrq.gov/issue/accuracy-medication-documentation-hospital-discharge-summaries-retrospective-analysis

March 23, 2012 - Study Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries. Citation Text: Callen J, McIntosh J, Li J. Accuracy of medication documentation in hospital discharge su…

Educational targets to reduce medication errors by general surgery residents. | PSNet

psnet.ahrq.gov/issue/educational-targets-reduce-medication-errors-general-surgery-residents

October 19, 2022 - Study Educational targets to reduce medication errors by general surgery residents. Citation Text: Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009. C…

The impact of internal service quality on preventable adverse events in hospitals. | PSNet

psnet.ahrq.gov/issue/impact-internal-service-quality-preventable-adverse-events-hospitals

September 24, 2016 - Study The impact of internal service quality on preventable adverse events in hospitals. Citation Text: Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…

Improving safety in the operating room: medication icon labels increase visibility and discrimination. | PSNet

psnet.ahrq.gov/issue/improving-safety-operating-room-medication-icon-labels-increase-visibility-and-discrimination

April 03, 2019 - Study Improving safety in the operating room: medication icon labels increase visibility and discrimination. Citation Text: Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:1…

Process of care failures in breast cancer diagnosis. | PSNet

psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis

January 06, 2017 - Study Process of care failures in breast cancer diagnosis. Citation Text: Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. Copy Citation Format: DOI Googl…

Risks of complications by attending physicians after performing nighttime procedures. | PSNet

psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures

February 14, 2018 - Study Classic Risks of complications by attending physicians after performing nighttime procedures. Citation Text: Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/ja…

Better medical office safety culture is not associated with better scores on quality measures. | PSNet

psnet.ahrq.gov/issue/better-medical-office-safety-culture-not-associated-better-scores-quality-measures

April 12, 2011 - Study Better medical office safety culture is not associated with better scores on quality measures. Citation Text: Hagopian B, Singer ME, Curry-Smith AC, et al. Better medical office safety culture is not associated with better scores on quality measures. J Patient Saf. 2012;8(1):15-2…

The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet

psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study

April 06, 2022 - Study The role of feedback in emergency ambulance services: a qualitative interview study. Citation Text: Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…

Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. | PSNet

psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence

May 18, 2022 - Study Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. Citation Text: Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From Engli…

Shifting indirect patient care duties to after hours in the era of work hours restrictions. | PSNet

psnet.ahrq.gov/issue/shifting-indirect-patient-care-duties-after-hours-era-work-hours-restrictions

February 18, 2011 - Study Shifting indirect patient care duties to after hours in the era of work hours restrictions. Citation Text: Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097…

Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. | PSNet

psnet.ahrq.gov/issue/evaluation-suitability-root-cause-analysis-frameworks-investigation-community-acquired

June 16, 2021 - Review Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. Citation Text: McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the i…

Hospital safety climate and safety behavior: a social exchange perspective. | PSNet

psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective

February 15, 2023 - Study Hospital safety climate and safety behavior: a social exchange perspective. Citation Text: Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.…

VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. | PSNet

psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events

November 22, 2017 - Book/Report VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Citation Text: VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Washington, DC: United States Government Accountability Office; July 29, 2015…

The nature of the response to airway management incident reports in high income countries: a scoping review. | PSNet

psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review

December 15, 2014 - Review The nature of the response to airway management incident reports in high income countries: a scoping review. Citation Text: Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive…

A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet

psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections

January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

Organizational response to known medical errors: does peer review protection impede improvement? | PSNet

psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement

April 24, 2018 - Commentary Organizational response to known medical errors: does peer review protection impede improvement? Citation Text: Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1…

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing

June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

Technological distractions—part 1 and part 2. | PSNet

psnet.ahrq.gov/issue/technological-distractions-part-1-and-part-2

April 24, 2018 - Review Technological distractions—part 1 and part 2. Citation Text: Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care …

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