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Information transfer in multidisciplinary operating room teams: a simulation-based observational study. | PSNet

psnet.ahrq.gov/issue/information-transfer-multidisciplinary-operating-room-teams-simulation-based-observational

November 17, 2014 - Study Information transfer in multidisciplinary operating room teams: a simulation-based observational study. Citation Text: Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Qual Saf. 2017;26(3):209-…

Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-automated-email-notification-system-results-tests-pending-discharge-cluster-randomized

December 31, 2014 - Study Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-r…

Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. | PSNet

psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes

March 17, 2021 - Study Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. Citation Text: Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. …

Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-audits-may-be-misleading-improving-implementation-and-adherence

November 24, 2021 - Study Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. Citation Text: Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving th…

Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian

May 11, 2022 - Study Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mixed methods study. Citation Text: Redley B, Raggatt M. Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals: a mix…

Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. | PSNet

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April 17, 2024 - Study Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Citation Text: Zerillo JA, Tardiff SA, Flood D, et al. Putting the "action" in RCA(2): an analysis of intervention strength after adverse events. Jt Comm J Qual Patient Saf. 2024;50(7):492-49…

Talking with patients about other clinicians' errors. | PSNet

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October 27, 2021 - Study Classic Talking with patients about other clinicians' errors. Citation Text: Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119. Copy Citation …

Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. | PSNet

psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-influence-safety-management-approaches-and-climate

August 12, 2020 - Study Classic Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up. Citation Text: Alingh CW, van Wijngaarden JDH, van de Voorde K, et al. Speaking up about patient safety concern…

Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. | PSNet

psnet.ahrq.gov/issue/characterising-icu-ward-handoffs-three-academic-medical-centres-process-and-perceptions

September 27, 2023 - Study Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. Citation Text: Santhosh L, Lyons PG, Rojas JC, et al. Characterising ICU-ward handoffs at three academic medical centres: process and perceptions. BMJ Qual Saf. 2019;28(8):627-634. doi:10.1…

Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. | PSNet

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September 22, 2010 - Study Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. Citation Text: Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident …

Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit

November 16, 2022 - Study Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. Citation Text: Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol…

Using potentially preventable severe maternal morbidity to monitor hospital performance. | PSNet

psnet.ahrq.gov/issue/using-potentially-preventable-severe-maternal-morbidity-monitor-hospital-performance

February 02, 2022 - Study Using potentially preventable severe maternal morbidity to monitor hospital performance. Citation Text: Fridman M, Korst LM, Reynen DJ, et al. Using potentially preventable severe maternal morbidity to monitor hospital performance. Jt Comm J Qual Patient Saf. 2023;49(3):129-137. do…

Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. | PSNet

psnet.ahrq.gov/issue/anatomy-cyberattack-part-4-quality-assurance-and-error-reduction-billing-and-compliance

April 27, 2022 - Study Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. Citation Text: Frisch NK, Gibson PC, Stowman AM, et al. Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition…

Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net

September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/unsafe-design-infusion-task-reallocation-and-safety-perceptions-us-hospitals

December 21, 2017 - Study Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Citation Text: Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/…

COVID-19: peer support and crisis communication strategies to promote institutional resilience. | PSNet

psnet.ahrq.gov/issue/covid-19-peer-support-and-crisis-communication-strategies-promote-institutional-resilience

February 03, 2021 - Commentary Classic COVID-19: peer support and crisis communication strategies to promote institutional resilience. Citation Text: Wu AW, Connors C, Everly GS. COVID-19: Peer Support and Crisis Communication Strategies to Promote Institutional Resilience. Ann Int…

Teaching medical error disclosure to physicians-in-training: a scoping review. | PSNet

psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review

June 09, 2015 - Review Teaching medical error disclosure to physicians-in-training: a scoping review. Citation Text: Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f. Cop…

A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. | PSNet

psnet.ahrq.gov/issue/prospective-study-factors-influencing-outcome-patients-after-medical-emergency-team-review

March 05, 2010 - Study A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Citation Text: Calzavacca P, Licari E, Tee A, et al. A prospective study of factors influencing the outcome of patients after a Medical Emergency Team review. Intensive Care …

How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. | PSNet

psnet.ahrq.gov/issue/how-does-environment-influence-consumers-perceptions-safety-acute-mental-health-units

December 16, 2020 - Study How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative study. Citation Text: Cutler NA, Halcomb E, Sim J, et al. How does the environment influence consumers' perceptions of safety in acute mental health units? A qualitative …

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. | PSNet

psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness

January 12, 2022 - Review Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. Citation Text: Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid sc…

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