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Learning from patient safety incidents: The Green Cross method. | PSNet

psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method

June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

Impact of performance and information feedback on medical interns' confidence-accuracy calibration. | PSNet

psnet.ahrq.gov/issue/impact-performance-and-information-feedback-medical-interns-confidence-accuracy-calibration

September 14, 2022 - Study Impact of performance and information feedback on medical interns' confidence-accuracy calibration. Citation Text: Staal J, Katarya K, Speelman M, et al. Impact of performance and information feedback on medical interns' confidence–accuracy calibration. Adv Health Sci Educ Theory P…

Optimizing patient safety in clinical trials by improving transitions of care. | PSNet

psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care

October 16, 2024 - Study Optimizing patient safety in clinical trials by improving transitions of care. Citation Text: Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001…

Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. | PSNet

psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study

May 01, 2024 - Study Emerging Classic Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. Citation Text: Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC…

Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. | PSNet

psnet.ahrq.gov/issue/quality-improvements-decreasing-medication-administration-errors-made-nursing-staff-academic

March 24, 2019 - Study Quality improvements in decreasing medication administration errors made by nursing staff in an academic medical center hospital: a trend analysis during the journey to Joint Commission International accreditation and in the post-accreditation era. Citation Text: Wang H-F, Jin J-F,…

An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. | PSNet

psnet.ahrq.gov/issue/ethical-framework-allocating-scarce-life-saving-chemotherapy-and-supportive-care-drugs

September 07, 2016 - Commentary An ethical framework for allocating scarce life-saving chemotherapy and supportive care drugs for childhood cancer. Citation Text: Unguru Y, Fernandez C, Bernhardt B, et al. An Ethical Framework for Allocating Scarce Life-Saving Chemotherapy and Supportive Care Drugs for Child…

Inpatient patient safety events in vulnerable populations: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/inpatient-patient-safety-events-vulnerable-populations-retrospective-cohort-study

October 27, 2021 - Study Inpatient patient safety events in vulnerable populations: a retrospective cohort study. Citation Text: Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.113…

Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet

psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk

March 01, 2023 - Study Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…

Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. | PSNet

psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group

November 21, 2021 - Study Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. Citation Text: Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from the 2003 leapfrog group qu…

Investigating the long-term consequences of adverse medical events among older adults. | PSNet

psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults

March 24, 2019 - Study Investigating the long-term consequences of adverse medical events among older adults. Citation Text: Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-04…

Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. | PSNet

psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients

October 26, 2022 - Study Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. Citation Text: Eiding H, Røise O, Kongsgaard UE. Potentially severe incidents during interhospital transport of critically ill pati…

Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. | PSNet

psnet.ahrq.gov/issue/exploring-leadership-within-systems-approach-reduce-health-care-associated-infections-scoping

October 29, 2017 - Review Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model. Citation Text: Knobloch MJ, Thomas K, Musuuza J, et al. Exploring leadership within a systems approach to reduce health care-associated infections…

A long-term follow-up evaluation of electronic health record prescribing safety. | PSNet

psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety

November 26, 2014 - Study A long-term follow-up evaluation of electronic health record prescribing safety. Citation Text: Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl…

The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. | PSNet

psnet.ahrq.gov/issue/nature-magnitude-and-reporting-compliance-device-related-events-intravenous-patient

March 20, 2024 - Study The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. Citation Text: Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporti…

Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. | PSNet

psnet.ahrq.gov/issue/point-prevalence-surgical-checklist-use-europe-relationship-hospital-mortality

January 23, 2019 - Study Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Citation Text: Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093…

Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet

psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient

December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Citation Text: Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 202…

A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical

December 09, 2020 - Study A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. Citation Text: Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical inte…

Missing clinical and behavioral health data in a large electronic health record (EHR) system. | PSNet

psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system

July 19, 2023 - Study Missing clinical and behavioral health data in a large electronic health record (EHR) system. Citation Text: Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-114…

Exploring approaches to patient safety: the case of spinal manipulation therapy. | PSNet

psnet.ahrq.gov/issue/exploring-approaches-patient-safety-case-spinal-manipulation-therapy

September 11, 2024 - Study Exploring approaches to patient safety: the case of spinal manipulation therapy. Citation Text: Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2. Cop…

Medication event huddles: a tool for reducing adverse drug events. | PSNet

psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events

December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

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