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  1. Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet

    psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
    October 17, 2018 - Study Making patient safety event data actionable: understanding patient safety analyst needs. Citation Text: Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…

  2. Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. | PSNet

    psnet.ahrq.gov/issue/development-leapfrog-methodology-evaluating-hospital-implemented-inpatient-computerized
    May 27, 2011 - Commentary Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems. Citation Text: Kilbridge PM, Welebob EM, Classen DC. Development of the Leapfrog methodology for evaluating hospital implemented inpatient comput…

  3. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. | PSNet

    psnet.ahrq.gov/issue/cluster-randomized-trial-evaluate-impact-team-training-surgical-outcomes
    April 24, 2018 - Study Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Citation Text: Duclos A, Peix JL, Piriou V, et al. Cluster randomized trial to evaluate the impact of team training on surgical outcomes. Br J Surg. 2016;103(13):1804-1814. doi:10.1002/bjs.10295.…

  4. Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. | PSNet

    psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
    January 25, 2023 - Study Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. Citation Text: Zińczuk A, Rorat M, Simon K, et al. Unpacking the complexity of COVID-19 fatalities: adverse event…

  5. Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet

    psnet.ahrq.gov/issue/unscheduled-returns-emergency-department-outcome-medical-errors
    November 12, 2014 - Study Unscheduled returns to the emergency department: an outcome of medical errors? Citation Text: Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. Copy Citation Format: …

  6. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-chemotherapy-order-forms-prescribing-errors-urban-medical-center-results
    June 13, 2011 - Study Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. Citation Text: Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban …

  7. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. | PSNet

    psnet.ahrq.gov/issue/understanding-how-rapid-response-systems-may-improve-safety-acutely-ill-patient-learning
    July 08, 2015 - Study Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline. Citation Text: Mackintosh N, Rainey H, Sandall J. Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the front…

  8. The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study. | PSNet

    psnet.ahrq.gov/issue/irish-national-adverse-events-study-inaes-frequency-and-nature-adverse-events-irish-hospitals
    March 03, 2021 - Study The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study. Citation Text: Rafter N, Hickey A, Conroy RM, et al. The Irish National Adverse Events Study (INAES): the frequency and nature of adve…

  9. How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. | PSNet

    psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents
    May 06, 2015 - Study How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. Citation Text: Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution …

  10. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator. | PSNet

    psnet.ahrq.gov/issue/closing-gap-infection-prevention-staffing-recommendations-results-beta-version-apic-staffing
    December 20, 2023 - Study Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator. Citation Text: Bartles R, Reese S, Gumbar A. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC …

  11. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. | PSNet

    psnet.ahrq.gov/issue/clinical-diagnoses-and-autopsy-findings-discrepancies-critically-ill-patients
    March 09, 2022 - Study Clinical diagnoses and autopsy findings: discrepancies in critically ill patients. Citation Text: Tejerina E, Esteban A, Fernández-Segoviano P, et al. Clinical diagnoses and autopsy findings: discrepancies in critically ill patients*. Crit Care Med. 2012;40(3):842-6. doi:10.1097/…

  12. Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-atypical-orders-detection-and-warning-atypical-medication-orders
    August 04, 2021 - Study Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. Citation Text: Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of…

  13. Benefits of reporting and analyzing nursing students' near-miss medication incidents. | PSNet

    psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-incidents
    March 16, 2022 - Study Benefits of reporting and analyzing nursing students' near-miss medication incidents. Citation Text: Dennison S, Freeman M, Giannotti N, et al. Benefits of reporting and analyzing nursing students' near-miss medication incidents. Nurse Educ. 2022;47(4):202-207. doi:10.1097/nne.0000…

  14. Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and
    October 19, 2022 - Study Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. Citation Text: Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …

  15. The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
    October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

  16. Office surgery incidents: what seven years of Florida data show us. | PSNet

    psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us
    August 19, 2009 - Study Office surgery incidents: what seven years of Florida data show us. Citation Text: Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x. Copy C…

  17. Medical errors during training: how do residents cope?: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/medical-errors-during-training-how-do-residents-cope-descriptive-study
    October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

  18. Learning from patient safety incidents: The Green Cross method. | PSNet

    psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
    June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

  19. Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effectiveness-n95-respirators-versus-surgical-masks-against-influenza-systematic-review-and
    March 24, 2019 - Review Classic Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. Citation Text: Long Y, Hu T, Liu L, et al. Effectiveness of N95 respirators versus surgical masks against influenza: a systematic revi…

  20. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
    March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…
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