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Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. | PSNet

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February 20, 2019 - Study Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. Citation Text: Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder con…

Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. | PSNet

psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory

April 01, 2020 - Study Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information tech…

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive

March 09, 2022 - Study Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Citation Text: Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…

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

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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…

Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. | PSNet

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January 31, 2018 - Review Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. Citation Text: Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature Wit…

A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. | PSNet

psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery

May 01, 2015 - Study Classic A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. Citation Text: Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. | PSNet

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September 07, 2011 - Study Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. Citation Text: Bismark M, Spittal MJ, Gurrin LC, et al. Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Aust…

Surgical skill and complication rates after bariatric surgery. | PSNet

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August 02, 2015 - Study Classic Surgical skill and complication rates after bariatric surgery. Citation Text: Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625.…

A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet

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February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Citation Text: Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet

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August 18, 2010 - Study Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. Citation Text: Percarpio KB, Harris FS, Hatfield BA, et al. Code debriefing from the Department of Veterans Affairs (VA) Medical Tea…

Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet

psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types

April 14, 2011 - Study Unit-based incident reporting and root cause analysis: variation at three hospital unit types. Citation Text: Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/…

Association of overlapping surgery with increased risk for complications following hip surgery. | PSNet

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November 21, 2021 - Study Classic Association of overlapping surgery with increased risk for complications following hip surgery. Citation Text: Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A…

Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. | PSNet

psnet.ahrq.gov/issue/health-care-associated-infections-among-hospitalized-patients-covid-19-march-2020-march-2022

May 12, 2021 - Study Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. Citation Text: Sands KE, Blanchard EJ, Fraker S, et al. Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022. JAMA Netw Open. 2023;6(4):…

U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet

psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons

August 24, 2022 - Review U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. Citation Text: Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf.…

Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. | PSNet

psnet.ahrq.gov/issue/provider-risk-factors-medication-administration-error-alerts-analyses-large-scale-closed-loop

September 01, 2016 - Study Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. Citation Text: Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses…

Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet

psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative

October 07, 2020 - Study Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. Citation Text: Kukielka E. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from P…

Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. | PSNet

psnet.ahrq.gov/issue/identifying-and-prioritizing-educational-content-malpractice-claims-database-clinical

September 20, 2023 - Study Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. Citation Text: van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational conten…

Mortality trends after a voluntary checklist-based surgical safety collaborative. | PSNet

psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative

September 24, 2017 - Study Classic Mortality trends after a voluntary checklist-based surgical safety collaborative. Citation Text: Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. | PSNet

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June 21, 2023 - EMERGING INNOVATIONS A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. Citation Text: Cohen TN, Anger JT, Kanji FF, et al. A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery oly…

Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between

August 04, 2021 - Study Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. Citation Text: Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 202…

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