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  1. Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. | PSNet

    psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation
    August 09, 2017 - Study Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. Citation Text: Wanderer JP, Gratch DM, St Jacques P, et al. Trends in the Prevalence of Intraoperative Adverse Events at Two Academic Hospitals …

  2. Medication safety in neonatal care: a review of medication errors among neonates. | PSNet

    psnet.ahrq.gov/issue/medication-safety-neonatal-care-review-medication-errors-among-neonates
    August 15, 2016 - Review Medication safety in neonatal care: a review of medication errors among neonates. Citation Text: Krzyzaniak N, Bajorek B. Medication safety in neonatal care: a review of medication errors among neonates. Ther Adv Drug Saf. 2016;7(3):102-119. doi:10.1177/2042098616642231. Copy Ci…

  3. Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. | PSNet

    psnet.ahrq.gov/issue/increasing-adoption-computerized-provider-order-entry-and-persistent-regional-disparities-us
    May 16, 2012 - Study Increasing adoption of computerized provider order entry, and persistent regional disparities, in US emergency departments. Citation Text: Pallin DJ, Sullivan AF, Espinola JA, et al. Increasing adoption of computerized provider order entry, and persistent regional disparities, in…

  4. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. | PSNet

    psnet.ahrq.gov/issue/racial-and-ethnic-differences-emergency-department-diagnostic-imaging-us-childrens-hospitals
    April 22, 2020 - Study Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. Citation Text: Marin JR, Rodean J, Hall M, et al. Racial and ethnic differences in emergency department diagnostic imaging at US Children's Hospitals, 2016-2019. JAMA Net…

  5. Adverse events in the paediatric emergency department: a prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-paediatric-emergency-department-prospective-cohort-study
    August 03, 2022 - Study Adverse events in the paediatric emergency department: a prospective cohort study. Citation Text: Plint AC, Stang A, Newton AS, et al. Adverse events in the paediatric emergency department: a prospective cohort study. BMJ Qual Saf. 2021;30(3):216-227. doi:10.1136/bmjqs-2019-010055.…

  6. Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. | PSNet

    psnet.ahrq.gov/issue/transitions-care-consensus-policy-statement-american-college-physicians-society-general
    July 27, 2022 - Commentary Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine. Citation Text: Snow V,…

  7. Experience with family activation of rapid response teams. | PSNet

    psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams
    December 17, 2008 - Commentary Experience with family activation of rapid response teams. Citation Text: Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223. Copy Citation Format: Google Scholar PubMed BibTeX En…

  8. We are not there yet: a qualitative system probing study of a hospital rapid response system. | PSNet

    psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system
    March 15, 2023 - Study We are not there yet: a qualitative system probing study of a hospital rapid response system. Citation Text: Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…

  9. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. | PSNet

    psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
    March 05, 2010 - Study Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. Citation Text: Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. …

  10. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
    March 14, 2022 - Review Emerging Classic Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Text: Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…

  11. Randomized controlled evaluation of an insulin pen storage policy. | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-evaluation-insulin-pen-storage-policy
    January 23, 2017 - Study Randomized controlled evaluation of an insulin pen storage policy. Citation Text: Gibbs HG, McLernon T, Call R, et al. Randomized controlled evaluation of an insulin pen storage policy. Am J Health Syst Pharm. 2017;74(24):2054-2059. doi:10.2146/ajhp160348. Copy Citation Forma…

  12. Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. | PSNet

    psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
    October 27, 2016 - Study Adverse event and error of unexpected life-threatening events within 24h of emergency department admission. Citation Text: Zhang E, Hung S-C, Wu C-H, et al. Adverse event and error of unexpected life-threatening events within 24hours of ED admission. Am J Emerg Med. 2017;35(3):479-…

  13. Identifying and reconciling patients' allergy information within the electronic health record. | PSNet

    psnet.ahrq.gov/issue/identifying-and-reconciling-patients-allergy-information-within-electronic-health-record
    June 15, 2022 - Study Identifying and reconciling patients' allergy information within the electronic health record. Citation Text: Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:…

  14. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. | PSNet

    psnet.ahrq.gov/issue/safety-gaps-medical-team-communication-closing-loop-quality-improvement-efforts-cardiac
    June 01, 2022 - Study Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Citation Text: Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the car…

  15. Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet

    psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
    August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

  16. Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. | PSNet

    psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender
    May 01, 2012 - Study Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. Citation Text: Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…

  17. Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. | PSNet

    psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
    August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…

  18. Patterns of error in interpretive pathology. | PSNet

    psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
    April 07, 2021 - Study Patterns of error in interpretive pathology. Citation Text: Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  19. Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. | PSNet

    psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence-results-harvard-medical
    February 18, 2011 - Study Classic Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. Citation Text: Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to …

  20. The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. | PSNet

    psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
    September 19, 2016 - Study The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. Citation Text: Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an …
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