-
psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
September 15, 2021 - Commentary
Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature.
Citation Text:
Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of t…
-
psnet.ahrq.gov/issue/time-series-analysis-health-care-associated-infections-new-hospital-all-private-rooms
July 31, 2019 - Study
Time-series analysis of health care–associated infections in a new hospital with all private rooms.
Citation Text:
McDonald EG, Dendukuri N, Frenette C, et al. Time-Series Analysis of Health Care-Associated Infections in a New Hospital With All Private Rooms. JAMA Intern Med. 2019.…
-
psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records
May 04, 2022 - Review
Patient safety issues from information overload in electronic medical records.
Citation Text:
Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002.
C…
-
psnet.ahrq.gov/issue/incidence-and-severity-medication-reconciliation-discrepancies-trauma-patients
October 19, 2022 - Study
Incidence and severity of medication reconciliation discrepancies in trauma patients.
Citation Text:
Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/000313482311616…
-
psnet.ahrq.gov/issue/policy-and-practice-use-root-cause-analysis-investigate-clinical-adverse-events-mind-gap
December 09, 2020 - Study
Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap.
Citation Text:
Nicolini D, Waring J, Mengis J. Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap. Soc Sci Med. 2011…
-
psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-behavior-social-exchange-perspective
February 15, 2023 - Study
Hospital safety climate and safety behavior: a social exchange perspective.
Citation Text:
Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118.…
-
psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
November 21, 2018 - Study
SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study.
Citation Text:
De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…
-
psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
July 02, 2008 - Study
How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?
Citation Text:
Fletcher KE, Wiest FC, Halasyamani L, et al. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? J Gen Intern Med. 2008;23(…
-
psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors
September 29, 2017 - Study
Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot.
Citation Text:
Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability …
-
psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry
December 31, 2014 - Review
Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review.
Citation Text:
Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…
-
psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
April 01, 2010 - Study
Quality improvement for patient safety: project-level versus program-level learning.
Citation Text:
Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…
-
psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
December 19, 2018 - Review
Accountability for medical error: moving beyond blame to advocacy.
Citation Text:
Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/disclosure-and-resolution-programs-include-generous-compensation-offers-may-prompt-complex
November 20, 2024 - Study
Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.
Citation Text:
Murtagh L, Gallagher TH, Andrew P, et al. Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient r…
-
psnet.ahrq.gov/issue/measuring-team-hierarchy-during-high-stakes-clinical-decision-making-development-and
April 05, 2023 - Study
Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.
Citation Text:
Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…
-
psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
January 23, 2019 - Commentary
Implementing online medication reconciliation at a large academic medical center.
Citation Text:
Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508.
Copy Citatio…
-
psnet.ahrq.gov/issue/pearls-systems-integration-modified-pearls-framework-debriefing-systems-focused-simulations
October 29, 2017 - Commentary
PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations.
Citation Text:
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…
-
psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
October 14, 2020 - Study
Errors in medication history at hospital admission: prevalence and predicting factors.
Citation Text:
Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…
-
psnet.ahrq.gov/issue/association-workload-call-medical-interns-call-sleep-duration-shift-duration-and
September 25, 2008 - Study
Classic
Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.
Citation Text:
Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical intern…
-
psnet.ahrq.gov/issue/building-physician-work-hour-regulations-first-principles-and-best-evidence
April 24, 2018 - Commentary
Building physician work hour regulations from first principles and best evidence.
Citation Text:
Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197.
Copy Citation…
-
psnet.ahrq.gov/issue/electronic-alerts-prevent-venous-thromboembolism-among-hospitalized-patients
October 19, 2022 - Study
Classic
Electronic alerts to prevent venous thromboembolism among hospitalized patients.
Citation Text:
Kucher N, Koo S, Quiroz R, et al. Electronic alerts to prevent venous thromboembolism among hospitalized patients. N Engl J Med. 2005;352(10):969-77. …