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Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet

psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident

October 12, 2016 - Study Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Citation Text: Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Age…

Effect of patient- and medication-related factors on inpatient medication reconciliation errors. | PSNet

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May 08, 2017 - Study Effect of patient- and medication-related factors on inpatient medication reconciliation errors. Citation Text: Salanitro AH, Osborn CY, Schnipper JL, et al. Effect of patient- and medication-related factors on inpatient medication reconciliation errors. J Gen Intern Med. 2012;27(8…

Telemedicine vs telephone consultations and medication prescribing errors among referring physicians: a cluster randomized crossover trial. | PSNet

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September 23, 2020 - Study Telemedicine vs telephone consultations and medication prescribing errors among referring physicians: a cluster randomized crossover trial. Citation Text: Marcin JP, Lieng MK, Mouzoon J, et al. Telemedicine vs telephone consultations and medication prescribing errors among referrin…

Relationship between patient safety and hospital surgical volume. | PSNet

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May 04, 2012 - Study Relationship between patient safety and hospital surgical volume. Citation Text: Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x. Copy Citati…

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. | PSNet

psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire

April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

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February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…

Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet

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November 29, 2023 - Book/Report Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. Citation Text: Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center …

More than words: patients' views on apology and disclosure when things go wrong in cancer care. | PSNet

psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care

May 29, 2012 - Study More than words: patients' views on apology and disclosure when things go wrong in cancer care. Citation Text: Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

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March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

Electronic health record adoption and rates of in-hospital adverse events. | PSNet

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August 02, 2023 - Study Electronic health record adoption and rates of in-hospital adverse events. Citation Text: Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257. Copy C…

High rates of adverse drug events in a highly computerized hospital. | PSNet

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August 04, 2021 - Study Classic High rates of adverse drug events in a highly computerized hospital. Citation Text: Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. Copy Citation …

Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. | PSNet

psnet.ahrq.gov/issue/use-medical-emergency-team-responses-reduce-hospital-cardiopulmonary-arrests

April 06, 2011 - Study Classic Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Citation Text: Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health …

National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet

psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors

January 05, 2012 - Study National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. Citation Text: Latif A, Rawat N, Pustavoitau A, et al. National study on the distribution, causes, and consequences of voluntarily reported…

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. | PSNet

psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular

March 02, 2022 - Study Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. Citation Text: Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team member…

Prevalence of copied information by attendings and residents in critical care progress notes. | PSNet

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September 28, 2017 - Study Prevalence of copied information by attendings and residents in critical care progress notes. Citation Text: Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-…

Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training. | PSNet

psnet.ahrq.gov/issue/communication-interdisciplinary-teams-exploring-closed-loop-communication-during-situ-trauma

July 19, 2023 - Study Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training. Citation Text: Härgestam M, Lindkvist M, Brulin C, et al. Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team tra…

Medication administration discrepancies persist despite electronic ordering. | PSNet

psnet.ahrq.gov/issue/medication-administration-discrepancies-persist-despite-electronic-ordering

May 04, 2012 - Study Medication administration discrepancies persist despite electronic ordering. Citation Text: FitzHenry F, Peterson JF, Arrieta M, et al. Medication Administration Discrepancies Persist Despite Electronic Ordering. J Am Med Inform Assoc. 2007;14(6):756-764. doi:10.1197/jamia.m2359.…

Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. | PSNet

psnet.ahrq.gov/issue/nurses-source-system-level-resilience-secondary-analysis-qualitative-data-study-intravenous

July 22, 2020 - Study Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. Citation Text: Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualita…

Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. | PSNet

psnet.ahrq.gov/issue/patients-and-providers-perceptions-preventability-hospital-readmission-prospective

September 07, 2016 - Study Patients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries. Citation Text: van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of hospital read…

Pediatric ADHD medication exposures reported to US poison control centers. | PSNet

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November 28, 2018 - Study Pediatric ADHD medication exposures reported to US poison control centers. Citation Text: King SA, Casavant MJ, Spiller HA, et al. Pediatric ADHD Medication Exposures Reported to US Poison Control Centers. Pediatrics. 2018;141(6). doi:10.1542/peds.2017-3872. Copy Citation For…

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