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A novel process audit for standardized perioperative handoff protocols. | PSNet

psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols

June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. | PSNet

psnet.ahrq.gov/issue/pharmacy-clarification-prescriptions-ordered-primary-care-report-applied-strategies-improving

March 28, 2011 - Commentary Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. Citation Text: Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary ca…

Patient perspectives of patient–provider communication after adverse events. | PSNet

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March 28, 2011 - Study Patient perspectives of patient–provider communication after adverse events. Citation Text: Duclos CW, Eichler M, Taylor L, et al. Patient perspectives of patient-provider communication after adverse events. Int J Qual Health Care. 2005;17(6):479-86. Copy Citation Format: …

Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. | PSNet

psnet.ahrq.gov/issue/implementation-telepharmacy-service-provide-round-clock-medication-order-review-pharmacists

September 22, 2010 - Commentary Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Citation Text: Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists. Ameri…

Learning from litigation. The role of claims analysis in patient safety. | PSNet

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November 21, 2018 - Study Learning from litigation. The role of claims analysis in patient safety. Citation Text: Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. Copy Citation Format: Google S…

Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. | PSNet

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September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…

Burnout in pediatric residents: three years of national survey | PSNet

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November 16, 2022 - Study Emerging Classic Burnout in pediatric residents: three years of national survey Citation Text: Kemper KJ, Schwartz A, Wilson PM, et al. Burnout in Pediatric Residents: Three Years of National Survey Data. Pediatrics. 2020;145(1):e20191030. doi:10.1542/peds…

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

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April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. | PSNet

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January 29, 2015 - Commentary Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. Citation Text: Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…

Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. | PSNet

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November 16, 2022 - Study Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analysis. Citation Text: Sun EC, Dixit A, Humphreys K, et al. Association between concurrent use of prescription opioids and benzodiazepines and overdose: retrospective analys…

The safe day call: reducing silos in health care through frontline risk assessment. | PSNet

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May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…

Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. | PSNet

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November 16, 2022 - Study Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Citation Text: Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…

An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. | PSNet

psnet.ahrq.gov/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and

March 23, 2022 - Study An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Citation Text: Zaman T, Rife TL, Batki SL, et al. An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines. Subs…

Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. | PSNet

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May 13, 2009 - Study Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. Citation Text: Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54…

Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. | PSNet

psnet.ahrq.gov/issue/catheter-associated-urinary-tract-infection-reduction-pediatric-safety-engagement-network

July 14, 2021 - Study Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Citation Text: Foster CB, Ackerman K, Hupertz V, et al. Catheter-associated urinary tract infection reduction in a pediatric safety engagement network. Pediatrics. 2020;146(4):e20192057.…

Concerns regarding tablet splitting: a systematic review. | PSNet

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February 10, 2015 - Review Concerns regarding tablet splitting: a systematic review. Citation Text: Saran AK, Holden NA, Garrison SR. Concerns regarding tablet splitting: a systematic review. BJGP Open. 2022;6(3):BJGPO.2022.0001. doi:10.3399/bjgpo.2022.0001. Copy Citation Format: DOI Google Sc…

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. | PSNet

psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized

November 12, 2014 - Commentary Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. Citation Text: Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs…

Hospital rules-based system: the next generation of medical informatics for patient safety. | PSNet

psnet.ahrq.gov/issue/hospital-rules-based-system-next-generation-medical-informatics-patient-safety

April 21, 2010 - Study Hospital rules-based system: the next generation of medical informatics for patient safety. Citation Text: Wilson JW, Oyen LJ, Ou NN, et al. Hospital rules-based system: the next generation of medical informatics for patient safety. Am J Health Syst Pharm. 2005;62(5):499-505. C…

National pediatric anesthesia safety quality improvement program in the United States. | PSNet

psnet.ahrq.gov/issue/national-pediatric-anesthesia-safety-quality-improvement-program-united-states

March 03, 2011 - Study National pediatric anesthesia safety quality improvement program in the United States. Citation Text: Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.000…

Project BOOST implementation: lessons learned. | PSNet

psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned

August 21, 2013 - Study Project BOOST implementation: lessons learned. Citation Text: Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

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