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  1. Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. | PSNet

    psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-instructions-use-safety-scalpel
    August 20, 2021 - Press Release/Announcement Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. Citation Text: Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. MedWatch Safety Al…

  2. Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet

    psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
    August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

  3. Understanding complaints made about surgical departments in a UK district general hospital. | PSNet

    psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
    September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

  4. Putting the patient in patient safety investigations: barriers and strategies for involvement. | PSNet

    psnet.ahrq.gov/issue/putting-patient-patient-safety-investigations-barriers-and-strategies-involvement
    June 23, 2021 - Review Putting the patient in patient safety investigations: barriers and strategies for involvement. Citation Text: Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pt…

  5. Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. | PSNet

    psnet.ahrq.gov/issue/effectiveness-facilitated-introduction-standard-operating-procedure-routine-processes
    February 04, 2015 - Study Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. Citation Text: Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …

  6. Physicians' practice of dispensing medicines: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physicians-practice-dispensing-medicines-qualitative-study
    November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…

  7. The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. | PSNet

    psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures
    April 11, 2011 - Study The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Beach ML, Blike G, et al. The incidence and nature of adve…

  8. Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. | PSNet

    psnet.ahrq.gov/issue/comparison-adverse-events-during-procedural-sedation-between-specially-trained-pediatric
    August 21, 2008 - Study Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel. Citation Text: Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between specially tra…

  9. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? | PSNet

    psnet.ahrq.gov/issue/how-do-patients-and-care-partners-describe-diagnostic-uncertainty-emergency-department-or
    October 23, 2024 - Study How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Citation Text: DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent c…

  10. Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. | PSNet

    psnet.ahrq.gov/issue/predicting-future-staffing-needs-teaching-hospitals-use-analytical-program-multiple-variables
    October 19, 2022 - Study Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. Citation Text: Mitchell CC, Ashley SW, Zinner MJ, et al. Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. Arc…

  11. Abbreviation use decreases effective clinical communication and can compromise patient safety. | PSNet

    psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
    October 29, 2017 - Commentary Abbreviation use decreases effective clinical communication and can compromise patient safety. Citation Text: Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…

  12. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet

    psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals
    July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Citation Text: Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg…

  13. Teaching a 'good' ward round. | PSNet

    psnet.ahrq.gov/issue/teaching-good-ward-round
    October 28, 2020 - Commentary Teaching a 'good' ward round. Citation Text: Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  14. Reducing pediatric emergency department prescription errors. | PSNet

    psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-prescription-errors
    October 26, 2022 - Study Reducing pediatric emergency department prescription errors. Citation Text: Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. Copy Citation Format: …

  15. Reducing diagnostic errors—why now? | PSNet

    psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now
    July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…

  16. Validation of a mobile app for reducing errors of administration of medications in an emergency. | PSNet

    psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
    September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…

  17. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
    December 04, 2016 - Commentary Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. Citation Text: Abid MH. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. J Clin Outcomes M…

  18. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. | PSNet

    psnet.ahrq.gov/issue/patient-safety-error-reduction-and-pediatric-nurses-perceptions-smart-pump-technology
    February 28, 2024 - Study Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. Citation Text: Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51.…

  19. Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
    January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

  20. Resident work hour limits and patient safety. | PSNet

    psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety
    July 03, 2014 - Study Classic Resident work hour limits and patient safety. Citation Text: Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. Copy Citation Format: Google Scholar…
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