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A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. | PSNet

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October 16, 2024 - Study A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. Citation Text: Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute car…

Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data from the United States. | PSNet

psnet.ahrq.gov/issue/private-patient-rooms-and-hospital-acquired-methicillin-resistant-staphylococcus-aureus

March 11, 2020 - Study Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data from the United States. Citation Text: Park S-H, Stockbridge EL, Miller TL, et al. Private patient rooms and hospital-acquired methicillin-resista…

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet

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December 18, 2019 - Study Emerging Classic Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. Citation Text: Härkänen M, Turunen H, Vehviläine…

Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review. | PSNet

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July 22, 2020 - Review Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review. Citation Text: Khawagi WY, Steinke DT, Nguyen J, et al. Identifying potential prescribing safety indicators related to mental health disorders and medicatio…

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet

psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic

August 24, 2022 - Study Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. Citation Text: Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hos…

A framework for evaluating the appropriateness of clinical decision support alerts and responses. | PSNet

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March 21, 2017 - Study A framework for evaluating the appropriateness of clinical decision support alerts and responses. Citation Text: McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19…

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. | PSNet

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October 21, 2020 - Study Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Citation Text: Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;15…

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. | PSNet

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February 02, 2022 - Review Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. Citation Text: Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2…

A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. | PSNet

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April 10, 2024 - Study A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. Citation Text: Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. S…

Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. | PSNet

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July 22, 2020 - Study Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. Citation Text: Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…

Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. | PSNet

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September 07, 2022 - Study Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. Citation Text: Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous t…

Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. | PSNet

psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems-scoping-review

April 06, 2022 - Review Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Citation Text: Villa Zapata L, Subbian V, Boyce RD, et al. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Stud Health Technol Inform. 20…

Identification of serious and reportable events in home care: a Delphi survey to develop consensus. | PSNet

psnet.ahrq.gov/issue/identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus

November 27, 2013 - Study Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Citation Text: Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(…

I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. | PSNet

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November 16, 2022 - Study I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. Citation Text: Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…

Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. | PSNet

psnet.ahrq.gov/issue/nurses-harm-prevention-practices-during-admission-older-person-hospital-multi-method

May 11, 2022 - Study Nurses' harm prevention practices during admission of an older person to the hospital: a multi-method qualitative study. Citation Text: Redley B, Douglas T, Hoon L, et al. Nurses' harm prevention practices during admission of an older person to the hospital: a multi‐method qualitat…

Patient safety perceptions of primary care providers after implementation of an electronic medical record system. | PSNet

psnet.ahrq.gov/issue/patient-safety-perceptions-primary-care-providers-after-implementation-electronic-medical

December 21, 2014 - Study Patient safety perceptions of primary care providers after implementation of an electronic medical record system. Citation Text: McGuire MJ, Noronha G, Samal L, et al. Patient safety perceptions of primary care providers after implementation of an electronic medical record system. …

Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. | PSNet

psnet.ahrq.gov/issue/correlates-missed-or-late-versus-timely-diagnosis-dementia-healthcare-settings

March 09, 2022 - Study Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Citation Text: Chen Y, Power MC, Grodstein F, et al. Correlates of missed or late versus timely diagnosis of dementia in healthcare settings. Alzheimers Dement. 2024;20(8):5551-5560. doi:10.100…

Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. | PSNet

psnet.ahrq.gov/issue/signs-and-symptoms-determine-if-patient-presenting-primary-care-or-hospital-outpatient

March 23, 2022 - Review Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19 disease. Citation Text: Struyf T, Deeks JJ, Dinnes J, et al. Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings…

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. | PSNet

psnet.ahrq.gov/issue/bridging-feedback-gap-sociotechnical-approach-informing-clinicians-patients-subsequent

January 21, 2019 - Commentary Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. Citation Text: Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent …

Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. | PSNet

psnet.ahrq.gov/issue/exploring-new-avenues-assess-sharp-end-patient-safety-analysis-nationally-aggregated-peer

December 21, 2014 - Study Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. Citation Text: Meeks DW, Meyer AND, Rose B, et al. Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer revi…

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