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Adverse events in patients with return emergency department visits. | PSNet

psnet.ahrq.gov/issue/adverse-events-patients-return-emergency-department-visits

May 31, 2017 - Study Adverse events in patients with return emergency department visits. Citation Text: Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194. Copy Citation Format: …

Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. | PSNet

psnet.ahrq.gov/issue/development-and-validation-surgical-patient-safety-system-surpass-checklist

March 23, 2011 - Study Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Citation Text: de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:1…

Case not closed: prescription errors 12 years after computerized physician order entry implementation. | PSNet

psnet.ahrq.gov/issue/case-not-closed-prescription-errors-12-years-after-computerized-physician-order-entry

April 08, 2011 - Study Case not closed: prescription errors 12 years after computerized physician order entry implementation. Citation Text: Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. J Pediatr. 2017;19…

Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. | PSNet

psnet.ahrq.gov/issue/impact-world-health-organizations-surgical-safety-checklist-safety-culture-operating-theatre

November 03, 2015 - Study Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. Citation Text: Haugen AS, Søfteland E, Eide GE, et al. Impact of the World Health Organization's Surgical Safety Checklist on safety cu…

Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. | PSNet

psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated

June 14, 2019 - Study Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. Citation Text: Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better …

A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. | PSNet

psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and

March 14, 2016 - Commentary A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. Citation Text: Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient…

Promoting patient safety using an early warning scoring system. | PSNet

psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system

October 16, 2012 - Study Promoting patient safety using an early warning scoring system. Citation Text: Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. Copy Citation Format: Google Scholar PubMed B…

Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? | PSNet

psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience

February 06, 2014 - Study Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…

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…

Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. | PSNet

psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors

June 07, 2023 - Study Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Citation Text: Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013…

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew

April 26, 2023 - Commentary Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Citation Text: Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …

Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. | PSNet

psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons

October 19, 2022 - Study Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. Citation Text: Scherr K, Wilson DM, Wagner J, et al. Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. AACN Adv Crit Care. 2012;23(1):32-42. doi:10.1097/NCI.0b013e31824…

Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. | PSNet

psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medication-safety-pediatrics-avoid-study

October 28, 2015 - Study Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Citation Text: Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res P…

An acetaminophen icon helps reduce medication decision errors in an experimental setting. | PSNet

psnet.ahrq.gov/issue/acetaminophen-icon-helps-reduce-medication-decision-errors-experimental-setting

January 12, 2022 - Study An acetaminophen icon helps reduce medication decision errors in an experimental setting. Citation Text: Shiffman S, Cotton H, Jessurun C, et al. An acetaminophen icon helps reduce medication decision errors in an experimental setting. J Am Pharm Assoc (2003). 2016;56(5):495-503.e4…

The nature and causes of unintended events reported at 10 internal medicine departments. | PSNet

psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments

August 17, 2016 - Study The nature and causes of unintended events reported at 10 internal medicine departments. Citation Text: Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…

Extent of diagnostic agreement among medical referrals. | PSNet

psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals

October 31, 2011 - Study Extent of diagnostic agreement among medical referrals. Citation Text: Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. Copy Citation Format: DOI Google Scholar …

Preoperative site marking: are we adhering to good surgical practice? | PSNet

psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice

August 02, 2017 - Study Preoperative site marking: are we adhering to good surgical practice? Citation Text: Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. Copy Citation Format: DOI Google Scholar BibT…

Preparing clinicians for transitioning patients across care settings and into the home through simulation. | PSNet

psnet.ahrq.gov/issue/preparing-clinicians-transitioning-patients-across-care-settings-and-home-through-simulation

August 04, 2021 - Commentary Preparing clinicians for transitioning patients across care settings and into the home through simulation. Citation Text: Molloy MA, Cary MP, Brennan-Cook J, et al. Preparing Clinicians for Transitioning Patients Across Care Settings and Into the Home Through Simulation. Home …

Best practices: an electronic drug alert program to improve safety in an accountable care environment. | PSNet

psnet.ahrq.gov/issue/best-practices-electronic-drug-alert-program-improve-safety-accountable-care-environment

May 29, 2019 - Study Best practices: an electronic drug alert program to improve safety in an accountable care environment. Citation Text: Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pha…

Patient harm events and associated cost outcomes reported to a patient safety organization. | PSNet

psnet.ahrq.gov/issue/patient-harm-events-and-associated-cost-outcomes-reported-patient-safety-organization

July 18, 2017 - Study Patient harm events and associated cost outcomes reported to a patient safety organization. Citation Text: Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.00000000…

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