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In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. | PSNet

psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection-admission

June 27, 2011 - Review In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Citation Text: Abe T, Tokuda Y, Shiraishi A, et al. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Crit Care. 2019;23(1):2…

The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. | PSNet

psnet.ahrq.gov/issue/effectiveness-integrated-health-information-technologies-across-phases-medication-management

October 19, 2022 - Review The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. Citation Text: McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies a…

A structured judgement method to enhance mortality case note review: development and evaluation. | PSNet

psnet.ahrq.gov/issue/structured-judgement-method-enhance-mortality-case-note-review-development-and-evaluation

May 27, 2011 - Study A structured judgement method to enhance mortality case note review: development and evaluation. Citation Text: Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). do…

Handoff practices in emergency medicine: are we making progress? | PSNet

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September 23, 2020 - Study Handoff practices in emergency medicine: are we making progress? Citation Text: Hern G, Gallahue FE, Burns BD, et al. Handoff Practices in Emergency Medicine: Are We Making Progress? Acad Emerg Med. 2016;23(2):197-201. doi:10.1111/acem.12867. Copy Citation Format: DOI…

Digitizing diagnosis: a review of mobile applications in the diagnostic process. | PSNet

psnet.ahrq.gov/issue/digitizing-diagnosis-review-mobile-applications-diagnostic-process

October 10, 2018 - Study Digitizing diagnosis: a review of mobile applications in the diagnostic process. Citation Text: Jutel A, Lupton D. Digitizing diagnosis: a review of mobile applications in the diagnostic process. Diagnosis (Berl). 2015;2(2):89-96. doi:10.1515/dx-2014-0068. Copy Citation Forma…

Registered nurses' perceptions of safe care in overcrowded emergency departments. | PSNet

psnet.ahrq.gov/issue/registered-nurses-perceptions-safe-care-overcrowded-emergency-departments

March 23, 2022 - Study Emerging Classic Registered nurses' perceptions of safe care in overcrowded emergency departments. Citation Text: Eriksson J, Gellerstedt L, Hillerås P, et al. Registered nurses' perceptions of safe care in overcrowded emergency departments. J Clin Nurs. 2…

Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. | PSNet

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August 15, 2018 - Study Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. Citation Text: Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…

Safety culture and care: a program to prevent surgical errors. | PSNet

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March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

Hospital workload and adverse events. | PSNet

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August 31, 2011 - Study Classic Hospital workload and adverse events. Citation Text: Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. | PSNet

psnet.ahrq.gov/issue/black-women-should-not-die-giving-life-lived-experiences-black-women-diagnosed-severe

August 17, 2017 - Study "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. Citation Text: Post W, Thomas AD, Sutton KM. “Black Women Should Not Die Giving Life”: The lived experiences of Black women diagnosed with s…

Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. | PSNet

psnet.ahrq.gov/issue/predictors-treatment-error-children-uncomplicated-malaria-seen-outpatients-blantyre-district

May 18, 2022 - Study Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre district, Malawi. Citation Text: Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated malaria seen as outpatients in Blantyre dis…

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. | PSNet

psnet.ahrq.gov/issue/understanding-procedural-violations-using-safety-i-and-safety-ii-case-community-pharmacies

February 06, 2019 - Study Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. Citation Text: Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10…

Variation in the rates of adverse events between hospitals and hospital departments. | PSNet

psnet.ahrq.gov/issue/variation-rates-adverse-events-between-hospitals-and-hospital-departments

July 26, 2011 - Study Variation in the rates of adverse events between hospitals and hospital departments. Citation Text: Zegers M, de Bruijne M, Spreeuwenberg P, et al. Variation in the rates of adverse events between hospitals and hospital departments. Int J Qual Health Care. 2011;23(2):126-33. doi:10…

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

psnet.ahrq.gov/issue/if-only-failed-missed-and-absent-error-recovery-opportunities-medication-errors

July 15, 2009 - Study If only...: failed, missed and absent error recovery opportunities in medication errors. Citation Text: Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…

Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality

December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

Surgical specimen identification errors: a new measure of quality in surgical care. | PSNet

psnet.ahrq.gov/issue/surgical-specimen-identification-errors-new-measure-quality-surgical-care

June 16, 2011 - Study Surgical specimen identification errors: a new measure of quality in surgical care. Citation Text: Makary MA, Epstein J, Pronovost P, et al. Surgical specimen identification errors: a new measure of quality in surgical care. Surgery. 2007;141(4):450-5. Copy Citation Format:…

Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. | PSNet

psnet.ahrq.gov/issue/developing-and-testing-health-care-safety-hotline-prototype-consumer-reporting-system-patient

October 26, 2016 - Book/Report Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. Citation Text: Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final R…

Barriers to speaking up about patient safety concerns. | PSNet

psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns

September 01, 2018 - Study Barriers to speaking up about patient safety concerns. Citation Text: Etchegaray JM, Ottosen MJ, Dancsak T, et al. Barriers to speaking up about patient safety concerns. J Patient Saf. 2020;16(4):e230-e234. doi:10.1097/pts.0000000000000334. Copy Citation Format: DOI G…

Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. | PSNet

psnet.ahrq.gov/issue/alliance-innovation-maternal-health-consensus-bundle-sepsis-obstetric-care

August 21, 2024 - Organizational Policy/Guidelines Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Citation Text: Bauer ME, Albright C, Prabhu M, et al. Alliance for Innovation on Maternal Health: Consensus Bundle on Sepsis in Obstetric Care. Obstet Gynecol. 2023;…

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. | PSNet

psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth

July 24, 2013 - Commentary Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. Citation Text: Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …

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