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Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet

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November 03, 2021 - Commentary Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Citation Text: Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…

Adverse events during intrahospital transport of critically ill children: a systematic review. | PSNet

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October 14, 2020 - Review Adverse events during intrahospital transport of critically ill children: a systematic review. Citation Text: Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. …

Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication regimens. | PSNet

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March 21, 2017 - Study Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication regimens. Citation Text: Peterson JF, Kripalani S, Danciu I, et al. Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medicatio…

Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. | PSNet

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December 21, 2022 - Commentary Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. Citation Text: Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Cli…

Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet

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May 02, 2012 - Study Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Citation Text: Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08…

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. | PSNet

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September 23, 2020 - Commentary Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. Citation Text: Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…

SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. | PSNet

psnet.ahrq.gov/issue/simmeon-prep-study-simulation-medication-errors-oncology-prevention-antineoplastic

May 28, 2014 - Study SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. Citation Text: Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors.…

The impact of internal service quality on preventable adverse events in hospitals. | PSNet

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September 24, 2016 - Study The impact of internal service quality on preventable adverse events in hospitals. Citation Text: Zheng S, Tucker AL, Ren ZJ, et al. The Impact of Internal Service Quality on Preventable Adverse Events in Hospitals. Production Operations Manag. 2017;27(12):2201-2212. doi:10.1111/po…

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. | PSNet

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May 27, 2011 - Review Classic Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Citation Text: Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision s…

Potential drug interactions and duplicate prescriptions among cancer patients. | PSNet

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April 27, 2010 - Study Potential drug interactions and duplicate prescriptions among cancer patients. Citation Text: Riechelmann RP, Tannock IF, Wang L, et al. Potential drug interactions and duplicate prescriptions among cancer patients. J Natl Cancer Inst. 2007;99(8):592-600. Copy Citation Format…

Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. | PSNet

psnet.ahrq.gov/issue/pharmacist-counseling-when-dispensing-naloxone-standing-order-secret-shopper-study-4-chain

March 17, 2021 - Study Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. Citation Text: Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am …

Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet

psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and

August 28, 2013 - Study Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Citation Text: Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…

The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. | PSNet

psnet.ahrq.gov/issue/clinical-safety-disabled-patients-proposal-methodology-analysis-health-care-risks-and

January 17, 2012 - Review The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. Citation Text: Perea-Pérez B, Labajo-González E, Bratos-Murillo M, et al. The clinical safety of disabled patients: proposal for a method…

Introductions during time-outs: do surgical team members know one another's names? | PSNet

psnet.ahrq.gov/issue/introductions-during-time-outs-do-surgical-team-members-know-one-anothers-names

November 09, 2015 - Study Introductions during time-outs: do surgical team members know one another's names? Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1…

Telemedicine consultations and medication errors in rural emergency departments. | PSNet

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August 29, 2011 - Study Telemedicine consultations and medication errors in rural emergency departments. Citation Text: Dharmar M, Kuppermann N, Romano PS, et al. Telemedicine consultations and medication errors in rural emergency departments. Pediatrics. 2013;132(6):1090-7. doi:10.1542/peds.2013-1374. …

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet

psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa

November 16, 2015 - Commentary World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Citation Text: Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…

VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. | PSNet

psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events

November 22, 2017 - Book/Report VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Citation Text: VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Washington, DC: United States Government Accountability Office; July 29, 2015…

Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020

September 10, 2014 - Book/Report Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Citation Text: Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Washington, DC: Veterans Affairs Office of Inspector General; August …

The "To Err Is Human Report" and the patient safety literature. | PSNet

psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature

November 16, 2022 - Review The "To Err Is Human Report" and the patient safety literature. Citation Text: Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. Copy Citation Format: Google Scholar P…

Association of state-level opioid-reduction policies with pediatric opioid poisoning. | PSNet

psnet.ahrq.gov/issue/association-state-level-opioid-reduction-policies-pediatric-opioid-poisoning

September 09, 2020 - Study Association of state-level opioid-reduction policies with pediatric opioid poisoning. Citation Text: Toce MS, Michelson K, Hudgins J, et al. Association of state-level opioid-reduction policies with pediatric opioid poisoning. JAMA Pediatr. 2020;74(10):961-968. doi:10.1001/jamapedi…

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