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Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument. | PSNet

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May 27, 2011 - Study Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument. Citation Text: Sittig DF, Ash JS, Guappone KP, et al. Assessing the anticipated consequences of Computer-based Provid…

Human error, not communication and systems, underlies surgical complications. | PSNet

psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications

November 18, 2020 - Study Human error, not communication and systems, underlies surgical complications. Citation Text: Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. C…

One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. | PSNet

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May 16, 2018 - Study One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. Citation Text: Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet

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July 29, 2020 - Study Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. Citation Text: Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…

Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. | PSNet

psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy

June 06, 2008 - Study Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. Citation Text: Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi…

A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system. | PSNet

psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated

September 09, 2020 - Commentary A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system. Citation Text: Abdelmalak BB, Adhami T, Simmons W, et al. A blueprint for success: implementation of the…

Factors associated with post-intensive care unit adverse events: a clinical validation study. | PSNet

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February 13, 2013 - Study Factors associated with post-intensive care unit adverse events: a clinical validation study. Citation Text: Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.…

Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers? | PSNet

psnet.ahrq.gov/issue/are-evidence-based-practices-associated-effective-prevention-hospital-acquired-pressure

September 23, 2020 - Study Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers? Citation Text: Padula W, Gibbons RD, Valuck RJ, et al. Are Evidence-based Practices Associated With Effective Prevention of Hospital-acquired Press…

Multiple patient safety events within a single hospitalization: a national profile in US hospitals. | PSNet

psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals

November 13, 2009 - Study Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6)…

Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). | PSNet

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April 13, 2016 - Study Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). Citation Text: Fleming CA, Humm G, Wild JR, et al. Supporting doctors as healthcare quality and safety advocates: Recommendations from the Association…

A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/data-driven-approach-evaluate-barcode-assisted-medication-preparation-alerts-large-academic

October 19, 2022 - Study A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center. Citation Text: Joshi RN, Kalaminsky S, Feemster A-A, et al. A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic me…

Adverse drug events caused by serious medication administration errors. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors

December 19, 2009 - Study Adverse drug events caused by serious medication administration errors. Citation Text: Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. Copy Citation …

Internal reporting system to improve a pharmacy's medication distribution process. | PSNet

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October 31, 2017 - Study Internal reporting system to improve a pharmacy's medication distribution process. Citation Text: Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. Cop…

Development of a trigger tool to identify adverse events and harm in emergency medical services. | PSNet

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August 07, 2024 - Study Development of a trigger tool to identify adverse events and harm in emergency medical services. Citation Text: Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…

Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/associations-physician-burnout-career-engagement-and-quality-patient-care-systematic-review

February 02, 2022 - Review Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis. Citation Text: Hodkinson A, Zhou, A, Johnson J, et al. Associations of physician burnout with career engagement and quality of patient care: systematic review…

Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error

June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…

Staffing matters—every shift. | PSNet

psnet.ahrq.gov/issue/staffing-matters-every-shift

January 20, 2021 - Commentary Staffing matters—every shift. Citation Text: West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussi…

Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. | PSNet

psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older

April 11, 2011 - Study Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Citation Text: Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm…

A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis. | PSNet

psnet.ahrq.gov/issue/transactional-second-victim-model-experiences-affected-healthcare-professionals-acute-somatic

April 20, 2022 - Review A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis. Citation Text: Schiess C, Schwappach DLB, Schwendimann R, et al. A Transactional "Second-Victim" Model-Experiences of Affected H…

Adolescents identifying errors and omissions in their electronic health records: a national survey. | PSNet

psnet.ahrq.gov/issue/adolescents-identifying-errors-and-omissions-their-electronic-health-records-national-survey

December 08, 2021 - Study Adolescents identifying errors and omissions in their electronic health records: a national survey. Citation Text: Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform.…

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