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Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. | PSNet

psnet.ahrq.gov/issue/risk-adjusted-cumulative-sum-early-detection-hospitals-excess-perioperative-mortality

August 14, 2019 - Study Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. Citation Text: Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:1…

Cognitive biases encountered by physicians in the emergency room. | PSNet

psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room

June 19, 2024 - Study Cognitive biases encountered by physicians in the emergency room. Citation Text: Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3. Copy Citation Format: DOI …

Does Nursing Home Compare reflect patient safety in nursing homes? | PSNet

psnet.ahrq.gov/issue/does-nursing-home-compare-reflect-patient-safety-nursing-homes

February 10, 2015 - Study Does Nursing Home Compare reflect patient safety in nursing homes? Citation Text: Brauner D, Werner RM, Shippee TP, et al. Does Nursing Home Compare Reflect Patient Safety In Nursing Homes? Health Aff (Millwood). 2018;37(11):1770-1778. doi:10.1377/hlthaff.2018.0721. Copy Citation…

US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. | PSNet

psnet.ahrq.gov/issue/us-national-trends-pediatric-deaths-prescription-and-illicit-opioids-1999-2016

January 23, 2017 - Study US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. Citation Text: Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jam…

Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/outcome-adverse-events-and-medical-errors-intensive-care-unit-systematic-review-and-meta

March 16, 2022 - Review Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Citation Text: Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J M…

Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. | PSNet

psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue-key-enablers

November 27, 2013 - Study Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. Citation Text: Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-…

Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. | PSNet

psnet.ahrq.gov/issue/patient-safety-patients-who-occupy-beds-clinically-inappropriate-wards-qualitative-interview

January 12, 2022 - Study Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff. Citation Text: Goulding L, Adamson J, Watt I, et al. Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview s…

Debunking the myth that the majority of medical errors are attributed to communication. | PSNet

psnet.ahrq.gov/issue/debunking-myth-majority-medical-errors-are-attributed-communication

February 14, 2024 - Journal Article Debunking the myth that the majority of medical errors are attributed to communication. Citation Text: Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. Copy C…

Dynamic pocket card for implementing ISBAR in shift handover communication. | PSNet

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July 10, 2024 - Study Dynamic pocket card for implementing ISBAR in shift handover communication. Citation Text: Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. …

Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. | PSNet

psnet.ahrq.gov/issue/organizational-ambidexterity-and-hybrid-middle-manager-case-patient-safety-uk-hospitals

January 29, 2014 - Study Organizational ambidexterity and the hybrid middle manager: the case of patient safety in UK hospitals. Citation Text: Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2…

Designing a critical care nurse–led rapid response team using only available resources: 6 years later. | PSNet

psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years

December 21, 2014 - Study Designing a critical care nurse–led rapid response team using only available resources: 6 years later. Citation Text: Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):…

Making patients safer: nurses' responses to patient safety alerts. | PSNet

psnet.ahrq.gov/issue/making-patients-safer-nurses-responses-patient-safety-alerts

April 13, 2011 - Study Making patients safer: nurses' responses to patient safety alerts. Citation Text: Lankshear A, Lowson K, Harden J, et al. Making patients safer: nurses’ responses to patient safety alerts. J Adv Nurs. 2008;63(6). doi:10.1111/j.1365-2648.2008.04741.x. Copy Citation Format: …

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. | PSNet

psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus

March 13, 2015 - Study Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. Citation Text: Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus gr…

Root cause analyses of suicides of mental health clients. | PSNet

psnet.ahrq.gov/issue/root-cause-analyses-suicides-mental-health-clients

March 16, 2016 - Study Root cause analyses of suicides of mental health clients. Citation Text: Gillies D, Chicop D, O'Halloran P. Root Cause Analyses of Suicides of Mental Health Clients: Identifying Systematic Processes and Service-Level Prevention Strategies. Crisis. 2015;36(5):316-324. doi:10.1027/02…

The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. | PSNet

psnet.ahrq.gov/issue/influence-standardisation-and-task-load-team-coordination-patterns-during-anaesthesia

November 05, 2008 - Study The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Citation Text: Zala-Mezö E, Wacker J, Künzle B, et al. The influence of standardisation and task load on team coordination patterns during anaesthesia inductions. Qual Saf …

Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. | PSNet

psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology

June 28, 2023 - Commentary Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. Citation Text: Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and P…

Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. | PSNet

psnet.ahrq.gov/issue/accuracy-send-out-test-ordering-college-american-pathologists-q-probes-study-ordering

November 12, 2008 - Study Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of ordering accuracy in 97 clinical laboratories. Citation Text: Valenstein PN, Walsh MK, Stankovic AK. Accuracy of send-out test ordering: a College of American Pathologists Q-Probes study of o…

The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. | PSNet

psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic

November 17, 2021 - Study The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. Citation Text: Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of gre…

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. | PSNet

psnet.ahrq.gov/issue/improvement-detection-adverse-drug-events-use-electronic-health-and-prescription-records

September 23, 2020 - Study Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools. Citation Text: Nwulu U, Nirantharakumar K, Odesanya R, et al. Improvement in the detection of adverse drug events by the use of electr…

Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. | PSNet

psnet.ahrq.gov/issue/patient-safety-perception-within-hospitals-examination-job-type-handoffs-and-information

December 18, 2014 - Study Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, and hospital management support. Citation Text: Ming Y, Meehan R. Patient safety perception within hospitals: an examination of job type, handoffs and information exchange, an…

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