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Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet

psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients

May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…

Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic

March 02, 2011 - Review Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. Citation Text: Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A S…

Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. | PSNet

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June 15, 2011 - Study Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. Citation Text: Pierson S, Hansen RA, Greene SB, et al. Preventing medication errors in long-term care: results and evaluation of a large scale web-based error…

Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. | PSNet

psnet.ahrq.gov/issue/outpatient-insulin-related-adverse-events-due-mix-errors-findings-two-national-surveillance

March 10, 2021 - Study Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017. Citation Text: Geller AI, Conrad AO, Weidle NJ, et al. Outpatient insulin‐related adverse events due to mix‐up errors: Findings from two nation…

Are parents who feel the need to watch over their children's care better patient safety partners? | PSNet

psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners

July 22, 2013 - Study Are parents who feel the need to watch over their children's care better patient safety partners? Citation Text: Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-7…

Parent perceptions of children's hospital safety climate. | PSNet

psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate

December 22, 2018 - Study Parent perceptions of children's hospital safety climate. Citation Text: Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727. Copy Citation Format: DOI Google Sc…

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

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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…

Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). | PSNet

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July 14, 2010 - Study Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). Citation Text: Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from f…

Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. | PSNet

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March 30, 2022 - Study Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. Citation Text: Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A No…

Medication-related clinical decision support alert overrides in inpatients. | PSNet

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July 16, 2019 - Study Medication-related clinical decision support alert overrides in inpatients. Citation Text: Nanji KC, Seger DL, Slight SP, et al. Medication-related clinical decision support alert overrides in inpatients. J Am Med Inform Assoc. 2018;25(5):476-481. doi:10.1093/jamia/ocx115. Copy C…

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet

psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic

August 24, 2022 - Study Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. Citation Text: Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hos…

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet

psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary

January 18, 2013 - Study Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. Citation Text: Staggers N, Clark L, Blaz JW, et al. Why patient summaries in electronic…

Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. | PSNet

psnet.ahrq.gov/issue/outcomes-associated-nationwide-introduction-rapid-response-systems-netherlands

January 18, 2013 - Study Outcomes associated with the nationwide introduction of rapid response systems in the Netherlands. Citation Text: Ludikhuize J, Brunsveld-Reinders AH, Dijkgraaf MGW, et al. Outcomes Associated With the Nationwide Introduction of Rapid Response Systems in The Netherlands. Crit Care …

Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. | PSNet

psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected

November 16, 2022 - Organizational Policy/Guidelines Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. Cit…

High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. | PSNet

psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch

July 11, 2012 - Study High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. Citation Text: Laverty AA, Smith PC, Pape UJ, et al. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.…

Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses. | PSNet

psnet.ahrq.gov/issue/crisis-management-surgical-teams-and-their-leaders-lessons-covid-19-pandemic-structured

February 12, 2020 - Review Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses. Citation Text: Pring ET, Malietzis G, Kendall SWH, et al. Crisis management for surgical teams and their …

Frequency of failure to inform patients of clinically significant outpatient test results. | PSNet

psnet.ahrq.gov/issue/frequency-failure-inform-patients-clinically-significant-outpatient-test-results

April 24, 2018 - Study Frequency of failure to inform patients of clinically significant outpatient test results. Citation Text: Casalino LP, Dunham D, Chin MH, et al. Frequency of failure to inform patients of clinically significant outpatient test results. Arch Intern Med. 2009;169(12):1123-9. doi:10…

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. | PSNet

psnet.ahrq.gov/issue/association-between-transfer-emergency-department-boarders-inpatient-hallways-and-mortality-4

October 28, 2020 - Study The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience. Citation Text: Viccellio A, Santora C, Singer AJ, et al. The association between transfer of emergency department boarders to inpatient hallways and mortali…

Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. | PSNet

psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct

August 04, 2021 - Study Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. Citation Text: Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scori…

The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-automated-notification-follow-actionable-tests-pending-discharge-cluster-randomized

March 04, 2015 - Study Classic The impact of automated notification on follow-up of actionable tests pending at discharge: a cluster-randomized controlled trial. Citation Text: Dalal A, Schaffer A, Gershanik EF, et al. The Impact of Automated Notification on Follow-up of Actiona…

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