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Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient

September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

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…

Ambulatory care adverse events and preventable adverse events leading to a hospital admission. | PSNet

psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission

April 11, 2011 - Study Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Citation Text: Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-13…

Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery. | PSNet

psnet.ahrq.gov/issue/am-i-safe-interpretative-phenomenological-analysis-vulnerability-experienced-patients

July 10, 2024 - Study Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery. Citation Text: Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by pat…

The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet

psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study

April 06, 2022 - Study The role of feedback in emergency ambulance services: a qualitative interview study. Citation Text: Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…

The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? | PSNet

psnet.ahrq.gov/issue/dollar-or-disease-burden-caps-healthcare-spending-may-save-money-what-cost-patients

March 01, 2011 - Study The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Citation Text: Ciarametaro M, Houghton K, Wamble D, et al. The dollar or disease burden: caps on healthcare spending may save money, but at what "cost" to patients? Value Healt…

Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. | PSNet

psnet.ahrq.gov/issue/deficiencies-community-care-network-credentialing-process-former-va-surgeon-and-veterans

November 29, 2023 - Book/Report Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. Citation Text: Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administra…

Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. | PSNet

psnet.ahrq.gov/issue/chief-residents-quality-improvement-and-patient-safety-recipe-new-role-graduate-medical

August 13, 2014 - Commentary Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. Citation Text: Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medic…

Enteral nutrition: an underappreciated source of patient safety events. | PSNet

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February 01, 2023 - Study Enteral nutrition: an underappreciated source of patient safety events. Citation Text: Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. Copy Citation Format: …

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Study Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest eve…

Role of computerized physician order entry systems in facilitating medication errors. | PSNet

psnet.ahrq.gov/issue/role-computerized-physician-order-entry-systems-facilitating-medication-errors

February 18, 2011 - Study Classic Role of computerized physician order entry systems in facilitating medication errors. Citation Text: Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):119…

Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds

October 19, 2022 - Study Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Citation Text: Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…

Real-time automated paging and decision support for critical laboratory abnormalities. | PSNet

psnet.ahrq.gov/issue/real-time-automated-paging-and-decision-support-critical-laboratory-abnormalities

April 30, 2014 - Study Real-time automated paging and decision support for critical laboratory abnormalities. Citation Text: Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs…

A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

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July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

The trigger tool as a method to measure harmful medication errors in children. | PSNet

psnet.ahrq.gov/issue/trigger-tool-method-measure-harmful-medication-errors-children

August 03, 2022 - Study The trigger tool as a method to measure harmful medication errors in children. Citation Text: Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177.…

Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. | PSNet

psnet.ahrq.gov/issue/validating-decision-tree-serious-infection-diagnostic-accuracy-acutely-ill-children

December 02, 2020 - Study Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambulatory care. Citation Text: Verbakel JY, Lemiengre MB, De Burghgraeve T, et al. Validating a decision tree for serious infection: diagnostic accuracy in acutely ill children in ambu…

Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet

psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists

September 13, 2017 - Study Classic Simulation study of rested versus sleep-deprived anesthesiologists. Citation Text: Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…

Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. | PSNet

psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications

September 25, 2024 - Study Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Citation Text: Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. | PSNet

psnet.ahrq.gov/issue/safety-criterion-quality-critical-nursing-situation-index-paediatric-critical-care

March 01, 2011 - Study Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. Citation Text: de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observatio…

Drug administration errors and their determinants in pediatric in-patients. | PSNet

psnet.ahrq.gov/issue/drug-administration-errors-and-their-determinants-pediatric-patients

June 29, 2011 - Study Drug administration errors and their determinants in pediatric in-patients. Citation Text: Prot S, Fontan JE, Alberti C, et al. Drug administration errors and their determinants in pediatric in-patients. International Journal for Quality in Health Care. 2005;17(5). doi:10.1093/in…

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