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Communication failures contributing to patient injury in anaesthesia malpractice claims. | PSNet

psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims

August 04, 2021 - Study Communication failures contributing to patient injury in anaesthesia malpractice claims. Citation Text: Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…

Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. | PSNet

psnet.ahrq.gov/issue/caregivers-perspectives-ethical-challenges-and-patient-safety-tele-palliative-care

July 10, 2024 - Review Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. Citation Text: Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. | PSNet

psnet.ahrq.gov/issue/implementation-i-pass-handoff-program-diverse-clinical-environments-multicenter-prospective

April 24, 2018 - Study Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. Citation Text: Starmer AJ, Spector ND, O'Toole JK, et al. Implementation of the I‐PASS handoff program in diverse clinical environments: a mu…

Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet

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April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide. Citation Text: Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…

Association between cancer-specific adverse event triggers and mortality: a validation study. | PSNet

psnet.ahrq.gov/issue/association-between-cancer-specific-adverse-event-triggers-and-mortality-validation-study

January 29, 2020 - Study Association between cancer-specific adverse event triggers and mortality: a validation study. Citation Text: Weingart SN, Nelson J, Koethe B, et al. Association between cancer‐specific adverse event triggers and mortality: A validation study. Cancer Med. 2020;9(12):4447-4459. doi:1…

US poison control center calls for infants 6 months of age and younger. | PSNet

psnet.ahrq.gov/issue/us-poison-control-center-calls-infants-6-months-age-and-younger

November 16, 2022 - Study US poison control center calls for infants 6 months of age and younger. Citation Text: Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. Copy Citation Format: DOI G…

Patients' perceptions of using technology for self-reporting cancer medication safety events from home. | PSNet

psnet.ahrq.gov/issue/patients-perceptions-using-technology-self-reporting-cancer-medication-safety-events-home

June 05, 2024 - Study Patients' perceptions of using technology for self-reporting cancer medication safety events from home. Citation Text: Gahn K, Hwang M, Cho Y, et al. Patients' perceptions of using technology for self-reporting cancer medication safety events from home. Stud Health Technol Inform. …

Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. | PSNet

psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us

May 16, 2012 - Study Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. Citation Text: Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…

Adverse events in the paediatric emergency department: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/adverse-events-paediatric-emergency-department-prospective-cohort-study

August 03, 2022 - Study Adverse events in the paediatric emergency department: a prospective cohort study. Citation Text: Plint AC, Stang A, Newton AS, et al. Adverse events in the paediatric emergency department: a prospective cohort study. BMJ Qual Saf. 2021;30(3):216-227. doi:10.1136/bmjqs-2019-010055.…

Measuring harm in health care: optimizing adverse event review. | PSNet

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May 15, 2013 - Study Measuring harm in health care: optimizing adverse event review. Citation Text: Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679. Copy Citation Format: DOI…

Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. | PSNet

psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts

July 16, 2015 - Study Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. Citation Text: Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med …

Diagnostic accuracy of a large language model in pediatric case studies. | PSNet

psnet.ahrq.gov/issue/diagnostic-accuracy-large-language-model-pediatric-case-studies

May 25, 2016 - Study Diagnostic accuracy of a large language model in pediatric case studies. Citation Text: Barile J, Margolis A, Cason G, et al. Diagnostic accuracy of a large language model in pediatric case studies. JAMA Pediatr. 2024;178(3):313-315. doi:10.1001/jamapediatrics.2023.5750. Copy Cit…

Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident

October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. | PSNet

psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results

July 02, 2019 - Study Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. Citation Text: Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…

Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. | PSNet

psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve

September 16, 2020 - Study Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. Citation Text: Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…

American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. | PSNet

psnet.ahrq.gov/issue/american-college-surgeons-committee-trauma-performance-improvement-and-patient-safety-program

September 23, 2020 - Study American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. Citation Text: Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvem…

Medication safety and knowledge-based functions: a stepwise approach against information overload. | PSNet

psnet.ahrq.gov/issue/medication-safety-and-knowledge-based-functions-stepwise-approach-against-information

December 22, 2008 - Study Medication safety and knowledge-based functions: a stepwise approach against information overload. Citation Text: Patapovas A, Dormann H, Sedlmayr B, et al. Medication safety and knowledge-based functions: a stepwise approach against information overload. Br J Clin Pharmacol. 2013…

Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. | PSNet

psnet.ahrq.gov/issue/use-strategies-high-reliability-organisations-patient-hand-resident-physicians-practical

July 02, 2014 - Study Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Citation Text: Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qu…

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. | PSNet

psnet.ahrq.gov/issue/association-display-patient-photographs-electronic-health-record-wrong-patient-order-entry

May 29, 2019 - Study Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. Citation Text: Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order e…

Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. | PSNet

psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term

April 21, 2021 - Study Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. Citation Text: Gerber A, Kohaupt I, Lauterbach KW, et al. Quantification and classification of errors associated with hand-repackaging of medicat…

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