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Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. | PSNet

psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among

March 02, 2022 - Study Classic Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. Citation Text: Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…

A review of medication errors and the second victim in pediatric pharmacy. | PSNet

psnet.ahrq.gov/issue/review-medication-errors-and-second-victim-pediatric-pharmacy

January 27, 2019 - Review A review of medication errors and the second victim in pediatric pharmacy. Citation Text: Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100. …

Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. | PSNet

psnet.ahrq.gov/issue/adverse-events-experienced-while-transferring-critically-ill-patient-emergency-department

November 13, 2024 - Study Adverse events experienced while transferring the critically ill patient from the emergency department to the intensive care unit. Citation Text: Gillman L, Leslie G, Williams T, et al. Adverse events experienced while transferring the critically ill patient from the emergency de…

Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet

psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing

May 08, 2017 - Study Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Citation Text: Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…

The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample

November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. | PSNet

psnet.ahrq.gov/issue/assessment-potentially-inappropriate-prescribing-opioid-analgesics-requiring-prior-opioid

October 19, 2022 - Study Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. Citation Text: Jeffery MM, Chaisson CE, Hane C, et al. Assessment of potentially inappropriate prescribing of opioid analgesics requiring prior opioid tolerance. JAMA Netw Ope…

Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. | PSNet

psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions

July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…

Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. | PSNet

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August 05, 2020 - Study Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. Citation Text: Schildmeijer KGI, Unbeck M, Ekstedt M, et al. Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology. BMJ…

The incidence and nature of in-hospital adverse events: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-and-nature-hospital-adverse-events-systematic-review

March 24, 2011 - Review The incidence and nature of in-hospital adverse events: a systematic review. Citation Text: de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.20…

Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet

psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study

November 29, 2023 - Study Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. Citation Text: Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. d…

Medical error—the third leading cause of death in the US. | PSNet

psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us

September 16, 2020 - Commentary Medical error—the third leading cause of death in the US. Citation Text: Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

"It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. | PSNet

psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room

August 26, 2020 - Study "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. Citation Text: Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating r…

Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet

psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital

November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

PCA safety data review after clinical decision support and smart pump technology implementation. | PSNet

psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology

October 08, 2016 - Study PCA safety data review after clinical decision support and smart pump technology implementation. Citation Text: Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9…

Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. | PSNet

psnet.ahrq.gov/issue/associations-between-new-disruptive-behaviors-scale-and-teamwork-patient-safety-work-life

June 02, 2021 - Study Emerging Classic Associations between a new disruptive behaviors scale and teamwork, patient safety, work-life balance, burnout, and depression. Citation Text: Rehder KJ, Adair KC, Hadley A, et al. Associations Between a New Disruptive Behaviors Scale and …

Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between

August 04, 2021 - Study Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. Citation Text: Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 202…

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet

psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis

December 06, 2023 - Study A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Citation Text: Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…

Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions. | PSNet

psnet.ahrq.gov/issue/association-provider-specialty-abortion-related-morbidity-and-adverse-events-among-patients

December 16, 2020 - Study Association of provider specialty with abortion-related morbidity and adverse events among patients having procedural and medication abortions. Citation Text: Patel D, Liu G, Roberts SCM, et al. Association of provider specialty with abortion-related morbidity and adverse events am…

Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. | PSNet

psnet.ahrq.gov/issue/medication-administration-errors-assisted-living-scope-characteristics-and-importance-staff

July 29, 2015 - Study Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. Citation Text: Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff traini…

Paid malpractice claims for adverse events in inpatient and outpatient settings. | PSNet

psnet.ahrq.gov/issue/paid-malpractice-claims-adverse-events-inpatient-and-outpatient-settings

June 24, 2009 - Study Paid malpractice claims for adverse events in inpatient and outpatient settings. Citation Text: Bishop TF, Ryan AM, Ryan AK, et al. Paid malpractice claims for adverse events in inpatient and outpatient settings. JAMA. 2011;305(23):2427-31. doi:10.1001/jama.2011.813. Copy Citatio…

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