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Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. | PSNet

psnet.ahrq.gov/issue/cost-implications-actual-and-potential-adverse-events-prevented-interventions-critical-care

June 28, 2010 - Study Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist. Citation Text: Kopp BJ, Mrsan M, Erstad BL, et al. Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist. Am J H…

Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. | PSNet

psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation

January 02, 2017 - Study Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Citation Text: Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. Copy Citation Format: …

COVID-19: to be or not to be; that is the diagnostic question. | PSNet

psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnostic-question

September 02, 2020 - Commentary COVID-19: to be or not to be; that is the diagnostic question. Citation Text: Coleman JJ, Manavi K, Marson EJ, et al. COVID-19: to be or not to be; that is the diagnostic question. Postgrad Med J. 2020;96(1137):392-398. doi:10.1136/postgradmedj-2020-137979. Copy Citation …

Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. | PSNet

psnet.ahrq.gov/issue/reflections-implementing-hospital-wide-provider-based-electronic-inpatient-mortality-review

August 12, 2020 - Study Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. Citation Text: Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…

Resident perceptions of the impact of work hour limitations. | PSNet

psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations

August 04, 2021 - Study Resident perceptions of the impact of work hour limitations. Citation Text: Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

Accuracy of radiographic readings in the emergency department. | PSNet

psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergency-department

November 18, 2016 - Study Accuracy of radiographic readings in the emergency department. Citation Text: Petinaux B, Bhat R, Boniface K, et al. Accuracy of radiographic readings in the emergency department. Am J Emerg Med. 2011;29(1):18-25. doi:10.1016/j.ajem.2009.07.011. Copy Citation Format: …

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. | PSNet

psnet.ahrq.gov/issue/revisiting-duty-hour-limits-iom-recommendations-patient-safety-and-resident-education

February 17, 2011 - Commentary Revisiting duty-hour limits — IOM recommendations for patient safety and resident education. Citation Text: Iglehart JK. Revisiting duty-hour limits--IOM recommendations for patient safety and resident education. N Engl J Med. 2008;359(25):2633-5. doi:10.1056/NEJMp0808736. …

Lessons learned from implementation of a computerized application for pending tests at hospital discharge. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge

March 04, 2015 - Study Lessons learned from implementation of a computerized application for pending tests at hospital discharge. Citation Text: Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. J Hosp Med. 2011…

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet

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July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. | PSNet

psnet.ahrq.gov/issue/linking-joint-commission-inpatient-core-measures-and-national-patient-safety-goals-evidence

October 19, 2022 - Commentary Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. Citation Text: Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cen…

The Institute of Medicine report on medical errors—could it do harm? | PSNet

psnet.ahrq.gov/issue/institute-medicine-report-medical-errors-could-it-do-harm

February 18, 2011 - Commentary Classic The Institute of Medicine report on medical errors—could it do harm? Citation Text: Brennan TA. The Institute of Medicine report on medical errors--could it do harm? N Engl J Med. 2002;342(15):1123-1125. doi:10.1056/nejm200004133421510. Co…

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication

December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

The "physician-led chart audit": engaging providers in fortifying a culture of safety. | PSNet

psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety

November 20, 2013 - Study The "physician-led chart audit": engaging providers in fortifying a culture of safety. Citation Text: Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…

Self-reported violations during medication administration in two paediatric hospitals. | PSNet

psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals

December 01, 2010 - Study Self-reported violations during medication administration in two paediatric hospitals. Citation Text: Alper SJ, Holden RJ, Scanlon MC, et al. Self-reported violations during medication administration in two paediatric hospitals. BMJ Qual Saf. 2012;21(5):408-15. doi:10.1136/bmjqs-…

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. | PSNet

psnet.ahrq.gov/issue/human-factors-framework-and-study-effect-nursing-workload-patient-safety-and-employee-quality

May 16, 2012 - Study A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. Citation Text: Holden RJ, Scanlon MC, Patel NR, et al. A human factors framework and study of the effect of nursing workload on patient safety and employe…

Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. | PSNet

psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and

July 23, 2010 - Commentary Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. Citation Text: Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …

Design for patient safety: a systems-based risk identification framework. | PSNet

psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework

February 03, 2021 - Study Emerging Classic Design for patient safety: a systems-based risk identification framework. Citation Text: Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…

Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. | PSNet

psnet.ahrq.gov/issue/performance-characteristics-methodology-quantify-adverse-events-over-time-hospitalized

December 01, 2010 - Study Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Citation Text: Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Se…

Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support. | PSNet

psnet.ahrq.gov/issue/instituting-culture-professionalism-establishment-center-professionalism-and-peer-support

March 03, 2011 - Commentary Instituting a culture of professionalism: the establishment of a Center for Professionalism and Peer Support. Citation Text: Shapiro J, Whittemore A, Tsen LC. Instituting a culture of professionalism: the establishment of a center for professionalism and peer support. Jt Comm …

Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. | PSNet

psnet.ahrq.gov/issue/mandatory-influenza-vaccination-health-care-workers-new-standard-care-matter-patient-safety

September 13, 2023 - Commentary Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patient safety and nonmaleficent practice. Citation Text: Cortes-Penfield N. Mandatory influenza vaccination for health care workers as the new standard of care: a matter of patien…

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