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Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. | PSNet

psnet.ahrq.gov/issue/team-debriefing-covid-19-pandemic-qualitative-study-hospital-wide-clinical-event-debriefing

June 08, 2022 - Study Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze debriefing content. Citation Text: Welch-Horan TB, Mullan PC, Momin Z, et al. Team debriefing in the COVID-19 pandemic: a qual…

A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. | PSNet

psnet.ahrq.gov/issue/model-increasing-patient-safety-intensive-care-unit-increasing-implementation-rates-proven

September 23, 2020 - Study A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. Citation Text: Krimsky WS, Mroz IB, McIlwaine JK, et al. A model for increasing patient safety in the intensive care unit: increasing the implementatio…

Paid malpractice claims for adverse events in inpatient and outpatient settings. | PSNet

psnet.ahrq.gov/issue/paid-malpractice-claims-adverse-events-inpatient-and-outpatient-settings

June 24, 2009 - Study Paid malpractice claims for adverse events in inpatient and outpatient settings. Citation Text: Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813. Copy Citatio…

Systems analysis of adverse drug events. | PSNet

psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events

February 10, 2011 - Study Classic Systems analysis of adverse drug events. Citation Text: Leape L, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. ADE Prevention Study Group. JAMA. 1995;274(1):35-43. Copy Citation Format: Google Scholar PubMed B…

Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. | PSNet

psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty

July 08, 2020 - Study Classic Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. Citation Text: Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…

Using a potentially aggressive/violent patient huddle to improve health care safety. | PSNet

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November 16, 2022 - Commentary Using a potentially aggressive/violent patient huddle to improve health care safety. Citation Text: Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…

Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. | PSNet

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October 11, 2023 - Study Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Citation Text: Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;29…

Stress on the ward: evidence of safety tipping points in hospitals. | PSNet

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November 13, 2024 - Study Stress on the ward: evidence of safety tipping points in hospitals. Citation Text: Kuntz L, Mennicken R, Scholtes S. Stress on the Ward: Evidence of Safety Tipping Points in Hospitals. Manage Sci. 2014;61(4). doi:10.1287/mnsc.2014.1917. Copy Citation Format: DOI Googl…

One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. | PSNet

psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and

June 28, 2013 - Study One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. Citation Text: Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…

Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. | PSNet

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January 12, 2022 - Study Multiprofessional team simulation training, based on an obstetric model, can improve teamwork in other areas of health care. Citation Text: van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an obstetric model, can improve teamwor…

A contemporary analysis of closed claims related to wrong site surgery. | PSNet

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March 03, 2021 - Study A contemporary analysis of closed claims related to wrong site surgery. Citation Text: Tan J, Ross JM, Wright D, et al. A contemporary analysis of closed claims related to wrong site surgery. Jt Comm J Qual Patient Saf. 2023;49(5):265-273. doi:10.1016/j.jcjq.2023.02.002. Copy Cit…

Do patient safety indicators explain increased weekend mortality? | PSNet

psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality

June 01, 2011 - Study Do patient safety indicators explain increased weekend mortality? Citation Text: Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. Copy Citation Format: …

Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet

psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy

September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. | PSNet

psnet.ahrq.gov/issue/medicare-letters-curb-overprescribing-controlled-substances-had-no-detectable-effect

May 25, 2016 - Study Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. Citation Text: Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled Substances Had No Detectable Effect On Providers. Health Aff (Mil…

Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. | PSNet

psnet.ahrq.gov/issue/analysis-interprofessional-clinical-learning-environment-quality-improvement-and-patient

April 19, 2017 - Study Analysis of the interprofessional clinical learning environment for quality improvement and patient safety from perspectives of interprofessional teams. Citation Text: Cheng MKW, Collins S, Baron RB, et al. Analysis of the interprofessional clinical learning environment for quality…

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. | PSNet

psnet.ahrq.gov/issue/examination-impact-after-hours-admissions-hospital-resource-use-patient-outcomes-and-costs

November 30, 2022 - Study Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Citation Text: Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Crit Care Res Pract. 2022…

Impact of incorporating pharmacy claims data into electronic medication reconciliation. | PSNet

psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation

September 01, 2016 - Study Impact of incorporating pharmacy claims data into electronic medication reconciliation. Citation Text: Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.21…

Safety culture and complications after bariatric surgery. | PSNet

psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery

August 02, 2015 - Study Safety culture and complications after bariatric surgery. Citation Text: Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085. Copy Citation Format: DOI …

Claims, errors, and compensation payments in medical malpractice litigation. | PSNet

psnet.ahrq.gov/issue/claims-errors-and-compensation-payments-medical-malpractice-litigation

March 02, 2011 - Study Classic Claims, errors, and compensation payments in medical malpractice litigation. Citation Text: Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33.…

Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? | PSNet

psnet.ahrq.gov/issue/simulation-based-teamwork-training-emergency-department-staff-does-it-improve-clinical-team

December 22, 2009 - Study Classic Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Citation Text: Shapiro MJ, Morey JC, Small SD, et al. Simulation based teamwork t…

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