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Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. | PSNet

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December 09, 2009 - Study Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. Citation Text: Schoonover H, Corbett CF, Weeks DL, et al. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readm…

Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. | PSNet

psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit-and-feedback

October 26, 2010 - Study Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Citation Text: Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health …

Double checking: a second look. | PSNet

psnet.ahrq.gov/issue/double-checking-second-look

August 28, 2017 - Study Double checking: a second look. Citation Text: Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. | PSNet

psnet.ahrq.gov/issue/patient-safety-factors-and-perceived-consequences-nursing-errors-nursing-staff-home-care

May 18, 2022 - Study Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. Citation Text: Jachan DE, Müller‐Werdan U, Lahmann NA. Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services. N…

Unintended adverse consequences of introducing electronic health records in residential aged care homes. | PSNet

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March 24, 2019 - Study Unintended adverse consequences of introducing electronic health records in residential aged care homes. Citation Text: Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…

A quality improvement initiative to improve pediatric discharge medication safety and efficiency. | PSNet

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May 20, 2020 - Study A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Citation Text: Ring LM, Cinotti J, Hom LA, et al. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. Pediatr Qual Saf. 2023;8(4):e671. do…

The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America. | PSNet

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July 13, 2016 - Study The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America. Citation Text: Staiger TO, Wong EY, Schleyer AM, et al. The role of quality improvement and patient safety in academic prom…

Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. | PSNet

psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre

November 03, 2015 - Study Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. Citation Text: Haugen AS, Søfteland E, Eide GE, et al. Impact of the World Health Organization's Surgical Safety Checklist on safety cu…

Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. | PSNet

psnet.ahrq.gov/issue/standardizing-opioid-prescriptions-patients-after-ambulatory-oncologic-surgery-reduces

October 19, 2022 - Study Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. Citation Text: Fearon NJ, Benfante N, Assel M, et al. Standardizing Opioid Prescriptions to Patients After Ambulatory Oncologic Surgery Reduces Overprescription. Jt Comm J Qu…

Cognitive biases encountered by physicians in the emergency room. | PSNet

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June 19, 2024 - Study Cognitive biases encountered by physicians in the emergency room. Citation Text: Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3. Copy Citation Format: DOI …

Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. | PSNet

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January 10, 2024 - Study Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. Citation Text: Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ’s Patient Safety Indicato…

Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. | PSNet

psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias

May 19, 2021 - Review Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Citation Text: Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…

Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. | PSNet

psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health

January 30, 2019 - Study Comparing rates of adverse events and medical errors on inpatient psychiatric units at Veterans Health Administration and community-based general hospitals. Citation Text: Cullen SW, Xie M, Vermeulen JM, et al. Comparing Rates of Adverse Events and Medical Errors on Inpatient Psych…

Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? | PSNet

psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience

February 06, 2014 - Study Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…

Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. | PSNet

psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization

February 27, 2009 - Study Classic Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. Citation Text: Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …

Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. | PSNet

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August 04, 2021 - Study Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. Citation Text: Hon HH, Elmously A, Stehly CD, et al. Inappropriate preinjury warfarin use in trauma patients: A call for a safety initiative. J Postgrad Med. 2016;62(2):73-9. doi:10.4103/0022-3…

Battling alarm fatigue in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/battling-alarm-fatigue-pediatric-intensive-care-unit

July 22, 2020 - Commentary Battling alarm fatigue in the pediatric intensive care unit. Citation Text: Herrera H, Wood D. Battling alarm fatigue in the pediatric intensive care unit. Crit Care Nurs Clin North Am. 2023;35(3):347-355. doi:10.1016/j.cnc.2023.05.003. Copy Citation Format: DOI …

Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. | PSNet

psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related

March 11, 2020 - Study Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. Citation Text: Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…

Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments. | PSNet

psnet.ahrq.gov/issue/radiologists-make-more-errors-interpreting-hours-body-ct-studies-during-overnight-assignments

November 16, 2022 - Study Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments. Citation Text: Patel AG, Pizzitola VJ, Johnson CD, et al. Radiologists Make More Errors Interpreting Off-Hours Body CT Studies during Overnight As…

Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet

psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site

March 14, 2022 - Study Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? Citation Text: Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…

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