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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.…

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…

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…

Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. | PSNet

psnet.ahrq.gov/issue/wrong-patient-ordering-errors-peripartum-mother-newborn-pairs-unique-patient-safety-challenge

July 28, 2021 - Commentary Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics. Citation Text: Kern-Goldberger AR, Adelman JS, Applebaum JR, et al. Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety chal…

Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. | PSNet

psnet.ahrq.gov/issue/patient-perspectives-use-artificial-intelligence-skin-cancer-screening-qualitative-study

October 19, 2022 - Study Emerging Classic Patient perspectives on the use of artificial intelligence for skin cancer screening: a qualitative study. Citation Text: Nelson CA, Pérez-Chada LM, Creadore A, et al. Patient perspectives on the use of artificial intelligence for skin can…

Factors associated with workarounds in barcode-assisted medication administration in hospitals. | PSNet

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January 23, 2019 - Study Factors associated with workarounds in barcode-assisted medication administration in hospitals. Citation Text: Veen W, Taxis K, Wouters H, et al. Factors associated with workarounds in barcode‐assisted medication administration in hospitals. J Clin Nurs. 2020;29(13-14):2239-2250. d…

Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet

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November 21, 2012 - Study Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. Citation Text: Paull DE, Mazzia L, Neily J, et al. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in t…

Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. | PSNet

psnet.ahrq.gov/issue/algorithm-based-smartphone-apps-assess-risk-skin-cancer-adults-systematic-review-diagnostic

July 29, 2020 - Review Classic Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. Citation Text: Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in adults…

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. | PSNet

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February 15, 2011 - Study Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. Citation Text: Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and …

How health care systems let our patients down: a systematic review into suicide deaths. | PSNet

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October 19, 2022 - Review How health care systems let our patients down: a systematic review into suicide deaths. Citation Text: Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1…

Inpatient suicide and suicide attempts in Veterans Affairs hospitals. | PSNet

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January 02, 2017 - Study Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Citation Text: Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. Copy Citation Format: Go…

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. | PSNet

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November 02, 2010 - Study Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Citation Text: Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Physician patient communication failure facilitates medication errors in older polyme…

System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet

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August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis. Citation Text: Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. …

Remote patient monitoring during COVID-19: an unexpected patient safety benefit. | PSNet

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July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. | PSNet

psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety

August 20, 2018 - Study Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Citation Text: Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. | PSNet

psnet.ahrq.gov/issue/sustaining-and-spreading-reduction-adverse-drug-events-multicenter-collaborative

November 16, 2022 - Study Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Citation Text: Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542…

Organisational culture: variation across hospitals and connection to patient safety climate. | PSNet

psnet.ahrq.gov/issue/organisational-culture-variation-across-hospitals-and-connection-patient-safety-climate

March 17, 2010 - Study Organisational culture: variation across hospitals and connection to patient safety climate. Citation Text: Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. do…

Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet

psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and

September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…

Creating a safer health care system: finding the constraint. | PSNet

psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint

February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. | PSNet

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March 31, 2021 - Study Classic Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. Citation Text: Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit Care Me…

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