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Comparison of computerized surveillance and manual chart review for adverse events. | PSNet

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August 31, 2011 - Study Comparison of computerized surveillance and manual chart review for adverse events. Citation Text: Tinoco A, Evans S, Staes CJ, et al. Comparison of computerized surveillance and manual chart review for adverse events. J Am Med Inform Assoc. 2011;18(4):491-7. doi:10.1136/amiajnl-…

Inappropriate opioid prescription after surgery. | PSNet

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February 02, 2022 - Review Classic Inappropriate opioid prescription after surgery. Citation Text: Neuman MD, Bateman BT, Wunsch H. Inappropriate opioid prescription after surgery. Lancet. 2019;393(10180):1547-1557. doi:10.1016/S0140-6736(19)30428-3. Copy Citation Format: …

Language barriers and patient safety risks in hospital care. A mixed methods study. | PSNet

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May 18, 2016 - Study Language barriers and patient safety risks in hospital care. A mixed methods study. Citation Text: van Rosse F, de Bruijne M, Suurmond J, et al. Language barriers and patient safety risks in hospital care. A mixed methods study. Int J Nurs Stud. 2016;54:45-53. doi:10.1016/j.ijnurst…

Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). | PSNet

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December 16, 2020 - Press Release/Announcement Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). Citation Text: Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). MedWatch Safety Alert, FDA Drug Safety Com…

Building a safety net. | PSNet

psnet.ahrq.gov/issue/building-safety-net

December 21, 2009 - Newspaper/Magazine Article Building a safety net. Citation Text: Rogoski RR. Building a safety net. By leveraging huge amounts of data and applying it to a wide array of projects and purposes, hospitals stay focused on patient safety and make headway. Health management technology. 2006…

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. | PSNet

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March 01, 2008 - Commentary Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3. Citation Text: Grissinger M. Selected Medication Safety Risks That Can Easily Fall Off the Radar Screen. P T. 2018;43(11):645-666. Copy Citation Format: Google …

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. | PSNet

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December 23, 2008 - Study Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. Citation Text: McDonald KM, Davies SM, Haberland CA, et al. Preliminary assessment of pediatric health care quality and patient safety in t…

A system-wide hospital child maltreatment patient safety program. | PSNet

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September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

Psychiatry morbidity and mortality rounds: implementation and impact. | PSNet

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March 27, 2024 - Study Psychiatry morbidity and mortality rounds: implementation and impact. Citation Text: Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383. Copy Citation Format: …

Applying lessons from social psychology to transform the culture of error disclosure. | PSNet

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March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error disclosure. Citation Text: Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. Co…

New U.S. health crisis looms as patients without COVID-19 delay care. | PSNet

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July 29, 2020 - Newspaper/Magazine Article New U.S. health crisis looms as patients without COVID-19 delay care. Citation Text: Bernstein S. New U.S. health crisis looms as patients without COVID-19 delay care. Reuters. 2020;July 13. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

Structural racism in behavioral health presentation and management. | PSNet

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September 23, 2020 - Commentary Structural racism in behavioral health presentation and management. Citation Text: Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133. Copy Citation Format: …

Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. | PSNet

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November 02, 2022 - Commentary Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. Citation Text: McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric units. Aust N Z J Obstet Gyna…

An appeal for evidence-based resident duty hours reform. | PSNet

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August 09, 2023 - Commentary An appeal for evidence-based resident duty hours reform. Citation Text: Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. Copy Citation Format: DOI Google S…

National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. | PSNet

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November 16, 2022 - Commentary National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. Citation Text: D'Alton ME, Friedman AM, Smiley RM, et al. National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. J Obstet Gynecol Neonatal Nurs. 2016;45(5):706-…

Improving end of life care: an information systems approach to reducing medical errors. | PSNet

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November 04, 2015 - Study Improving end of life care: an information systems approach to reducing medical errors. Citation Text: Tamang S, Kopec D, Shagas G, et al. Improving end of life care: an information systems approach to reducing medical errors. Stud Health Technol Inform. 2005;114:93-104. Copy C…

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

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March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. | PSNet

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February 12, 2018 - Study A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. Citation Text: Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 200…

Dual surgeon operating to improve patient safety. | PSNet

psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety

July 22, 2020 - Commentary Dual surgeon operating to improve patient safety. Citation Text: Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg. 2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014. Copy Citation Format: DOI Google Scholar BibTeX …

Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. | PSNet

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June 24, 2020 - Commentary Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. Citation Text: Sittig DF, Sengstack P, Singh H. Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides. JAMA.…

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