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Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-avoiding-unread-imaging-exams-national-va-enterprise-electronic

March 12, 2025 - Study Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. Citation Text: Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 20…

Computerized clinical decision support for medication prescribing and utilization in pediatrics. | PSNet

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July 16, 2015 - Study Computerized clinical decision support for medication prescribing and utilization in pediatrics. Citation Text: Stultz JS, Nahata MC. Computerized clinical decision support for medication prescribing and utilization in pediatrics. J Am Med Inform Assoc. 2012;19(6):942-53. doi:10.11…

Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. | PSNet

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March 17, 2021 - Study Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Citation Text: Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin …

Cognitive aids in the management of clinical emergencies: a systematic review. | PSNet

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January 12, 2022 - Review Cognitive aids in the management of clinical emergencies: a systematic review. Citation Text: Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. Copy Cita…

The bare minimum: the reality of global anaesthesia and patient safety. | PSNet

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April 22, 2015 - Commentary The bare minimum: the reality of global anaesthesia and patient safety. Citation Text: McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x. Copy Citatio…

Organizational costs of preventable medical errors. | PSNet

psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors

April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Cognitive testing of older clinicians prior to recredentialing. | PSNet

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January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

Identification and characterization of adverse drug events in primary care. | PSNet

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July 16, 2015 - Study Identification and characterization of adverse drug events in primary care. Citation Text: Trinkley KE, Weed HG, Beatty SJ, et al. Identification and Characterization of Adverse Drug Events in Primary Care. Am J Med Qual. 2017;32(5):518-525. doi:10.1177/1062860616665695. Copy Cit…

Workforce planning and safe workload in sterile compounding hospital pharmacy services. | PSNet

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October 19, 2022 - Study Workforce planning and safe workload in sterile compounding hospital pharmacy services. Citation Text: Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.10…

Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. | PSNet

psnet.ahrq.gov/issue/hamilton-acute-pain-service-safety-study-using-root-cause-analysis-reduce-incidence-adverse

January 12, 2011 - Study Hamilton Acute Pain Service Safety Study: using root cause analysis to reduce the incidence of adverse events. Citation Text: Paul JE, Buckley N, McLean RF, et al. Hamilton acute pain service safety study: using root cause analysis to reduce the incidence of adverse events. Anesth…

Clinical perspective: creating an effective practice peer review process—a primer. | PSNet

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November 16, 2022 - Commentary Clinical perspective: creating an effective practice peer review process—a primer. Citation Text: Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.aj…

Impact and implications of disruptive behavior in the perioperative arena. | PSNet

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February 03, 2010 - Study Impact and implications of disruptive behavior in the perioperative arena. Citation Text: Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. Copy Citation Format: Google Scholar P…

Living with the aftermath: the second victim experience among certified registered nurse anesthetists. | PSNet

psnet.ahrq.gov/issue/living-aftermath-second-victim-experience-among-certified-registered-nurse-anesthetists

April 12, 2019 - Study Living with the aftermath: the second victim experience among certified registered nurse anesthetists. Citation Text: Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173…

The effect of evidence in crisis learning: based on a perspective integration framework. | PSNet

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March 24, 2019 - Commentary The effect of evidence in crisis learning: based on a perspective integration framework. Citation Text: Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1…

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. | PSNet

psnet.ahrq.gov/issue/importance-leadership-preventing-healthcare-associated-infection-results-multisite

April 13, 2011 - Study The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study. Citation Text: Saint S, Kowalski CP, Banaszak-Holl J, et al. The importance of leadership in preventing healthcare-associated infection: results of a multisite qu…

Zero preventable deaths after traumatic injury: an achievable goal. | PSNet

psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal

March 24, 2021 - Commentary Zero preventable deaths after traumatic injury: an achievable goal. Citation Text: Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. Copy Citation Format: DOI Google Scholar BibT…

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. | PSNet

psnet.ahrq.gov/issue/complying-acgme-resident-duty-hours-restrictions-restructuring-80-hour-workweek-enhance

August 04, 2021 - Study Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital. Citation Text: Ogden PE, Sibbitt S, Howell M, et al. Complying with ACGME resident duty hours restrictio…

A framework for health care organizations to develop and evaluate a safety scorecard. | PSNet

psnet.ahrq.gov/issue/framework-health-care-organizations-develop-and-evaluate-safety-scorecard

September 17, 2010 - Commentary A framework for health care organizations to develop and evaluate a safety scorecard. Citation Text: Pronovost P, Berenholtz SM, Needham DM. A framework for health care organizations to develop and evaluate a safety scorecard. JAMA. 2007;298(17):2063-5. Copy Citation F…

Quality management and patient safety: survey results from 102 Hungarian hospitals. | PSNet

psnet.ahrq.gov/issue/quality-management-and-patient-safety-survey-results-102-hungarian-hospitals

September 16, 2015 - Study Quality management and patient safety: survey results from 102 Hungarian hospitals. Citation Text: Makai P, Klazinga NS, Wagner C, et al. Quality management and patient safety: survey results from 102 Hungarian hospitals. Health Policy (New York). 2009;90(2-3):175-80. doi:10.1016/…

Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-readmissions-us-hospitals-patient-characteristics-risk-factors-and

August 04, 2021 - Study Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Citation Text: Kramer AA, Higgins TL, Zimmerman JE. Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. Crit Care Med. 201…

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