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Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. | PSNet

psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning

May 22, 2024 - Commentary Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. Citation Text: McCarthy SE, Hogan C, Jenkins L, et al. Videos of simulated after action reviews: a training resource to support social and inclusi…

Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/nonfatal-opioid-overdoses-urban-emergency-department-during-covid-19-pandemic

March 24, 2021 - Study Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. Citation Text: Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.…

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during

November 16, 2022 - Commentary Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. Citation Text: Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…

Prevalence of copied information by attendings and residents in critical care progress notes. | PSNet

psnet.ahrq.gov/issue/prevalence-copied-information-attendings-and-residents-critical-care-progress-notes

September 28, 2017 - Study Prevalence of copied information by attendings and residents in critical care progress notes. Citation Text: Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. | PSNet

psnet.ahrq.gov/issue/surgical-training-duty-hour-restrictions-and-implications-meeting-accreditation-council

July 03, 2014 - Study Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. Citation Text: Antiel RM, Van Arendonk K, Reed DA, et al. Surgical training…

Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. | PSNet

psnet.ahrq.gov/issue/professionalising-patient-safety-findings-mixed-methods-formative-evaluation-patient-safety

August 28, 2024 - Study Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service. Citation Text: Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods for…

A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet

psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician

February 23, 2022 - Commentary A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Citation Text: Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm …

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet

psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient

December 21, 2014 - Study How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. …

Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. | PSNet

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September 26, 2012 - Study Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. Citation Text: Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.…

The effect of universal glove and gown use on adverse events in intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/effect-universal-glove-and-gown-use-adverse-events-intensive-care-unit-patients

December 09, 2015 - Study The effect of universal glove and gown use on adverse events in intensive care unit patients. Citation Text: Croft LD, Harris AD, Pineles L, et al. The Effect of Universal Glove and Gown Use on Adverse Events in Intensive Care Unit Patients. Clin Infect Dis. 2015;61(4):545-53. doi:…

Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet

psnet.ahrq.gov/issue/healthcare-workers-experiences-patient-safety-intensive-care-unit-during-covid-19-pandemic

May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. | PSNet

psnet.ahrq.gov/issue/understanding-multidimensional-effects-resident-duty-hours-restrictions-thematic-analysis

July 03, 2016 - Review Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery. Citation Text: Devitt KS, Kim MJ, Conn LG, et al. Understanding the Multidimensional Effects of Resident Duty Hours Restrictions: A Thematic Anal…

Predictors of adverse events in patients after discharge from the intensive care unit. | PSNet

psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit

December 08, 2021 - Study Predictors of adverse events in patients after discharge from the intensive care unit. Citation Text: Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264. Copy …

Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study. | PSNet

psnet.ahrq.gov/issue/do-work-condition-interventions-affect-quality-and-errors-primary-care-results-healthy-work

September 04, 2016 - Study Do work condition interventions affect quality and errors in primary care? Results from the Healthy Work Place Study. Citation Text: Linzer M, Poplau S, Brown RL, et al. Do Work Condition Interventions Affect Quality and Errors in Primary Care? Results from the Healthy Work Place S…

Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. | PSNet

psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment

March 02, 2016 - Study Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. Citation Text: Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® …

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. | PSNet

psnet.ahrq.gov/issue/maintaining-and-sustaining-cusp-stop-bsi-model-hawaii

March 21, 2012 - Study Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii. Citation Text: Lin D, Weeks K, Holzmueller CG, et al. Maintaining and Sustaining the On the CUSP: Stop BSI Model in Hawaii. Jt Comm J Qual Patient Saf. 2016;39(2):51-60, AP3. doi:10.1016/s1553-7250(13)39008-4. …

Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. | PSNet

psnet.ahrq.gov/issue/effects-reducing-or-eliminating-resident-work-shifts-over-16-hours-systematic-review

November 12, 2014 - Review Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Citation Text: Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Sleep. 2010;33(8):1043-53. doi:10.1093/sl…

Floating to intensive care units: nurses' messages for instant action to promote patient safety. | PSNet

psnet.ahrq.gov/issue/floating-intensive-care-units-nurses-messages-instant-action-promote-patient-safety

August 15, 2018 - Study Floating to intensive care units: nurses' messages for instant action to promote patient safety. Citation Text: Ahmed FR, Timmins F, Dias JM, et al. Floating to intensive care units: nurses' messages for instant action to promote patient safety. Nurs Crit Care. 2023;28(6):902-912. …

Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness | PSNet

psnet.ahrq.gov/issue/improving-diagnostic-fidelity-approach-standardizing-process-patients-emerging-critical

August 04, 2021 - Journal Article Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Critical Illness Citation Text: Jayaprakash N, Chae J, Sabov M, et al. Improving Diagnostic Fidelity: An Approach to Standardizing the Process in Patients With Emerging Criti…

Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-and-quality-care-improving-usability-electronic-health-record

March 04, 2011 - Commentary Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. Citation Text: Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electro…

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