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Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). | PSNet

psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi

June 29, 2022 - Study Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). Citation Text: Zrelak PA, Utter GH, McDonald KM, et al. Incorporating harms into the weighting of the revised Agency for Healthcare Research and Quality Patient Saf…

Changes in medical errors after implementation of a handoff program. | PSNet

psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program

April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

Effects of the I-PASS nursing handoff bundle on communication quality and workflow. | PSNet

psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow

November 12, 2014 - Study Effects of the I-PASS nursing handoff bundle on communication quality and workflow. Citation Text: Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-0…

Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. | PSNet

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December 30, 2014 - Study Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers. Citation Text: Randmaa M, Swenne CL, Mårtensson G, et al. Implementing situation…

Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. | PSNet

psnet.ahrq.gov/issue/complications-daytime-elective-laparoscopic-cholecystectomies-performed-surgeons-who-operated

April 12, 2019 - Study Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. Citation Text: Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night be…

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. | PSNet

psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors

November 13, 2009 - Study The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study. Citation Text: Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…

Detecting patient deterioration using artificial intelligence in a rapid response system. | PSNet

psnet.ahrq.gov/issue/detecting-patient-deterioration-using-artificial-intelligence-rapid-response-system

October 21, 2020 - Study Emerging Classic Detecting patient deterioration using artificial intelligence in a rapid response system. Citation Text: Cho K-J, Kwon O, Kwon J-myoung, et al. Detecting patient deterioration using artificial intelligence in a rapid response system. Crit …

Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. | PSNet

psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize

October 20, 2021 - Study Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. Citation Text: Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…

Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. | PSNet

psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework

July 20, 2022 - Study Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Citation Text: Acorda DE, Bracken J, Abela K, et al. Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Jt Comm J Qual Patient Saf. 2022;48(4…

Paediatric family activated rapid response interventions; qualitative systematic review. | PSNet

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November 24, 2021 - Review Paediatric family activated rapid response interventions; qualitative systematic review. Citation Text: Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):1033…

Incidence of adverse drug events and potential adverse drug events: implications for prevention. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention

February 10, 2011 - Study Classic Incidence of adverse drug events and potential adverse drug events: implications for prevention. Citation Text: Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …

A randomized trial of a multifactorial strategy to prevent serious fall injuries. | PSNet

psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries

August 04, 2021 - Study A randomized trial of a multifactorial strategy to prevent serious fall injuries. Citation Text: Bhasin S, Gill TM, Reuben DB, et al. A randomized trial of a multifactorial strategy to prevent serious fall injuries. N Engl J Med. 2020;383(2):129-140. doi:10.1056/nejmoa2002183. C…

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. | PSNet

psnet.ahrq.gov/issue/implementing-root-cause-analysis-and-action-integrating-human-factors-create-strong

December 23, 2020 - Study Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm. Citation Text: Wolf L, Gorman K, Clark J, et al. Implementing root cause analysis and action: integrating human factors to create strong interventi…

Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. | PSNet

psnet.ahrq.gov/issue/creating-psychological-safety-interprofessional-simulation-health-professional-learners

June 22, 2022 - Review Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. Citation Text: Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health professional le…

Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. | PSNet

psnet.ahrq.gov/issue/effects-accreditation-council-graduate-medical-education-duty-hour-limits-sleep-work-hours

March 03, 2011 - Study Classic Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety. Citation Text: Landrigan CP, Fahrenkopf AM, Lewin D, et al. Effects of the accreditation council for graduate medical education…

Physician specialty differences in unprofessional behaviors observed and reported by coworkers. | PSNet

psnet.ahrq.gov/issue/physician-specialty-differences-unprofessional-behaviors-observed-and-reported-coworkers

June 27, 2018 - Study Physician specialty differences in unprofessional behaviors observed and reported by coworkers. Citation Text: Cooper WO, Hickson GB, Dmochowski RR, et al. Physician specialty differences in unprofessional behaviors observed and reported by coworkers. JAMA Netw Open. 2024;7(6):e241…

Disclosure of medical errors: what factors influence how patients respond? | PSNet

psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influence-how-patients-respond

December 23, 2008 - Study Classic Disclosure of medical errors: what factors influence how patients respond? Citation Text: Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006;21(7):704-10. Copy Cit…

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. | PSNet

psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple

June 22, 2022 - Study A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. Citation Text: Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…

Narrative review: do state laws make it easier to say "I'm sorry"? | PSNet

psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry

June 16, 2010 - Review Narrative review: do state laws make it easier to say "I'm sorry"? Citation Text: McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816. Copy Citation Format: Google Scholar PubMed BibTeX En…

An intervention model that promotes accountability: peer messengers and patient/family complaints. | PSNet

psnet.ahrq.gov/issue/intervention-model-promotes-accountability-peer-messengers-and-patientfamily-complaints

June 27, 2018 - Study An intervention model that promotes accountability: peer messengers and patient/family complaints. Citation Text: Pichert JW, Moore IN, Karrass J, et al. An intervention model that promotes accountability: peer messengers and patient/family complaints. Jt Comm J Qual Patient Saf.…

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