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Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? | PSNet

psnet.ahrq.gov/issue/variation-17-obstetric-care-pathways-potential-danger-health-professionals-and-patient-safety

September 21, 2016 - Study Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? Citation Text: Sarrechia M, Van Gerven E, Hermans L, et al. Variation in 17 obstetric care pathways: potential danger for health professionals and patient safety? J Adv Nurs. 20…

The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet

psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital

March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

Association of surgical resident wellness with medical errors and patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-surgical-resident-wellness-medical-errors-and-patient-outcomes

November 20, 2019 - Study Association of surgical resident wellness with medical errors and patient outcomes. Citation Text: Hewitt DB, Ellis RJ, Chung JW, et al. Association of surgical resident wellness with medical errors and patient outcomes. Ann Surg. 2021;274(2):396-402. doi:10.1097/sla.00000000000039…

Perceptions of hospital safety climate and incidence of readmission. | PSNet

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March 25, 2015 - Study Perceptions of hospital safety climate and incidence of readmission. Citation Text: Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission. Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x. Copy Citation …

Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. | PSNet

psnet.ahrq.gov/issue/client-caregiver-and-provider-perspectives-safety-palliative-home-care-mixed-method-design

March 02, 2016 - Study Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Citation Text: Lang A, Toon L, Cohen SR, et al. Client, caregiver, and provider perspectives of safety in palliative home care: a mixed method design. Safety Health. 2015;1(1):3. …

Walking the plank: an experimental paradigm to investigate safety voice. | PSNet

psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice

January 18, 2023 - Study Walking the plank: an experimental paradigm to investigate safety voice. Citation Text: Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668. Copy Citation Format: …

Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. | PSNet

psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada

June 17, 2020 - Study Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. Citation Text: Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…

How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. | PSNet

psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems

October 30, 2013 - Study How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. Citation Text: Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems:…

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing

June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet

psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections

January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet

psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital

April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…

"We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety. | PSNet

psnet.ahrq.gov/issue/we-cant-get-along-without-each-other-qualitative-interviews-physicians-about-device-industry

March 07, 2018 - Study "We can't get along without each other": qualitative interviews with physicians about device industry representatives, conflict of interest and patient safety. Citation Text: Gagliardi AR, Lehoux P, Ducey A, et al. "We can't get along without each other": Qualitative interviews wit…

Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center

March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

Activation of a medical emergency team using an electronic medical recording–based screening system. | PSNet

psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system

September 06, 2017 - Study Activation of a medical emergency team using an electronic medical recording–based screening system. Citation Text: Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. …

A systematic review to evaluate the accuracy of electronic adverse drug event detection. | PSNet

psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection

October 05, 2011 - Study A systematic review to evaluate the accuracy of electronic adverse drug event detection. Citation Text: Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.113…

Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. | PSNet

psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis

December 18, 2013 - Study Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. Citation Text: Panesar S, Carson-Stevens A, Salvilla SA, et al. Patient safety in orthopedic surgery: prioritizing ke…

The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. | PSNet

psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns

April 17, 2013 - Study The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. Citation Text: Schmid F, Goepfert MS, Kuhnt D, et al. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patte…

Emotional harm in the radiology department: analysis of an underrecognized preventable error. | PSNet

psnet.ahrq.gov/issue/emotional-harm-radiology-department-analysis-underrecognized-preventable-error

March 06, 2019 - Study Emotional harm in the radiology department: analysis of an underrecognized preventable error. Citation Text: Siewert B, Swedeen S, Brook OR, et al. Emotional harm in the radiology department: analysis of an underrecognized preventable error. Radiology. 2022;302(3):613-619. doi:10.1…

An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. | PSNet

psnet.ahrq.gov/issue/electronic-checklist-improves-transfer-and-retention-critical-information-intraoperative

July 21, 2021 - Study An electronic checklist improves transfer and retention of critical information at intraoperative handoff of care. Citation Text: Agarwala A, Firth PG, Albrecht MA, et al. An electronic checklist improves transfer and retention of critical information at intraoperative handoff of c…

Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. | PSNet

psnet.ahrq.gov/issue/using-data-matrix-coded-sponge-counting-system-across-surgical-practice-impact-after-18

January 02, 2017 - Study Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months. Citation Text: Cima RR, Kollengode A, Clark J, et al. Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months. Jt Comm J Qual Patient S…

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