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"Never events" and the quest to reduce preventable harm. | PSNet

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June 01, 2016 - Commentary "Never events" and the quest to reduce preventable harm. Citation Text: Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

Early death after discharge from emergency departments: analysis of national US insurance claims data. | PSNet

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June 25, 2018 - Study Classic Early death after discharge from emergency departments: analysis of national US insurance claims data. Citation Text: Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance cl…

Outcomes of emergency department patients presenting with adverse drug events. | PSNet

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April 22, 2011 - Study Outcomes of emergency department patients presenting with adverse drug events. Citation Text: Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.0…

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…

Using patient safety indicators to estimate the impact of potential adverse events on outcomes. | PSNet

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July 14, 2009 - Study Using patient safety indicators to estimate the impact of potential adverse events on outcomes. Citation Text: Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1…

Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. | PSNet

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January 04, 2021 - Study Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. Citation Text: Danielson KK, Rydzon B, Nicosia M, et al. Prevalence of undiagnosed diabetes identified by a novel electronic med…

A report of information technology and health deficiencies in U.S. nursing homes. | PSNet

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October 28, 2020 - Study A report of information technology and health deficiencies in U.S. nursing homes. Citation Text: Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. Copy …

Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/types-and-effects-feedback-emergency-ambulance-staff-systematic-mixed-studies-review-and-meta

April 06, 2022 - Study Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. Citation Text: Wilson C, Janes G, Lawton R, et al. Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis. BMJ…

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-evaluating-impact-computerized-rounding-and-sign-out-system

July 14, 2010 - Study Classic A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. Citation Text: Van Eaton EG, Horvath KD, Lober WB, et al. A randomized, controlled trial evaluating…

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: …

A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet

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February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …

Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet

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October 19, 2022 - Study Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. Citation Text: Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …

Medical errors during training: how do residents cope?: a descriptive study. | PSNet

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October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. | PSNet

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February 10, 2012 - Organizational Policy/Guidelines Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. Citation Text: Nak…

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…

The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. | PSNet

psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week

May 04, 2016 - Study The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. Citation Text: Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…

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…

Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. | PSNet

psnet.ahrq.gov/issue/frequency-and-characteristics-errors-artificial-intelligence-ai-reading-screening-mammography

February 03, 2016 - Review Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammography: a systematic review. Citation Text: Zeng A, Houssami N, Noguchi N, et al. Frequency and characteristics of errors by artificial intelligence (AI) in reading screening mammogra…

Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. | PSNet

psnet.ahrq.gov/issue/adapting-rapid-assessment-procedures-implementation-research-using-team-based-approach

November 09, 2022 - Study Adapting rapid assessment procedures for implementation research using a team-based approach to analysis: a case example of patient quality and safety interventions in the ICU. Citation Text: Holdsworth LM, Safaeinili N, Winget M, et al. Adapting rapid assessment procedures for imp…

Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? | PSNet

psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently

July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…

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