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Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. | PSNet

psnet.ahrq.gov/issue/hacking-teamwork-health-care-addressing-adverse-effects-ad-hoc-team-composition-critical-care

October 11, 2023 - Study Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. Citation Text: McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …

Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. | PSNet

psnet.ahrq.gov/issue/frontline-nurses-clinical-judgment-recognizing-understanding-and-responding-patient

December 01, 2021 - Study Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: a qualitative study. Citation Text: Dresser S, Teel C, Peltzer J. Frontline nurses' clinical judgment in recognizing, understanding, and responding to patient deterioration: …

Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? | PSNet

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January 13, 2010 - Study Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? Citation Text: Utter GH, Cuny J, Sama P, et al. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare…

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. | PSNet

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October 27, 2021 - Study Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. Citation Text: Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at …

Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. | PSNet

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October 03, 2012 - Study Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens. Citation Text: Göbel B, Zwart DLM, Hesselink G, et al. Stakeholder perspectives on handovers between hospital staff and general practitioners: an e…

Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet

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May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…

Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. | PSNet

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November 23, 2014 - Study Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts. Citation Text: Kennerly DA, Saldaña M, Kudyakov R, et al. Description and evaluation of adaptations to the global trigger tool to enhance value to adverse eve…

Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. | PSNet

psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized

December 18, 2013 - Study Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. Citation Text: McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient out…

National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet

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January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007. | PSNet

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April 05, 2013 - Study Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007. Citation Text: Burton DC, Edwards JR, Horan TC, et al. Methicillin-resistant Staphylococcus aureus central line-associated bloodstream infections in U…

Awareness of diagnosis and follow up care after discharge from the emergency department | PSNet

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July 07, 2010 - Study Awareness of diagnosis and follow up care after discharge from the emergency department Citation Text: Leamy K, Thompson J, Mitra B. Awareness of diagnosis and follow up care after discharge from the Emergency Department. Australas Emerg Care. 2019;22(4):221-226. doi:10.1016/j.auec…

Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. | PSNet

psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20

October 21, 2020 - Study Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. Citation Text: Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England…

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. | PSNet

psnet.ahrq.gov/issue/avoiding-med-wreck-structured-medication-reconciliation-framework-and-standardized-auditing

May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …

Individual surgeon mortality rates: can outliers be detected? A national utility analysis. | PSNet

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October 27, 2021 - Study Individual surgeon mortality rates: can outliers be detected? A national utility analysis. Citation Text: Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bm…

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic

April 01, 2015 - Review Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Citation Text: Keers RN, Williams SD, Cooke J, et al. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Drug …

Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet

psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology

April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

Implementing and evaluating patient-focused safety technology on adult acute mental health wards. | PSNet

psnet.ahrq.gov/issue/implementing-and-evaluating-patient-focused-safety-technology-adult-acute-mental-health-wards

April 06, 2022 - Study Implementing and evaluating patient-focused safety technology on adult acute mental health wards. Citation Text: Kendal S, Louch G, Walker L, et al. Implementing and evaluating patient‐focused safety technology on adult acute mental health wards. J Psychiatr Ment Health Nurs. 2024;…

Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. | PSNet

psnet.ahrq.gov/issue/streamlining-care-crisis-rapid-creation-and-implementation-digital-support-tool-covid-19

October 21, 2020 - Commentary Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. Citation Text: Stark N, Kerrissey M, Grade M, et al. Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19. West J Emerg Med. …

Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/prospective-evaluation-medication-related-clinical-decision-support-over-rides-intensive-care

April 07, 2019 - Study Emerging Classic Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. Citation Text: Wong A, Amato MG, Seger DL, et al. Prospective evaluation of medication-related clinical decision support over-rid…

Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. | PSNet

psnet.ahrq.gov/issue/electromagnetic-interference-radio-frequency-identification-inducing-potentially-hazardous

February 14, 2024 - Study Electromagnetic interference from radio frequency identification inducing potentially hazardous incidents in critical care medical equipment. Citation Text: van der Togt R, van Lieshout EJ, Hensbroek R, et al. Electromagnetic interference from radio frequency identification indu…

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