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Use of medical emergency team (MET) responses to detect medical errors. | PSNet

psnet.ahrq.gov/issue/use-medical-emergency-team-met-responses-detect-medical-errors

April 06, 2011 - Study Use of medical emergency team (MET) responses to detect medical errors. Citation Text: Braithwaite RS, Devita MA, Mahidhara R, et al. Use of medical emergency team (MET) responses to detect medical errors. Qual Saf Health Care. 2004;13(4):255-259. Copy Citation Format: …

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. | PSNet

psnet.ahrq.gov/issue/importance-leadership-preventing-healthcare-associated-infection-results-multisite

April 13, 2011 - Study The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. Citation Text: Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qu…

Association of overlapping cardiac surgery with short-term patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-overlapping-cardiac-surgery-short-term-patient-outcomes

November 09, 2022 - Study Association of overlapping cardiac surgery with short-term patient outcomes. Citation Text: Glauser G, Goodrich S, McClintock SD, et al. Association of overlapping cardiac surgery with short-term patient outcomes. J Thorac Cardiovasc Surg. 2021;162(1):155-164.e2. doi:10.1016/j.jtc…

A protocol for the safe use of hazardous drugs in the OR. | PSNet

psnet.ahrq.gov/issue/protocol-safe-use-hazardous-drugs-or

May 13, 2015 - Study A protocol for the safe use of hazardous drugs in the OR. Citation Text: Hemingway MW, Meleis L, Oliver J, et al. A protocol for the safe use of hazardous drugs in the OR. AORN J. 2020;111(3). doi:10.1002/aorn.12960. Copy Citation Format: DOI Google Scholar BibTeX End…

The occurrence of potential patient safety events among trauma patients: are they random? | PSNet

psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random

July 19, 2018 - Study The occurrence of potential patient safety events among trauma patients: are they random? Citation Text: Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-and-medication-errors-psychiatry-methodological-issues-regarding

September 27, 2017 - Review Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. Citation Text: Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry: methodological issues regarding identificati…

A case of mistaken identity: staff input on patient ID errors. | PSNet

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March 27, 2024 - Study A case of mistaken identity: staff input on patient ID errors. Citation Text: Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d. Copy Citation Format: DOI Google …

Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. | PSNet

psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm

July 02, 2014 - Study Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…

Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. | PSNet

psnet.ahrq.gov/issue/beliefs-ambulatory-care-physicians-about-accuracy-patient-medication-records-and-technology

December 03, 2014 - Study Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. Citation Text: Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient medication records and technolo…

Duty-hours monitoring revisited: self-report may not be adequate. | PSNet

psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-self-report-may-not-be-adequate

April 24, 2018 - Study Duty-hours monitoring revisited: self-report may not be adequate. Citation Text: Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003. Copy Citation Format: …

Ambulance stretcher adverse events. | PSNet

psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events

March 23, 2011 - Study Ambulance stretcher adverse events. Citation Text: Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. | PSNet

psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed

October 19, 2022 - Study Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. Citation Text: Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…

Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. | PSNet

psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates

July 12, 2018 - Commentary Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit. Citation Text: Leone RM, Adams RJ. Safety Standards: Implementing Fall Prevention Interventions and Sustaining L…

Peer support: healthcare professionals supporting each other after adverse medical events. | PSNet

psnet.ahrq.gov/issue/peer-support-healthcare-professionals-supporting-each-other-after-adverse-medical-events

July 24, 2024 - Study Peer support: healthcare professionals supporting each other after adverse medical events. Citation Text: van Pelt F. Peer support: healthcare professionals supporting each other after adverse medical events. Qual Saf Health Care. 2008;17(4):249-52. doi:10.1136/qshc.2007.025536. …

Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. | PSNet

psnet.ahrq.gov/issue/experiences-lean-six-sigma-improvement-strategy-reduce-parenteral-medication-administration

October 13, 2021 - Commentary Experiences with Lean Six Sigma as improvement strategy to reduce parenteral medication administration errors and associated potential risk of harm. Citation Text: van de Plas A, Slikkerveer M, Hoen S, et al. Experiences with Lean Six Sigma as improvement strategy to reduce pa…

Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet

psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors

December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. | PSNet

psnet.ahrq.gov/issue/cognitive-performance-altering-effects-electronic-medical-records-application-human-factors

May 16, 2012 - Study Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety. Citation Text: Holden RJ. Cognitive performance-altering effects of electronic medical records: An application of the human factors paradigm for …

Proactive risk assessment of surgical site infections in ambulatory surgery centers. | PSNet

psnet.ahrq.gov/issue/proactive-risk-assessment-surgical-site-infections-ambulatory-surgery-centers

April 13, 2022 - Study Proactive risk assessment of surgical site infections in ambulatory surgery centers. Citation Text: Bish EK, Azadeh-Fard N, Steighner LA, et al. Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers. J Patient Saf. 2014;13(2). doi:10.1097/pts.000000000…

Isolation precautions for visitors. | PSNet

psnet.ahrq.gov/issue/isolation-precautions-visitors

March 02, 2014 - Organizational Policy/Guidelines Isolation precautions for visitors. Citation Text: Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67. Copy Citation Format: DOI Google …

Teamwork in obstetric critical care. | PSNet

psnet.ahrq.gov/issue/teamwork-obstetric-critical-care

January 31, 2024 - Review Teamwork in obstetric critical care. Citation Text: Guise J-M, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):937-51. doi:10.1016/j.bpobgyn.2008.06.010. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

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