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Bad Writing, Wrong Medication | PSNet

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March 01, 2015 - SPOTLIGHT CASE Bad Writing, Wrong Medication Citation Text: Devine B. Bad Writing, Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3…

Patient Safety in the Ambulatory Care Setting | PSNet

psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting

April 27, 2022 - Annual Perspective Patient Safety in the Ambulatory Care Setting August 5, 2022 View more articles from the same authors. Citation Text: Schiff G, Mossburg SE, Dowell P, et al. Patient Safety in the Ambulatory Care Setting. PSNet [internet]. Rockville (MD): …

Nursing and Patient Safety | PSNet

psnet.ahrq.gov/primer/nursing-and-patient-safety

September 15, 2024 - Nursing and Patient Safety Citation Text: Phillips J, Malliaris AP, Bakerjian D. Nursing and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet

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February 01, 2011 - Study Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. Citation Text: Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. | PSNet

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November 23, 2016 - Study Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. Citation Text: Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business …

The impact of the 80-hour resident workweek on surgical residents and attending surgeons. | PSNet

psnet.ahrq.gov/issue/impact-80-hour-resident-workweek-surgical-residents-and-attending-surgeons

January 04, 2010 - Study The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Citation Text: Hutter MM, Kellogg KC, Ferguson CM, et al. The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg. 2006;243(6):864-71; discussion 8…

Performance of a trigger tool for identifying adverse events in oncology. | PSNet

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May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…

Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. | PSNet

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June 16, 2021 - Study Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. Citation Text: Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 201…

Errare humanum est: frequency of laterality errors in radiology reports. | PSNet

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September 13, 2023 - Study Errare humanum est: frequency of laterality errors in radiology reports. Citation Text: Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. Copy Citatio…

Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. | PSNet

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December 23, 2008 - Study Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Citation Text: Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…

"Near miss": a mixed-methods analysis of medical student assignments in patient safety. | PSNet

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May 25, 2016 - Study "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Citation Text: Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000…

Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. | PSNet

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August 22, 2018 - Study Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Citation Text: Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program dire…

Personal formularies of primary care physicians across 4 health care systems. | PSNet

psnet.ahrq.gov/issue/personal-formularies-primary-care-physicians-across-4-health-care-systems

July 10, 2019 - Study Personal formularies of primary care physicians across 4 health care systems. Citation Text: Galanter W, Eguale T, Gellad WF, et al. Personal formularies of primary care physicians across 4 health care systems. JAMA Netw Open. 2021;4(7):e2117038. doi:10.1001/jamanetworkopen.2021.17…

Double checking the administration of medicines: what is the evidence? A systematic review. | PSNet

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June 18, 2014 - Review Double checking the administration of medicines: what is the evidence? A systematic review. Citation Text: Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/a…

An effective program to reduce malpractice claims and payments in a large orthopaedic practice. | PSNet

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June 27, 2018 - Study An effective program to reduce malpractice claims and payments in a large orthopaedic practice. Citation Text: Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):12…

Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. | PSNet

psnet.ahrq.gov/issue/society-maternal-fetal-medicine-special-statement-critique-postpartum-readmission-rate

September 22, 2021 - Commentary Society for Maternal-Fetal Medicine Special Statement: a critique of postpartum readmission rate as a quality metric. Citation Text: Combs CA, Goffman D, Pettker CM. Society for Maternal-Fetal Medicine Special Statement: A critique of postpartum readmission rate as a quality m…

A study of error reporting by nurses: the significant impact of nursing team dynamics. | PSNet

psnet.ahrq.gov/issue/study-error-reporting-nurses-significant-impact-nursing-team-dynamics

April 12, 2014 - Study A study of error reporting by nurses: the significant impact of nursing team dynamics. Citation Text: Munn LT, Lynn MR, Knafl GJ, et al. A study of error reporting by nurses: the significant impact of nursing team dynamics. J Res Nurs. 2023;28(5):354-364. doi:10.1177/17449871231194…

One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. | PSNet

psnet.ahrq.gov/issue/one-fourth-unplanned-transfers-higher-level-care-are-associated-highly-preventable-adverse

May 16, 2018 - Study One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. Citation Text: Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are…

Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance | PSNet

psnet.ahrq.gov/issue/multi-professional-simulation-based-team-training-obstetric-emergencies-improving-patient

July 29, 2020 - Review Emerging Classic Multi-professional simulation-based team training in obstetric emergencies for improving patient outcomes and trainees' performance Citation Text: Fransen AF, van de Ven J, Banga FR, et al. Multi-professional simulation-based team trainin…

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. | PSNet

psnet.ahrq.gov/issue/prospective-observational-study-physician-handoff-intensive-care-unit-ward-patient-transfers

October 08, 2013 - Study A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. Citation Text: Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care-Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). do…

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