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Understanding and responding when things go wrong: key principles for primary care educators. | PSNet

psnet.ahrq.gov/issue/understanding-and-responding-when-things-go-wrong-key-principles-primary-care-educators

January 23, 2017 - Study Understanding and responding when things go wrong: key principles for primary care educators. Citation Text: McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080…

Estimating deaths due to medical error: the ongoing controversy and why it matters. | PSNet

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December 30, 2014 - Commentary Estimating deaths due to medical error: the ongoing controversy and why it matters. Citation Text: Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144. …

An epistemology of patient safety research: a framework for study design and interpretation. | PSNet

psnet.ahrq.gov/issue/epistemology-patient-safety-research-framework-study-design-and-interpretation

February 23, 2011 - Study Classic An epistemology of patient safety research: a framework for study design and interpretation. Citation Text: Brown C, Hofer T, Johal A, et al. An epistemology of patient safety research: a framework for study design and interpretation. Part 4. One s…

The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. | PSNet

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August 01, 2018 - Study The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice. Citation Text: Grant S, Checkland K, Bowie P, et al. The role of informal dimensions of safety in high-volume organisational rout…

Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. | PSNet

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September 20, 2011 - Review Outreach and Early Warning Systems (EWS) for the prevention of Intensive Care admission and death of critically ill adult patients on general hospital wards. Citation Text: McGaughey J, Alderdice F, Fowler RA, et al. Outreach and Early Warning Systems (EWS) for the prevention of…

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. | PSNet

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April 05, 2016 - Study Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. Citation Text: Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new…

Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. | PSNet

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February 27, 2019 - Government Resource Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. Citation Text: Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-C…

Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach. | PSNet

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April 25, 2018 - Study Identifying patient and practice characteristics associated with patient-reported experiences of safety problems and harm: a cross-sectional study using a multilevel modelling approach. Citation Text: Ricci-Cabello I, Reeves D, Bell BG, et al. Identifying patient and practice chara…

Weekend mortality for emergency admissions. A large, multicentre study. | PSNet

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October 20, 2021 - Study Classic Weekend mortality for emergency admissions. A large, multicentre study. Citation Text: Aylin PP, Yunus A, Bottle A, et al. Weekend mortality for emergency admissions. A large, multicentre study. Qual Saf Health Care. 2010;19(3):213-7. doi:10.1136…

Detecting unapproved abbreviations in the electronic medical record. | PSNet

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August 08, 2018 - Study Detecting unapproved abbreviations in the electronic medical record. Citation Text: Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. Copy …

Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. | PSNet

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November 03, 2015 - Study Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining silent in the face of threats to patient safety. Citation Text: Szymczak JE. Infections and interaction rituals in the organisation: clinician accounts of speaking up or remaining…

Errors, omissions, and outliers in hourly vital signs measurements in intensive care. | PSNet

psnet.ahrq.gov/issue/errors-omissions-and-outliers-hourly-vital-signs-measurements-intensive-care

June 20, 2011 - Study Errors, omissions, and outliers in hourly vital signs measurements in intensive care. Citation Text: Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. Copy Citatio…

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-nurses-perceptions-safety-after-highly-specific-safety-intervention

June 16, 2011 - Study Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Citation Text: Elder NC, Brungs SM, Nagy M, et al. Intensive care unit nurses' perceptions of safety after a highly specific safety intervention. Qual Saf Health Care. 2008;17(1):25-3…

Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. | PSNet

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June 29, 2022 - Study Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Citation Text: Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg …

Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. | PSNet

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November 21, 2021 - Study Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Citation Text: Jarrett P, Keogh S, Roberts JA, et al. Antimicrobial residual drug error in the intensive care unit; a single blinded prospective observational study. Inte…

Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. | PSNet

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September 12, 2018 - Study Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. Citation Text: Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health sys…

Deriving a framework for a systems approach to agitated patient care in the emergency department. | PSNet

psnet.ahrq.gov/issue/deriving-framework-systems-approach-agitated-patient-care-emergency-department

June 13, 2018 - Study Deriving a framework for a systems approach to agitated patient care in the emergency department. Citation Text: Wong AH, Ruppel H, Crispino LJ, et al. Deriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department. Jt Comm J Qual Patient Saf. 2018…

Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review

February 14, 2017 - Review Strategies for improving patient safety culture in hospitals: a systematic review. Citation Text: Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-0…

Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center. | PSNet

psnet.ahrq.gov/issue/resident-and-rn-perceptions-impact-medical-emergency-team-education-and-patient-safety

September 24, 2010 - Study Resident and RN perceptions of the impact of a medical emergency team on education and patient safety in an academic medical center. Citation Text: Sarani B, Sonnad SS, Bergey MR, et al. Resident and RN perceptions of the impact of a medical emergency team on education and patien…

Predictors of adverse events in patients after discharge from the intensive care unit. | PSNet

psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit

December 08, 2021 - Study Predictors of adverse events in patients after discharge from the intensive care unit. Citation Text: Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264. Copy …

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