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Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. | PSNet

psnet.ahrq.gov/issue/optimization-drug-drug-interaction-alert-rules-pediatric-hospitals-electronic-health-record

May 20, 2019 - Study Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. Citation Text: Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electro…

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. | PSNet

psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments

November 10, 2021 - Study In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. Citation Text: Powell ES, Bond WF, Barker LT, et al. In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments. J Patient Saf. 2022…

Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. | PSNet

psnet.ahrq.gov/issue/identifying-and-classifying-diagnostic-errors-acute-care-across-hospitals-early-lessons

April 12, 2023 - Study Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. Citation Text: Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute car…

Design and impact of a novel surgery-specific second victim peer support program. | PSNet

psnet.ahrq.gov/issue/design-and-impact-novel-surgery-specific-second-victim-peer-support-program

March 09, 2022 - Study Emerging Classic Design and impact of a novel surgery-specific second victim peer support program. Citation Text: El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. J Am Coll Surg. 2…

Medication-related problems in critical care survivors: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review

August 20, 2018 - Review Medication-related problems in critical care survivors: a systematic review. Citation Text: Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …

Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. | PSNet

psnet.ahrq.gov/issue/effect-work-hours-regulations-intensive-care-unit-mortality-united-states-teaching-hospitals

August 20, 2018 - Study Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. Citation Text: Prasad M, Iwashyna TJ, Christie JD, et al. Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals. Crit Care Med. 2…

Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. | PSNet

psnet.ahrq.gov/issue/improving-safety-recommendations-implementation-simulation-based-event-analysis-optimize

July 24, 2019 - Study Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. Citation Text: Langevin M, Ward N, Fitzgibbons C, et al. Improving safety recommendations before implementation: a s…

One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. | PSNet

psnet.ahrq.gov/issue/one-needle-one-syringe-only-one-time-survey-physician-and-nurse-knowledge-attitudes-and

June 28, 2013 - Study One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety. Citation Text: Kossover-Smith RA, Coutts K, Hatfield KM, et al. One needle, one syringe, only one time? A survey of physician and nurse knowledge, at…

Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. | PSNet

psnet.ahrq.gov/issue/patient-safety-events-and-harms-during-medical-and-surgical-hospitalizations-persons-serious

August 09, 2017 - Study Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. Citation Text: Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Ment…

'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. | PSNet

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May 05, 2021 - Commentary 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. Citation Text: Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioet…

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. | PSNet

psnet.ahrq.gov/issue/avoiding-med-wreck-structured-medication-reconciliation-framework-and-standardized-auditing

May 12, 2021 - Study Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. Citation Text: Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication …

Association between operative autonomy of surgical residents and patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-operative-autonomy-surgical-residents-and-patient-outcomes

September 09, 2020 - Study Association between operative autonomy of surgical residents and patient outcomes. Citation Text: Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.64…

A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. | PSNet

psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary

December 21, 2016 - Study Classic A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. Citation Text: Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relat…

Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. | PSNet

psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals

January 12, 2022 - Study Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. Citation Text: Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals i…

Defining near misses: towards a sharpened definition based on empirical data about error handling processes. | PSNet

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June 28, 2011 - Study Defining near misses: towards a sharpened definition based on empirical data about error handling processes. Citation Text: Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened definition based on empirical data about error handling pr…

Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet

psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care

January 12, 2022 - Study Getting the whole story: integrating patient complaints and staff reports of unsafe care. Citation Text: van Dael J, Gillespie A, Reader TW, et al. Getting the whole story: Integrating patient complaints and staff reports of unsafe care. J Health Serv Res Policy. 2022;27(1):41-49. …

A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. | PSNet

psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment

August 25, 2021 - Study A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. Citation Text: Gibson R, MacLeod N, Donaldson LJ, et al. A mixed‐methods analysis of patient safety incidents i…

When bad things happen: training medical students to anticipate the aftermath of medical errors. | PSNet

psnet.ahrq.gov/issue/when-bad-things-happen-training-medical-students-anticipate-aftermath-medical-errors

July 29, 2020 - Study When bad things happen: training medical students to anticipate the aftermath of medical errors. Citation Text: Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591…

Ethical issues in patient safety research: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/ethical-issues-patient-safety-research-systematic-review-literature

April 21, 2021 - Review Ethical issues in patient safety research: a systematic review of the literature. Citation Text: Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000…

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. | PSNet

psnet.ahrq.gov/issue/monitoring-preventable-adverse-events-and-near-misses-number-and-type-identified-differ

June 08, 2022 - Study Monitoring preventable adverse events and near misses: number and type identified differ depending on method used. Citation Text: Isaksson S, Schwarz A, Rusner M, et al. Monitoring preventable adverse events and near misses: number and type identified differ depending on method use…

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