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Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet

psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system

August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting system. Citation Text: Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…

Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. | PSNet

psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes

June 04, 2014 - Study Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. Citation Text: Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperativ…

Implementing computerized provider order entry with an existing clinical information system. | PSNet

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October 19, 2022 - Study Implementing computerized provider order entry with an existing clinical information system. Citation Text: Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-…

Habit and automaticity in medical alert override: cohort study. | PSNet

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October 05, 2022 - Study Habit and automaticity in medical alert override: cohort study. Citation Text: Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. Copy Citation Format: DOI Google Sch…

Computerized order entry with limited decision support to prevent prescription errors in a PICU. | PSNet

psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu

January 31, 2018 - Study Computerized order entry with limited decision support to prevent prescription errors in a PICU. Citation Text: Kadmon G, Bron-Harlev E, Nahum E, et al. Computerized order entry with limited decision support to prevent prescription errors in a PICU. Pediatrics. 2009;124(3):935-94…

The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. | PSNet

psnet.ahrq.gov/issue/efficacy-mindful-practice-improving-diagnosis-healthcare-systematic-review-and-evidence

May 05, 2021 - Review The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synthesis. Citation Text: Pinnock R, Ritchie D, Gallagher S, et al. The efficacy of mindful practice in improving diagnosis in healthcare: a systematic review and evidence synth…

Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet

psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically

February 01, 2023 - Study Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. Citation Text: Vanneman MW, Balakrishna A, Lang AL, et al. Impro…

The costs associated with adverse drug events among older adults in the ambulatory setting. | PSNet

psnet.ahrq.gov/issue/costs-associated-adverse-drug-events-among-older-adults-ambulatory-setting

May 20, 2020 - Study The costs associated with adverse drug events among older adults in the ambulatory setting. Citation Text: Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176. Copy…

Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. | PSNet

psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses

March 22, 2023 - Study Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. Citation Text: Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…

React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. | PSNet

psnet.ahrq.gov/issue/react-reframe-and-engage-establishing-receiver-mindset-more-effective-safety-negotiations

March 29, 2023 - Study React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. Citation Text: Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):…

Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. | PSNet

psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm

May 17, 2023 - Study Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. Citation Text: Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …

Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet

psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care

July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …

A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary

August 24, 2022 - Study A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. Citation Text: Chanelière M, Buchet-Poyau K, Keriel-Gascou M, et al. A multifaceted risk management program to improve the report…

Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active-incident

July 24, 2024 - Study Patient safety incidents are common in primary care: a national prospective active incident reporting survey. Citation Text: Michel P, Brami J, Chanelière M, et al. Patient safety incidents are common in primary care: A national prospective active incident reporting survey. PLoS On…

Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. | PSNet

psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety

June 03, 2020 - Study Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. Citation Text: Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…

Effect of crew resource management training in a multidisciplinary obstetrical setting. | PSNet

psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting

March 06, 2005 - Study Effect of crew resource management training in a multidisciplinary obstetrical setting. Citation Text: Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. | PSNet

psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment

November 11, 2020 - Study Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. Citation Text: Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcar…

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. | PSNet

psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room

August 26, 2020 - Study "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. Citation Text: Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating r…

Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. | PSNet

psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality

October 19, 2022 - Study Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. Citation Text: Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital

November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

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