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  1. Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. | PSNet

    psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
    November 28, 2018 - Study Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. Citation Text: Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…

  2. The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. | PSNet

    psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver
    September 19, 2016 - Study The effects of the second victim phenomenon on work-related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. Citation Text: Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes:…

  3. ED overcrowding is associated with an increased frequency of medication errors. | PSNet

    psnet.ahrq.gov/issue/ed-overcrowding-associated-increased-frequency-medication-errors
    August 20, 2018 - Study ED overcrowding is associated with an increased frequency of medication errors. Citation Text: Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. …

  4. The long road to patient safety: a status report on patient safety systems. | PSNet

    psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
    October 04, 2011 - Study Classic The long road to patient safety: a status report on patient safety systems. Citation Text: Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. Copy Citation …

  5. Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. | PSNet

    psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication
    January 07, 2015 - Study Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. Citation Text: Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …

  6. Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. | PSNet

    psnet.ahrq.gov/issue/trigger-alerts-associated-laboratory-abnormalities-identifying-potentially-preventable
    August 30, 2017 - Study Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. Citation Text: Buckley MS, Rasmussen JR, Bikin DS, et al. Trigger alerts associated with laboratory abnormalities on ident…

  7. A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. | PSNet

    psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
    December 21, 2016 - Study Classic A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. Citation Text: Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relat…

  8. Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units. | PSNet

    psnet.ahrq.gov/issue/evaluation-evidence-based-nurse-driven-checklist-prevent-hospital-acquired-catheter
    June 03, 2013 - Study Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units. Citation Text: Fuchs MA, Sexton DJ, Thornlow D, et al. Evaluation of an evidence-based, nurse-driven checklist to prevent hos…

  9. A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. | PSNet

    psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
    December 09, 2020 - Study A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. Citation Text: Kaufmnan J, Twite M, Barrett C, et al. A handoff protocol from the cardiovascular operating room to cardiac I…

  10. Parent perceptions of children's hospital safety climate. | PSNet

    psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate
    December 22, 2018 - Study Parent perceptions of children's hospital safety climate. Citation Text: Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727. Copy Citation Format: DOI Google Sc…

  11. The impact of computerized provider order entry on medication errors in a multispecialty group practice. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
    August 31, 2011 - Study The impact of computerized provider order entry on medication errors in a multispecialty group practice. Citation Text: Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…

  12. Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. | PSNet

    psnet.ahrq.gov/issue/patient-safety-monitoring-acute-care-decentralized-national-health-care-system-conceptual
    July 27, 2022 - Study Patient safety monitoring in acute care in a decentralized national health care system: conceptual framework and initial set of actionable indicators. Citation Text: Barbara L, Roberta DB, Vanda R, et al. Patient safety monitoring in acute care in a decentralized national health ca…

  13. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet

    psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
    May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…

  14. Findings of the first consensus conference on medical emergency teams. | PSNet

    psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
    August 04, 2021 - Commentary Findings of the first consensus conference on medical emergency teams. Citation Text: DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e. Copy Ci…

  15. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. | PSNet

    psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following
    November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…

  16. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. | PSNet

    psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses-varying-proximity
    December 16, 2020 - Study Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. Citation Text: Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying p…

  17. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. | PSNet

    psnet.ahrq.gov/issue/emergency-diagnosis-cancer-and-previous-general-practice-consultations-insights-linked
    February 17, 2021 - Study Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data. Citation Text: Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey…

  18. The Sepsis Early Recognition and Response Initiative (SERRI). | PSNet

    psnet.ahrq.gov/issue/sepsis-early-recognition-and-response-initiative-serri
    November 11, 2015 - Commentary The Sepsis Early Recognition and Response Initiative (SERRI). Citation Text: Jones SL, Ashton CM, Kiehne L, et al. The Sepsis Early Recognition and Response Initiative (SERRI). Jt Comm J Qual Patient Saf. 2016;42(3):122-138. Copy Citation Format: Google Scholar P…

  19. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. | PSNet

    psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation-service
    September 23, 2020 - Study Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. Citation Text: Schillig J, Kaatz S, Hudson M, et al. Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service. J Hosp Med. 2011;6(6):322-8. doi:10.1002/jhm.910. …

  20. Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. | PSNet

    psnet.ahrq.gov/issue/adverse-event-and-complication-tracking-anaesthesiology-dependence-self-reporting-despite
    March 17, 2021 - Commentary Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. Citation Text: Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on sel…
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