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Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system. | PSNet

psnet.ahrq.gov/issue/assessment-emergency-department-antibiotic-discharge-prescription-dosing-errors-pediatric

March 01, 2011 - Study Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system. Citation Text: Barstow L, Herman E, Phillips H, et al. Assessment of Emergency Department Antibiotic Discharge Prescription Dosing Errors…

Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes. | PSNet

psnet.ahrq.gov/issue/training-health-care-professionals-root-cause-analysis-cross-sectional-study-post-training

February 29, 2012 - Study Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes. Citation Text: Bowie P, Skinner J, de Wet C. Training health care professionals in root cause analysis: a cross-sectional study of post-training…

A new category of "never events"-ending harmful hospital policies. | PSNet

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September 07, 2022 - Commentary A new category of "never events"-ending harmful hospital policies. Citation Text: Chokshi DA, Beckman AL. A new category of "never events"-ending harmful hospital policies. JAMA Health Forum. 2022;3(10):e224703. doi:10.1001/jamahealthforum.2022.4703. Copy Citation Format…

Iatrogenic events contributing to ICU admission: a prospective study. | PSNet

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November 29, 2023 - Study Iatrogenic events contributing to ICU admission: a prospective study. Citation Text: Mercier E, Giraudeau B, Giniès G, et al. Iatrogenic events contributing to ICU admission: a prospective study. Intensive Care Med. 2010;36(6):1033-7. doi:10.1007/s00134-010-1793-9. Copy Citatio…

Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study

April 08, 2011 - Study Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. Citation Text: Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…

A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. | PSNet

psnet.ahrq.gov/issue/qualitative-study-senior-hospital-managers-views-current-and-innovative-strategies-improve

March 08, 2023 - Study A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand hygiene. Citation Text: McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current and innovative strategies to improve hand…

Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. | PSNet

psnet.ahrq.gov/issue/impact-stewardship-interventions-antiretroviral-medication-errors-urban-medical-center-three

February 10, 2016 - Study Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. Citation Text: Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center…

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

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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):…

Measuring and managing quality of surgery. Statistical vs incidental approaches. | PSNet

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August 04, 2021 - Commentary Classic Measuring and managing quality of surgery. Statistical vs incidental approaches. Citation Text: McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg. 1992;127(6):7…

Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. | PSNet

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September 04, 2016 - Study Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Citation Text: Williams SD, Phipps D, Ashcroft DM. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Social Adm…

Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. | PSNet

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September 02, 2020 - Study Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Citation Text: Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25. Copy Citation …

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. | PSNet

psnet.ahrq.gov/issue/strategies-prevent-central-line-associated-bloodstream-infections-acute-care-hospitals-2022

February 07, 2022 - Organizational Policy/Guidelines Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Citation Text: Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: …

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…

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.…

Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

psnet.ahrq.gov/issue/interpersonal-and-organizational-dynamics-are-key-drivers-failure-rescue

June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

Implementing standardized operating room briefings and debriefings at a large regional medical center. | PSNet

psnet.ahrq.gov/issue/implementing-standardized-operating-room-briefings-and-debriefings-large-regional-medical

January 03, 2017 - Study Implementing standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qua…

Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? | PSNet

psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory

March 02, 2022 - Study Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? Citation Text: van Dulmen SA, Tacken MAJB, Staal B, et al. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory coh…

Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study

September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. | PSNet

psnet.ahrq.gov/issue/sustaining-and-spreading-reduction-adverse-drug-events-multicenter-collaborative

November 16, 2022 - Study Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Citation Text: Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542…

Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet

psnet.ahrq.gov/issue/human-ai-teaming-critical-care-comparative-analysis-data-scientists-and-clinicians

July 10, 2013 - Study Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. Citation Text: Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians'…

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