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Medication-related medical emergency team activations: a case review study of frequency and preventability. | PSNet

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October 27, 2021 - Study Medication-related medical emergency team activations: a case review study of frequency and preventability. Citation Text: Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case review study of frequency and preventability. BMJ Qual S…

Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. | PSNet

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August 26, 2020 - Study Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. Citation Text: Greaves F, Pape UJ, King D, et al. Associations between Internet-based patient ratings and conventional surveys of patient…

Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. | PSNet

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June 14, 2011 - Study Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Citation Text: Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):16…

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? | PSNet

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June 22, 2022 - Study Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? Citation Text: Metersky ML, Eldridge N, Wang Y, et al. Rates of adverse events in hospitalized patients after summer-time resident changeover in the …

Effects of a communication-and-resolution program on hospitals' malpractice claims and costs. | PSNet

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October 11, 2017 - Study Effects of a communication-and-resolution program on hospitals' malpractice claims and costs. Citation Text: Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836…

FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. | PSNet

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April 07, 2019 - Press Release/Announcement FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctions and user administration. Citation Text: FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device malfunctio…

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. | PSNet

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August 18, 2021 - Study Emerging Classic Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial. Citation Text: Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support to…

Safe but sound: patient safety meets evidence-based medicine. | PSNet

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March 13, 2013 - Commentary Classic Safe but sound: patient safety meets evidence-based medicine. Citation Text: Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508. Copy Citation Format: DOI Google Sc…

Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. | PSNet

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September 11, 2024 - Study Classic Doing well by doing good: evaluating the influence of patient safety performance on hospital financial outcomes. Citation Text: Beauvais B, Richter J, Kim FS. Doing well by doing good: Evaluating the influence of patient safety performance on hospi…

Frailty, gaps in care coordination, and preventable adverse events. | PSNet

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January 18, 2023 - Study Frailty, gaps in care coordination, and preventable adverse events. Citation Text: Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7. Copy Citation Form…

Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. | PSNet

psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse

March 30, 2022 - Study Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. Citation Text: Eriksson CO, Ovregaard N, Hansen M, et al. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety ev…

Documenting the indication for antimicrobial prescribing: a scoping review. | PSNet

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August 03, 2022 - Review Documenting the indication for antimicrobial prescribing: a scoping review. Citation Text: Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582. Copy Citation …

Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet

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November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …

Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation. | PSNet

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December 21, 2016 - Study Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-based qualitative process evaluation. Citation Text: Sheard L, Marsh C, O'Hara JK, et al. Exploring how ward staff engage with the implementation of a patient safety intervention: a UK-ba…

Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. | PSNet

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August 03, 2022 - Study Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. Citation Text: Collins SA, Couture B, Smith A, et al. Mixed-Methods Evaluation of Real-Time Safety Reporting by Hospitalized Patients and Their Care …

Relationship between operating room teamwork, contextual factors, and safety checklist performance. | PSNet

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September 24, 2017 - Study Relationship between operating room teamwork, contextual factors, and safety checklist performance. Citation Text: Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-5…

National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet

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January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

Multisource evaluation of surgeon behavior is associated with malpractice claims. | PSNet

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May 13, 2020 - Study Multisource evaluation of surgeon behavior is associated with malpractice claims. Citation Text: Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742. Co…

Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. | PSNet

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June 29, 2022 - Study Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis. Citation Text: Zheng Y, Jiang Y, Dorsch MP, et al. Work effort, readability and quality of pharmacy transcription of pa…

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. | PSNet

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September 27, 2017 - Study Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism. Citation Text: Jayaram G, Doyle D, Steinwachs D, et al. Identifying and reducing medication errors in psychiatry: creating a culture of sa…

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