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The additional cost of perioperative medication errors | PSNet

psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors

July 24, 2024 - Study The additional cost of perioperative medication errors Citation Text: Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. Copy Citation Format: DOI Google…

Fatal flaws in clinical decision making. | PSNet

psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making

March 03, 2011 - Study Fatal flaws in clinical decision making. Citation Text: Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. | PSNet

psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside

March 01, 2011 - Study Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…

Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet

psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection

June 01, 1989 - Study Classic Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. Citation Text: Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. | PSNet

psnet.ahrq.gov/issue/effects-brief-team-training-program-surgical-teams-nontechnical-skills-interrupted-time

December 08, 2021 - Study Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. Citation Text: Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…

Patient safety and artificial intelligence in clinical care. | PSNet

psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-clinical-care

December 21, 2022 - Commentary Patient safety and artificial intelligence in clinical care. Citation Text: Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. Copy Citation Format: …

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. | PSNet

psnet.ahrq.gov/issue/sociotechnical-framework-safety-related-electronic-health-record-research-reporting-safer

February 16, 2022 - Commentary Emerging Classic A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Citation Text: Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…

Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. | PSNet

psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans

June 14, 2011 - Study Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. Citation Text: Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patie…

Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va

April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet

psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs

February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims

September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. | PSNet

psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions

November 30, 2022 - Commentary Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. Citation Text: Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safe…

Parent–provider miscommunications in hospitalized children. | PSNet

psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-children

May 08, 2017 - Study Parent–provider miscommunications in hospitalized children. Citation Text: Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190. Copy Citation Format: DOI Google Sc…

A systematic review to evaluate the accuracy of electronic adverse drug event detection. | PSNet

psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection

October 05, 2011 - Study A systematic review to evaluate the accuracy of electronic adverse drug event detection. Citation Text: Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.113…

Clinical decision support for early recognition of sepsis. | PSNet

psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis

July 29, 2020 - Study Clinical decision support for early recognition of sepsis. Citation Text: Amland RC, Hahn-Cover KE. Clinical decision support for early recognition of sepsis. Am J Med Qual. 2016;31(2):103-10. doi:10.1177/1062860614557636. Copy Citation Format: DOI Google Scholar Pub…

Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey

December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

Providers' and patients' perspectives on diagnostic errors in the acute care setting. | PSNet

psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting

October 20, 2021 - Study Providers' and patients' perspectives on diagnostic errors in the acute care setting. Citation Text: Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…

Incidence and preventability of adverse events requiring intensive care admission: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic

May 16, 2018 - Review Incidence and preventability of adverse events requiring intensive care admission: a systematic review. Citation Text: Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…

Patient involvement in medication safety in hospital: an exploratory study. | PSNet

psnet.ahrq.gov/issue/patient-involvement-medication-safety-hospital-exploratory-study

February 21, 2024 - Study Patient involvement in medication safety in hospital: an exploratory study. Citation Text: Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. Cop…

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. | PSNet

psnet.ahrq.gov/issue/high-incidence-medication-documentation-errors-swiss-university-hospital-due-handwritten

December 20, 2023 - Study High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. Citation Text: Hartel MJ, Staub LP, Röder C, et al. High incidence of medication documentation errors in a Swiss university hospital due to the handwritten …

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