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Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. | PSNet

psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats

April 14, 2021 - Study Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Citation Text: Bentley SK, Meshel A, Boehm L, et al. Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Adv Simul (Lond). 2022;7(1):15. doi:1…

Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. | PSNet

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April 24, 2018 - Commentary Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. Citation Text: Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incor…

The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual

May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. Citation Text: Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patie…

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. | PSNet

psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors

July 19, 2023 - Study Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. Citation Text: Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …

A systematic review of patient safety measures in adult primary care. | PSNet

psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care

March 15, 2016 - Review A systematic review of patient safety measures in adult primary care. Citation Text: Hatoun J, Chan J, Yaksic E, et al. A Systematic Review of Patient Safety Measures in Adult Primary Care. Am J Med Qual. 2017;32(3):237-245. doi:10.1177/1062860616644328. Copy Citation Format…

Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. | PSNet

psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals

July 24, 2024 - Study Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. Citation Text: Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvan…

Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. | PSNet

psnet.ahrq.gov/issue/expanding-scope-critical-care-rapid-response-teams-feasible-approach-identify-adverse-events

September 03, 2014 - Study Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. Citation Text: Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach t…

Association of registered nurse and nursing support staffing with inpatient hospital mortality. | PSNet

psnet.ahrq.gov/issue/association-registered-nurse-and-nursing-support-staffing-inpatient-hospital-mortality

September 09, 2011 - Study Emerging Classic Association of registered nurse and nursing support staffing with inpatient hospital mortality. Citation Text: Needleman J, Liu J, Shang J, et al. Association of registered nurse and nursing support staffing with inpatient hospital mortali…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

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March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. | PSNet

psnet.ahrq.gov/issue/systematic-review-safety-checklists-use-medical-care-teams-acute-hospital-settings-limited

July 29, 2020 - Review Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. Citation Text: Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limi…

Graded autonomy in medical education—managing things that go bump in the night. | PSNet

psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night

July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…

Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. | PSNet

psnet.ahrq.gov/issue/time-series-evaluation-improvement-interventions-reduce-alarm-notifications-paediatric

October 27, 2021 - Study Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. Citation Text: Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm notifications in a paediatric hospital. BMJ Qual Saf. 20…

Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. | PSNet

psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws

October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…

Association of sleep and fatigue with decision regret among critical care nurses. | PSNet

psnet.ahrq.gov/issue/association-sleep-and-fatigue-decision-regret-among-critical-care-nurses

July 14, 2021 - Study Association of sleep and fatigue with decision regret among critical care nurses. Citation Text: Scott LD, Arslanian-Engoren C, Engoren MC. Association of sleep and fatigue with decision regret among critical care nurses. Am J Crit Care. 2014;23(1):13-23. doi:10.4037/ajcc2014191. …

Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/relationships-between-comprehensive-characteristics-nurse-work-schedules-and-adverse-patient

October 06, 2010 - Review Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. Citation Text: Bae S‐H. Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic …

Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. | PSNet

psnet.ahrq.gov/issue/outreach-and-early-warning-systems-ews-prevention-intensive-care-admission-and-death

September 20, 2011 - Review Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. Citation Text: McGaughey J, Alderdice F, Fowler RA, et al. Outreach and Early Warning Systems (EWS) for the prevention of…

Incidents resulting from staff leaving normal duties to attend medical emergency team calls. | PSNet

psnet.ahrq.gov/issue/incidents-resulting-staff-leaving-normal-duties-attend-medical-emergency-team-calls

July 13, 2010 - Study Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Citation Text: Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. …

Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. | PSNet

psnet.ahrq.gov/issue/identifying-hospitalized-patients-risk-harm-comparison-nurse-perceptions-vs-electronic-risk

November 03, 2015 - Study Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. Citation Text: Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perc…

Return on investment for a computerized physician order entry system. | PSNet

psnet.ahrq.gov/issue/return-investment-computerized-physician-order-entry-system

January 19, 2014 - Study Classic Return on investment for a computerized physician order entry system. Citation Text: Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006;13(3):261-6. Copy Citation…

Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. | PSNet

psnet.ahrq.gov/issue/improving-safety-and-eliminating-redundant-tests-cutting-costs-us-hospitals

May 27, 2011 - Study Classic Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Citation Text: Jha AK, Chan DC, Ridgway AB, et al. Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals. Health Aff (Millwood). 2009;28(…

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