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A trigger tool to identify adverse events in the intensive care unit. | PSNet

psnet.ahrq.gov/issue/trigger-tool-identify-adverse-events-intensive-care-unit

April 08, 2011 - Study A trigger tool to identify adverse events in the intensive care unit. Citation Text: Resar RK, Rozich JD, Simmonds T, et al. A Trigger Tool to Identify Adverse Events in the Intensive Care Unit. The Joint Commission Journal on Quality and Patient Safety. 2016;32(10). doi:10.1016/s…

Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. | PSNet

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January 23, 2017 - Study Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. Citation Text: Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department. Healthc Inform Res. 2014;20…

National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet

psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric

March 07, 2018 - Study National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. Citation Text: Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model…

Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/introduction-medical-emergency-team-met-system-cluster-randomised-controlled-trial

January 18, 2011 - Study Classic Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Citation Text: Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. L…

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital. | PSNet

psnet.ahrq.gov/issue/retrospective-review-emergency-response-activations-during-13-year-period-tertiary-care

August 26, 2020 - Study Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital. Citation Text: Wang GS, Erwin N, Zuk J, et al. Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospi…

Risk managers, physicians, and disclosure of harmful medical errors. | PSNet

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February 15, 2011 - Study Risk managers, physicians, and disclosure of harmful medical errors. Citation Text: Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8. Copy Citation Format: Google S…

Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet

psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program

July 12, 2010 - Study Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. Citation Text: Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. …

Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. | PSNet

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September 20, 2011 - Study Validating domains of patient contextual factors essential to preventing contextual errors: a qualitative study conducted at Chicago area Veterans Health Administration sites. Citation Text: Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual F…

Identifying health information technology related safety event reports from patient safety event report databases. | PSNet

psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event

July 07, 2021 - Study Identifying health information technology related safety event reports from patient safety event report databases. Citation Text: Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J …

Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. | PSNet

psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency

April 29, 2015 - Study Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. Citation Text: Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emerge…

Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. | PSNet

psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process

September 25, 2018 - Study Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. Citation Text: Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Proce…

Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-adults-living-diabetes-mellitus-scoping-review

November 02, 2022 - Review Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Citation Text: Ayalew MB, Spark MJ, Quirk F, et al. Potentially inappropriate prescribing for adults living with diabetes mellitus: a scoping review. Int J Clin Pharm. 2022;44(4):860-…

Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet

psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report

November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Researc…

Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. | PSNet

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September 28, 2010 - Review Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Citation Text: Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure…

Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication

December 21, 2017 - Study Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial. Citation Text: Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to…

Systematic review of medication safety assessment methods. | PSNet

psnet.ahrq.gov/issue/systematic-review-medication-safety-assessment-methods

January 03, 2017 - Review Systematic review of medication safety assessment methods. Citation Text: Meyer-Massetti C, Cheng CM, Schwappach DLB, et al. Systematic review of medication safety assessment methods. Am J Health Syst Pharm. 2011;68(3):227-40. doi:10.2146/ajhp100019. Copy Citation Format: …

Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. | PSNet

psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic

January 15, 2025 - Study Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. Citation Text: Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …

Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. | PSNet

psnet.ahrq.gov/issue/risk-medication-errors-and-nurses-quality-sleep-national-cross-sectional-web-survey-study

February 09, 2022 - Study Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Citation Text: Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a national cross-sectional web survey study. Eur Rev Med Pharmacol…

Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? | PSNet

psnet.ahrq.gov/issue/opioid-prescribing-practices-2010-through-2015-among-dentists-united-states-what-do-claims

December 20, 2017 - Study Emerging Classic Opioid prescribing practices from 2010 through 2015 among dentists in the United States: what do claims data tell us? Citation Text: Gupta N, Vujicic M, Blatz A. Opioid prescribing practices from 2010 through 2015 among dentists in the Uni…

Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. | PSNet

psnet.ahrq.gov/issue/association-use-mandatory-prescription-drug-monitoring-program-prescribing-practices-patients

March 01, 2023 - Study Emerging Classic Association of the use of a mandatory prescription drug monitoring program with prescribing practices for patients undergoing elective surgery. Citation Text: Stucke RS, Kelly JL, Mathis KA, et al. Association of the Use of a Mandatory Pre…

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