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Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. | PSNet

psnet.ahrq.gov/issue/observational-evidence-prevalence-and-association-polypharmacy-and-drug-administration-errors

August 11, 2021 - Study Observational evidence of the prevalence and association of polypharmacy and drug administration errors in hospitalized adult patients. Citation Text: Savva G, Papastavrou E, Charalambous A, et al. Observational evidence of the prevalence and association of polypharmacy and drug ad…

The relationship between organizational leadership for safety and learning from patient safety events. | PSNet

psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events

November 27, 2009 - Study The relationship between organizational leadership for safety and learning from patient safety events. Citation Text: Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. …

Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. | PSNet

psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital

November 11, 2020 - Study Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. Citation Text: Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;…

Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet

psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting

March 24, 2021 - Study Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. Citation Text: Hamad DM, Mandell SP, Stewart RM, et al. Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting system. J Trau…

Clinical impact of intraoperative electronic health record downtime on surgical patients. | PSNet

psnet.ahrq.gov/issue/clinical-impact-intraoperative-electronic-health-record-downtime-surgical-patients

March 14, 2016 - Study Clinical impact of intraoperative electronic health record downtime on surgical patients. Citation Text: Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933.…

The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. | PSNet

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September 19, 2016 - Study The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. Citation Text: Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes:…

Evaluation of perioperative medication errors and adverse drug events. | PSNet

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July 16, 2019 - Study Classic Evaluation of perioperative medication errors and adverse drug events. Citation Text: Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…

Variations in surgical outcomes associated with hospital compliance with safety practices. | PSNet

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June 14, 2017 - Study Variations in surgical outcomes associated with hospital compliance with safety practices. Citation Text: Brooke BS, Dominici F, Pronovost P, et al. Variations in surgical outcomes associated with hospital compliance with safety practices. Surgery. 2012;151(5):651-9. doi:10.1016/…

A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. | PSNet

psnet.ahrq.gov/issue/risk-analysis-method-evaluate-impact-computerized-provider-order-entry-system-patient-safety

September 15, 2021 - Study A risk analysis method to evaluate the impact of a Computerized Provider Order Entry system on patient safety. Citation Text: Bonnabry P, Despont-Gros C, Grauser D, et al. A risk analysis method to evaluate the impact of a computerized provider order entry system on patient safet…

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. | PSNet

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September 07, 2011 - Study Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. Citation Text: Bismark M, Spittal MJ, Gurrin LC, et al. Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Aust…

Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. | PSNet

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October 20, 2021 - Study Clinically significant medication errors in surgical units detected by clinical pharmacist: a real-life study. Citation Text: Renaudin P, Coste A, Audurier Y, et al. Clinically significant medication errors in surgical units detected by clinical pharmacist: a real‐life study. Basic…

The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-medication-prescription-errors-and-clinical-outcome

May 15, 2013 - Review The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. Citation Text: van Rosse F, Maat B, Rademaker CMA, et al. The effect of computerized physician order entry on medication …

A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. | PSNet

psnet.ahrq.gov/issue/multi-facetted-patient-safety-resource-qualitative-interview-study-hospital-managers

September 20, 2023 - Study A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. Citation Text: Axelsen MS, Baumgarten M, Egholm CL, et al. A multi‐facetted patient safety resource—a qualitative interview study on hospit…

Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. | PSNet

psnet.ahrq.gov/issue/hospital-wide-cardiac-arrest-situ-simulation-identify-and-mitigate-latent-safety-threats

April 14, 2021 - Study Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Citation Text: Bentley SK, Meshel A, Boehm L, et al. Hospital-wide cardiac arrest in situ simulation to identify and mitigate latent safety threats. Adv Simul (Lond). 2022;7(1):15. doi:1…

How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. | PSNet

psnet.ahrq.gov/issue/how-reliable-are-clinical-systems-uk-nhs-study-seven-nhs-organisations

November 26, 2008 - Study How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. Citation Text: Burnett S, Franklin BD, Moorthy K, et al. How reliable are clinical systems in the UK NHS? A study of seven NHS organisations. BMJ Qual Saf. 2012;21(6):466-72. doi:10.1136/bmjqs-2011…

Use of temporary names for newborns and associated risks. | PSNet

psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-risks

December 21, 2017 - Study Use of temporary names for newborns and associated risks. Citation Text: Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007. Copy Citation Format: DOI Googl…

Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet

psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large

July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …

Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. | PSNet

psnet.ahrq.gov/issue/evaluation-and-comparison-errors-nursing-notes-created-online-and-offline-speech-recognition

April 13, 2022 - Study Evaluation and comparison of errors on nursing notes created by online and offline speech recognition technology and handwritten: an interventional study. Citation Text: Peivandi S, Ahmadian L, Farokhzadian J, et al. Evaluation and comparison of errors on nursing notes created by o…

Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. | PSNet

psnet.ahrq.gov/issue/investigating-impact-intensive-care-unit-interruptions-patient-safety-events-and-electronic

October 18, 2023 - Study Investigating the impact of intensive care unit interruptions on patient safety events and electronic health records use: an observational study. Citation Text: Khairat S, Whitt S, Craven CK, et al. Investigating the Impact of Intensive Care Unit Interruptions on Patient Safety Eve…

Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. | PSNet

psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice

October 13, 2021 - Study Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. Citation Text: Ostrovsky D, Novack V, Smulowitz PB, et al. Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. J…

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