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psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
August 19, 2020 - Study
An analysis of electronic health record–related patient safety incidents.
Citation Text:
Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072.
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psnet.ahrq.gov/issue/reporting-unsafe-conditions-academic-women-and-childrens-hospital
December 09, 2020 - Study
Reporting of unsafe conditions at an academic women and children's hospital.
Citation Text:
Grabinski ZG, Babineau J, Jamal N, et al. Reporting of unsafe conditions at an academic women and children's hospital. Jt Comm J Qual Patient Saf. 2021;47(11):731-738. doi:10.1016/j.jcjq.202…
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psnet.ahrq.gov/issue/racialethnic-inequities-pregnancy-related-morbidity-and-mortality
August 10, 2022 - Commentary
Emerging Classic
Racial/ethnic inequities in pregnancy-related morbidity and mortality.
Citation Text:
Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;…
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psnet.ahrq.gov/issue/abusive-supervision-systematic-review-and-fundamental-rethink
May 18, 2022 - Review
Abusive supervision: a systematic review and fundamental rethink.
Citation Text:
Fischer T, Tian AW, Lee A, et al. Abusive supervision: a systematic review and fundamental rethink. The Leadership Q. 2021;32(6):101540. doi:10.1016/j.leaqua.2021.101540.
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psnet.ahrq.gov/issue/medication-reconciliation-and-patient-safety-trauma-applicability-existing-strategies
September 23, 2020 - Review
Medication reconciliation and patient safety in trauma: Applicability of existing strategies.
Citation Text:
DeAntonio JH, Leichtle SW, Hobgood S, et al. Medication reconciliation and patient safety in trauma: Applicability of existing strategies. J Surg Res. 2019;246:482-489. doi…
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psnet.ahrq.gov/issue/emergency-medical-services-provider-perceptions-nature-adverse-events-and-near-misses-out
September 09, 2010 - Study
Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.
Citation Text:
Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse E…
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psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
September 13, 2017 - Study
Classic
Simulation study of rested versus sleep-deprived anesthesiologists.
Citation Text:
Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…
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psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
July 07, 2021 - Review
Nursing bedside clinical handover—an integrated review of issues and tools.
Citation Text:
Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706.
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psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
January 13, 2012 - Commentary
Classic
40 years behind the mask: safety revisited.
Citation Text:
Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975.
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psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
May 01, 2012 - Study
Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education.
Citation Text:
Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…
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psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between-hospitals
July 18, 2016 - Study
Information handoff and outcomes of critically ill patients transferred between hospitals.
Citation Text:
Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.20…
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psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
July 31, 2013 - Study
Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest.
Citation Text:
Kim J-sung, Bae H-J, Sohn CH, et al. Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. Crit Care. 2020;24(1):305.…
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psnet.ahrq.gov/issue/why-studying-human-behavior-critical-component-patient-safety
January 15, 2020 - Commentary
Why studying human behavior is a critical component of patient safety.
Citation Text:
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
August 05, 2020 - Study
Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.
Citation Text:
Lindblad M, Schildmeijer K, Nilsson L, et al. Development of a trigger tool to identify adverse events and no-harm incidents that affect p…
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psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
March 03, 2021 - Study
Impact of a daily huddle on safety in perioperative services.
Citation Text:
Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012.
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psnet.ahrq.gov/issue/older-adults-awareness-deprescribing-population-based-survey
June 22, 2009 - Study
Older adults' awareness of deprescribing: a population-based survey.
Citation Text:
Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079.
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psnet.ahrq.gov/issue/medication-errors-caregivers-home-neonates-discharged-neonatal-intensive-care-unit
June 07, 2023 - Study
Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit.
Citation Text:
Solanki R, Mondal N, Mahalakshmy T, et al. Medication errors by caregivers at home in neonates discharged from the neonatal intensive care unit. Arch Dis Child. 2017…
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psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7
September 23, 2020 - Study
Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years?
Citation Text:
Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 yea…
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psnet.ahrq.gov/issue/incidence-and-characteristics-errors-detected-short-team-briefing-pediatric-anesthesia
September 30, 2020 - Study
Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia.
Citation Text:
Keil O, Brunsmann K, Boethig D, et al. Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. Paediatr Anaesth. 2022;32(10):…
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psnet.ahrq.gov/issue/rudeness-and-medical-team-performance
June 21, 2016 - Study
Rudeness and medical team performance.
Citation Text:
Riskin A, Erez A, Foulk T, et al. Rudeness and Medical Team Performance. Pediatrics. 2017;139(2):e20162305. doi:10.1542/peds.2016-2305.
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