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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. …

Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. | PSNet

psnet.ahrq.gov/issue/adverse-events-neonatal-intensive-care-unit-development-testing-and-findings-nicu-focused

April 11, 2011 - Study Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. Citation Text: Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development, t…

Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study

January 19, 2022 - Study Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Citation Text: Odes R, Chapman SM, Ackerman SL, et al. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Policy Polit Nurs Pract. 2022;2…

System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. | PSNet

psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency

August 31, 2022 - Study System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Citation Text: Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):…

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. | PSNet

psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event

June 03, 2020 - Review Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. Citation Text…

Inappropriate prescribing to older patients by nurse practitioners and primary care physicians. | PSNet

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September 23, 2020 - Study Inappropriate prescribing to older patients by nurse practitioners and primary care physicians. Citation Text: Huynh J, Alim SA, Chan DC, et al. Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care Physicians. Ann Intern Med. 2023;176(11):1448-1455. d…

The association between patient safety culture and adverse events - a scoping review. | PSNet

psnet.ahrq.gov/issue/association-between-patient-safety-culture-and-adverse-events-scoping-review

November 03, 2015 - Review The association between patient safety culture and adverse events - a scoping review. Citation Text: Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s1291…

Ticket to ride: reducing handoff risk during hospital patient transport. | PSNet

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May 30, 2018 - Commentary Ticket to ride: reducing handoff risk during hospital patient transport. Citation Text: Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.982…

Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. | PSNet

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June 09, 2021 - Study Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. Citation Text: Brösterhaus M, Hammer A, Gruber R, et al. Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study. PLoS ONE. 2022;17(8):e0272853. doi:10.1371/…

Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet

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November 12, 2014 - Study Unscheduled returns to the emergency department: an outcome of medical errors? Citation Text: Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. Copy Citation Format: …

Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. | PSNet

psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated

March 23, 2012 - Study Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. Citation Text: Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus a…

Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet

psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event

September 14, 2022 - Study Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. Citation Text: Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…

Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. | PSNet

psnet.ahrq.gov/issue/evaluating-ambulatory-practice-safety-promises-project-administrators-and-practice-staff

August 14, 2017 - Study Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. Citation Text: Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care. 2015;53(2):141…

Using clinical simulation to study how to improve quality and safety in healthcare. | PSNet

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March 31, 2021 - Review Classic Using clinical simulation to study how to improve quality and safety in healthcare. Citation Text: Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2)…

A team-based approach to reducing cardiac monitor alarms. | PSNet

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October 19, 2022 - Study A team-based approach to reducing cardiac monitor alarms. Citation Text: Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. Copy Citation Format: DOI Google …

Pediatric prehospital medication dosing errors: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/pediatric-prehospital-medication-dosing-errors-mixed-methods-study

August 25, 2021 - Study Pediatric prehospital medication dosing errors: a mixed-methods study. Citation Text: Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. Copy Citati…

A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. | PSNet

psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical

December 09, 2020 - Study A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. Citation Text: Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical inte…

Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-patterns-among-medical-providers-united-states-2003-17-retrospective

May 11, 2016 - Study Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. Citation Text: Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observati…

Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. | PSNet

psnet.ahrq.gov/issue/reevaluating-safety-profile-pediatrics-comparison-computerized-adverse-drug-event

February 15, 2011 - Study Reevaluating the safety profile of pediatrics: a comparison of computerized adverse drug event surveillance and voluntary reporting in the pediatric environment. Citation Text: Ferranti J, Horvath MM, Cozart H, et al. Reevaluating the safety profile of pediatrics: a comparison of…

Simulation exercises as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review

March 13, 2013 - Review Simulation exercises as a patient safety strategy: a systematic review. Citation Text: Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-2013…

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