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Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet

psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study

October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. | PSNet

psnet.ahrq.gov/issue/surgical-site-infections-colon-surgery-patient-procedure-hospital-and-surgeon

February 19, 2020 - Study Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Citation Text: Hübner M, Diana M, Zanetti G, et al. Surgical site infections in colon surgery: the patient, the procedure, the hospital, and the surgeon. Arch Surg. 2011;146(11):…

Surgical safety checklist: implementation in an ambulatory surgical facility. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-implementation-ambulatory-surgical-facility

September 23, 2020 - Study Surgical safety checklist: implementation in an ambulatory surgical facility. Citation Text: Morgan PJ, Cunningham L, Mitra S, et al. Surgical safety checklist: implementation in an ambulatory surgical facility. Can J Anaesth. 2013;60(6):528-38. doi:10.1007/s12630-013-9916-8. C…

Hospital costs associated with adverse events in gynecological oncology. | PSNet

psnet.ahrq.gov/issue/hospital-costs-associated-adverse-events-gynecological-oncology

March 09, 2022 - Study Hospital costs associated with adverse events in gynecological oncology. Citation Text: Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Hospital costs associated with adverse events in gynecological oncology. Gynecol Oncol. 2011;121(1):70-5. doi:10.1016/j.ygyno.2010.11.03…

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008. | PSNet

psnet.ahrq.gov/issue/medication-safety-acute-care-australia-where-are-we-now-part-1-review-extent-and-causes

October 14, 2009 - Review Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008. Citation Text: Roughead EE, Semple SJ. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and c…

Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. | PSNet

psnet.ahrq.gov/issue/harvey-cushings-open-and-thorough-documentation-surgical-mishaps-dawn-neurologic-surgery

November 16, 2022 - Study Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Citation Text: Latimer K, Pendleton C, Olivi A, et al. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Arch Surg. 2011;1…

Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. | PSNet

psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims

July 05, 2017 - Study Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Citation Text: Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…

The influence of the structure and culture of medical group practices on prescription drug errors. | PSNet

psnet.ahrq.gov/issue/influence-structure-and-culture-medical-group-practices-prescription-drug-errors

January 14, 2011 - Study The influence of the structure and culture of medical group practices on prescription drug errors. Citation Text: Kralewski JE, Dowd BE, Heaton A, et al. The influence of the structure and culture of medical group practices on prescription drug errors. Med care. 2005;43(8):817-82…

A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. | PSNet

psnet.ahrq.gov/issue/realist-synthesis-interprofessional-patient-safety-activities-and-healthcare-student

July 01, 2019 - Review A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. Citation Text: Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes…

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. | PSNet

psnet.ahrq.gov/issue/what-are-covering-doctors-told-about-their-patients-analysis-sign-out-among-internal-medicine

February 15, 2011 - Study What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff. Qua…

Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. | PSNet

psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation

December 21, 2022 - Study Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. Citation Text: Basma S, Lord B, Jacks LM, et al. Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. AJR Am J …

Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. | PSNet

psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion

September 25, 2008 - Study Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. Citation Text: Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project …

Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. | PSNet

psnet.ahrq.gov/issue/consequences-running-more-operating-theatres-anaesthetists-staff-them-stochastic-simulation

October 19, 2022 - Study Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Citation Text: Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth. 2007…

Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and

August 04, 2021 - Study Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Citation Text: Kramer AA, Higgins TL, Zimmerman JE. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Crit Care Med. 201…

Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/critical-care-transition-programs-and-risk-readmission-or-death-after-discharge-icu

October 13, 2018 - Review Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. Citation Text: Niven DJ, Bastos JF, Stelfox HT. Critical care transition programs and the risk of readmission or death after discharge from …

The use of patient pictures and verification screens to reduce computerized provider order entry errors. | PSNet

psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors

November 16, 2022 - Study The use of patient pictures and verification screens to reduce computerized provider order entry errors. Citation Text: Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(…

Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet

psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety

March 06, 2005 - Study Sins of omission. Getting too little medical care may be the greatest threat to patient safety. Citation Text: Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…

Nursing surveillance: a concept analysis | PSNet

psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis

May 26, 2021 - Review Nursing surveillance: a concept analysis Citation Text: Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

Creating a distraction simulation for safe medication administration. | PSNet

psnet.ahrq.gov/issue/creating-distraction-simulation-safe-medication-administration

May 27, 2011 - Commentary Creating a distraction simulation for safe medication administration. Citation Text: Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration. Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004. Copy Citation Format: …

Detecting clinical medication errors with AI enabled wearable cameras. | PSNet

psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras

August 03, 2022 - Study Detecting clinical medication errors with AI enabled wearable cameras. Citation Text: Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. Copy Citation Format: …

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