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Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. | PSNet

psnet.ahrq.gov/issue/ranking-hospitals-avoidable-death-rates-derived-retrospective-case-record-review

August 10, 2022 - Commentary Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations. Citation Text: Abel G, Lyratzopoulos G. Ranking hospitals on avoidable death rates derived from retrospective case record review: methodologic…

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/systematic-review-methods-medical-record-analysis-detect-adverse-events-hospitalized-patients

December 14, 2022 - Review A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. Citation Text: Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.…

Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. | PSNet

psnet.ahrq.gov/issue/are-world-health-organizations-patient-safety-learning-objectives-still-date-group-concept

February 16, 2022 - Study Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mapping study. Citation Text: Vogt L, Stoyanov S, Bergs J, et al. Are the World Health Organization's patient safety learning objectives still up-to-date: a group concept mappin…

The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. | PSNet

psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource

August 16, 2023 - Study The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. Citation Text: Alanazi FK, Lapkin S, Molloy L, et al. The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a m…

Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. | PSNet

psnet.ahrq.gov/issue/compensation-claims-danish-emergency-care-identifying-hot-spots-and-blind-spots-quality-care

November 03, 2021 - Study Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Citation Text: Morsø L, Birkeland S, Walløe S, et al. Compensation claims in Danish emergency care: identifying hot spots and blind spots in the quality of care. Jt Comm J Qu…

Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. | PSNet

psnet.ahrq.gov/issue/characterization-interventions-reduce-frequency-critical-medication-doses-missed-or-delayed

November 16, 2016 - Study Characterization of interventions to reduce the frequency of critical medication doses missed or delayed during perioperative and unit-to-unit patient transfers. Citation Text: Cole E, Duncan R, Grucz T, et al. Characterization of interventions to reduce the frequency of critical m…

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. | PSNet

psnet.ahrq.gov/issue/patients-perspective-hematological-cancer-patients-experiences-adverse-events-part-care

December 01, 2019 - Study The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. Citation Text: Bryant J, Carey M, Sanson-Fisher R, et al. The patients' perspective: hematological cancer patients' experiences of adverse events as part of care. J Patient Saf.…

Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. | PSNet

psnet.ahrq.gov/issue/human-factors-and-safety-analysis-methods-used-design-and-redesign-electronic-medication

April 10, 2024 - Review Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. Citation Text: Awad S, Amon K, Baillie A, et al. Human factors and safety analysis methods used in the design and redesign of electronic medi…

The safety implications of missed test results for hospitalised patients: a systematic review. | PSNet

psnet.ahrq.gov/issue/safety-implications-missed-test-results-hospitalised-patients-systematic-review

November 26, 2014 - Review Classic The safety implications of missed test results for hospitalised patients: a systematic review. Citation Text: Callen J, Georgiou A, Li J, et al. The safety implications of missed test results for hospitalised patients: a systematic review. BMJ Q…

Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. | PSNet

psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen

September 27, 2023 - Study Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. Citation Text: Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital

November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. | PSNet

psnet.ahrq.gov/issue/association-between-hospital-safety-culture-and-surgical-outcomes-statewide-surgical-quality

February 14, 2017 - Study Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative. Citation Text: Odell DD, Quinn CM, Matulewicz RS, et al. Association Between Hospital Safety Culture and Surgical Outcomes in a Statewide Surgical Quality Im…

I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. | PSNet

psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration

November 16, 2022 - Study I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. Citation Text: Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300…

Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. | PSNet

psnet.ahrq.gov/issue/secondary-traumatic-stress-ob-gyn-mixed-methods-analysis-assessing-physician-impact-and-needs

July 07, 2021 - Study Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. Citation Text: Kruper A, Domeyer-Klenske A, Treat R, et al. Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs. J Surg Educ. 2021;78…

Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. | PSNet

psnet.ahrq.gov/issue/understanding-second-victim-experience-among-multidisciplinary-providers-obstetrics-and

December 23, 2020 - Study Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. Citation Text: Rivera-Chiauzzi E, Finney RE, Riggan KA, et al. Understanding the second victim experience among multidisciplinary providers in obstetrics and gynecology. J Pat…

Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes. | PSNet

psnet.ahrq.gov/issue/impact-crm-based-team-training-obstetric-outcomes-and-clinicians-patient-safety-attitudes

January 12, 2011 - Study Classic Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes. Citation Text: Pratt SD, Mann S, Salisbury M, et al. John M. Eisenberg Patient Safety and Quality Awards. Impact of CRM-based training on obstetric ou…

Frequency and outcome of cervical cancer prevention failures in the United States. | PSNet

psnet.ahrq.gov/issue/frequency-and-outcome-cervical-cancer-prevention-failures-united-states

April 09, 2013 - Study Frequency and outcome of cervical cancer prevention failures in the United States. Citation Text: Raab SS, Grzybicki DM, Zarbo RJ, et al. Frequency and outcome of cervical cancer prevention failures in the United States. Am J Clin Pathol. 2007;128(5):817-24. Copy Citation F…

Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. | PSNet

psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections

December 20, 2023 - Study Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. Citation Text: Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…

The social cost of adverse medical events, and what we can do about it. | PSNet

psnet.ahrq.gov/issue/social-cost-adverse-medical-events-and-what-we-can-do-about-it

February 10, 2015 - Commentary The social cost of adverse medical events, and what we can do about it. Citation Text: Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. Copy Ci…

Scaling safety: the South Carolina Surgical Safety Checklist experience. | PSNet

psnet.ahrq.gov/issue/scaling-safety-south-carolina-surgical-safety-checklist-experience

February 07, 2018 - Study Scaling safety: the South Carolina Surgical Safety Checklist experience. Citation Text: Berry WR, Edmondson L, Gibbons LR, et al. Scaling Safety: The South Carolina Surgical Safety Checklist Experience. Health Aff (Millwood). 2018;37(11):1779-1786. doi:10.1377/hlthaff.2018.0717. …

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