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Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. | PSNet

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April 12, 2023 - Study Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. Citation Text: Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…

Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system. | PSNet

psnet.ahrq.gov/issue/association-opioid-related-adverse-drug-events-clinical-and-cost-outcomes-among-surgical

March 12, 2014 - Study Classic Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system. Citation Text: Shafi S, Collinsworth AW, Copeland LA, et al. Association of Opioid-Related …

Design and impact of a novel surgery-specific second victim peer support program. | PSNet

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March 09, 2022 - Study Emerging Classic Design and impact of a novel surgery-specific second victim peer support program. Citation Text: El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…

Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. | PSNet

psnet.ahrq.gov/issue/engaging-ethnic-minority-consumers-improve-safety-cancer-services-national-stakeholder

September 15, 2021 - Study Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Citation Text: Joseph K, Newman B, Manias E, et al. Engaging with ethnic minority consumers to improve safety in cancer services: a national stakeholder analysis. Patient …

The effects of harm events on 30-day readmission in surgical patients. | PSNet

psnet.ahrq.gov/issue/effects-harm-events-30-day-readmission-surgical-patients

July 31, 2019 - Study The effects of harm events on 30-day readmission in surgical patients. Citation Text: Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261. Copy Citati…

Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. | PSNet

psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care

April 13, 2022 - Study Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. Citation Text: de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient …

Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. | PSNet

psnet.ahrq.gov/issue/room-resilience-qualitative-study-about-accountability-mechanisms-relation-between-work-done

August 31, 2022 - Study Room for resilience: a qualitative study about accountability mechanisms in the relation between work-as-done (WAD) and work-as-imagined (WAI) in hospitals. Citation Text: Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability m…

Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. | PSNet

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December 18, 2019 - Study Use of pediatric injectable medicines guidelines and associated medication administration errors: a human reliability analysis. Citation Text: Jones MD, Clarke J, Feather C, et al. Use of pediatric injectable medicines guidelines and associated medication administration errors: a h…

Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. | PSNet

psnet.ahrq.gov/issue/effect-work-hours-regulations-intensive-care-unit-mortality-united-states-teaching-hospitals

August 20, 2018 - Study Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. Citation Text: Prasad M, Iwashyna TJ, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. Crit Care Med. 2…

Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet

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May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…

Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward

March 09, 2022 - Study Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Citation Text: Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Farm Hos…

Electronic health record–related events in medical malpractice claims. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-related-events-medical-malpractice-claims

April 03, 2018 - Study Classic Electronic health record–related events in medical malpractice claims. Citation Text: Graber ML, Siegal D, Riah H, et al. Electronic Health Record-Related Events in Medical Malpractice Claims. J Patient Saf. 2019;15(2):77-85. doi:10.1097/PTS.000000…

A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. | PSNet

psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers

September 20, 2023 - Study A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. Citation Text: Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…

Association of overlapping surgery with perioperative outcomes. | PSNet

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June 08, 2022 - Study Emerging Classic Association of overlapping surgery with perioperative outcomes. Citation Text: Sun E, Mello MM, Rishel CA, et al. Association of Overlapping Surgery With Perioperative Outcomes. JAMA. 2019;321(8):762-772. doi:10.1001/jama.2019.0711. Copy…

Assessment of perioperative outcomes among surgeons who operated the night before. | PSNet

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March 06, 2019 - Study Assessment of perioperative outcomes among surgeons who operated the night before. Citation Text: Sun EC, Mello MM, Vaughn MT, et al. Assessment of perioperative outcomes among surgeons who operated the night before. JAMA Intern Med. 2022;182(7):720-728. doi:10.1001/jamainternmed.2…

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. | PSNet

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November 24, 2021 - Review Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. Citation Text: Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analys…

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. | PSNet

psnet.ahrq.gov/issue/standardization-pediatric-noncardiac-operating-room-intensive-care-unit-handoffs-improves

March 10, 2021 - Study Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care. Citation Text: Hebballi NB, Gupta VS, Sheppard K, et al. Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves c…

How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. | PSNet

psnet.ahrq.gov/issue/how-gender-shapes-interprofessional-teamwork-operating-room-qualitative-secondary-analysis

March 10, 2021 - Study How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. Citation Text: Etherington C, Kitto S, Burns JK, et al. How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. BMC Health Serv Res. 2…

Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. | PSNet

psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey

November 11, 2020 - Study Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Citation Text: Lin DM, Lane-Fall MB, Lea JA, et al. Workplace violence pervasiveness in the perioperative environment: a multiprofessional survey. Jt Comm J Qual Patient Saf. 2024;50(11):…

Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet

psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing

May 08, 2017 - Study Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Citation Text: Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…

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