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A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. | PSNet

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April 11, 2011 - Study A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. Citation Text: Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5. Copy Citation…

Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety

January 23, 2017 - Study Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. Citation Text: Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 201…

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. | PSNet

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February 15, 2017 - Study High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice. Citation Text: Guthrie B, McCowan C, Davey P, et al. High risk prescribing in primary care patients particular…

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. | PSNet

psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care

February 18, 2009 - Study Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting. Citation Text: Söderberg J, Grankvist K, Brulin C, et al. Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health …

PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. | PSNet

psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations

October 29, 2017 - Commentary PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. Citation Text: Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…

An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. | PSNet

psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-against-medical-oncologists-national-database

July 02, 2019 - Study An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. Citation Text: Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical oncologists from a national database:…

Pain states, the opioid epidemic, and the role of radiologists. | PSNet

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September 01, 2013 - Review Pain states, the opioid epidemic, and the role of radiologists. Citation Text: Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x. Copy Citation Format:…

Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. | PSNet

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May 18, 2022 - Study Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. Citation Text: Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From Engli…

Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. | PSNet

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March 12, 2014 - Study Qualitative evaluation of the Safety and Improvement in Primary Care (SIPC) pilot collaborative in Scotland: perceptions and experiences of participating care teams. Citation Text: Bowie P, Halley L, Blamey A, et al. Qualitative evaluation of the Safety and Improvement in Primary C…

Preventable deaths: who, how often, and why? | PSNet

psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why

February 22, 2011 - Study Classic Preventable deaths: who, how often, and why? Citation Text: Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

Contamination of health care personnel during removal of personal protective equipment. | PSNet

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April 24, 2018 - Study Contamination of health care personnel during removal of personal protective equipment. Citation Text: Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel During Removal of Personal Protective Equipment. JAMA Intern Med. 2015;175(12):1904-10. doi:10.1001/ja…

Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. | PSNet

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January 17, 2012 - Study Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiologists. Citation Text: Shavit I, Keidan I, Hoffmann Y, et al. Enhancing patient safety during pediatric sedation: the impact of simulation-based training of nonanesthesiol…

The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. | PSNet

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July 29, 2020 - Study The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. Citation Text: Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Ro…

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…

Body mass index category and adverse events in hospitalized children. | PSNet

psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children

August 03, 2022 - Study Body mass index category and adverse events in hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. Copy Citation …

Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. | PSNet

psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care

September 23, 2020 - Study Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Citation Text: Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. d…

The impact of health information management professionals on patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-health-information-management-professionals-patient-safety-systematic-review

August 25, 2021 - Review The impact of health information management professionals on patient safety: a systematic review. Citation Text: Kemp T, Butler‐Henderson K, Allen P, et al. The impact of health information management professionals on patient safety: a systematic review. Health Info Libr J. 2021;3…

The use of technology for urgent clinician to clinician communications: a systematic review of the literature. | PSNet

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September 09, 2015 - Review The use of technology for urgent clinician to clinician communications: a systematic review of the literature. Citation Text: Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. I…

Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm

January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). Citation Text: Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors anal…

Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/levels-agreement-grading-analysis-and-reporting-significant-events-general-practitioners

April 06, 2011 - Study Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. Citation Text: McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practit…

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