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  1. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
    June 28, 2023 - Study Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Citation Text: Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…

  2. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-teamwork-and-communication-training-interventions-safety-culture-and-patient-safety
    October 07, 2020 - Review Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. Citation Text: Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and pat…

  3. Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. | PSNet

    psnet.ahrq.gov/issue/medication-dosage-calculation-among-nursing-students-does-digital-technology-make-difference
    October 12, 2022 - Review Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. Citation Text: Stake-Nilsson K, Almstedt M, Fransson G, et al. Medication dosage calculation among nursing students: does digital technology make a difference? A …

  4. Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/patient-safety-resident-well-being-and-continuity-care-different-resident-duty-schedules
    July 23, 2010 - Study Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial. Citation Text: Parshuram CS, Amaral ACKB, Ferguson ND, et al. Patient safety, resident well-being and continuity of care with different …

  5. TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? | PSNet

    psnet.ahrq.gov/issue/triad-vii-do-prehospital-providers-understand-physician-orders-life-sustaining-treatment
    September 15, 2021 - Study TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? Citation Text: Mirarchi FL, Cammarata C, Zerkle SW, et al. TRIAD VII: do prehospital providers understand Physician Orders for Life-Sustaining Treatment documents? J Patient Saf…

  6. Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/exploring-association-between-organizational-culture-and-large-scale-adverse-events-evidence
    August 18, 2021 - Study Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. Citation Text: George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Ev…

  7. Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/defining-and-enhancing-collaboration-between-community-pharmacists-and-primary-care-providers
    July 07, 2021 - Review Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. Citation Text: White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve m…

  8. Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet

    psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
    March 14, 2018 - Study Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. Citation Text: Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…

  9. Patient safety in emergency departments: a problem for health care systems? An international survey. | PSNet

    psnet.ahrq.gov/issue/patient-safety-emergency-departments-problem-health-care-systems-international-survey
    February 26, 2020 - Study Patient safety in emergency departments: a problem for health care systems? An international survey. Citation Text: Petrino R, Tuunainen E, Bruzzone G, et al. Patient safety in emergency departments: a problem for health care systems? An international survey. Eur J Emerg Med. 2023;…

  10. Multifaceted interventions improve adherence to the surgical checklist. | PSNet

    psnet.ahrq.gov/issue/multifaceted-interventions-improve-adherence-surgical-checklist
    November 07, 2012 - Study Multifaceted interventions improve adherence to the surgical checklist. Citation Text: Putnam LR, Levy SM, Sajid M, et al. Multifaceted interventions improve adherence to the surgical checklist. Surgery. 2014;156(2):336-344. doi:10.1016/j.surg.2014.03.032. Copy Citation Forma…

  11. Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. | PSNet

    psnet.ahrq.gov/issue/physician-order-entry-or-nurse-order-entry-comparison-two-implementation-strategies
    February 23, 2009 - Study Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Citation Text: Kazemi A, Fors UGH, Tofighi S, et al. Physician order entry or nurse order entry? Comparison of…

  12. Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. | PSNet

    psnet.ahrq.gov/issue/thematic-analysis-nurses-experiences-joint-commissions-medication-management-titration
    November 03, 2021 - Study Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Citation Text: Davidson JE, Chechel L, Chavez J, et al. Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards. Am…

  13. Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. | PSNet

    psnet.ahrq.gov/issue/association-between-handover-anesthesia-care-and-adverse-postoperative-outcomes-among
    March 02, 2022 - Study Classic Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery. Citation Text: Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse Postoperati…

  14. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effects-reducing-or-eliminating-resident-work-shifts-over-16-hours-systematic-review
    November 12, 2014 - Review Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Citation Text: Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Sleep. 2010;33(8):1043-53. doi:10.1093/sl…

  15. Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? | PSNet

    psnet.ahrq.gov/issue/do-ahrq-patient-safety-indicators-flag-conditions-are-present-time-hospital-admission
    September 12, 2016 - Study Classic Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission? Citation Text: Bahl V, Thompson MA, Kau T-Y, et al. Do the AHRQ patient safety indicators flag conditions that are present at the time of ho…

  16. Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet

    psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department
    November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …

  17. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. | PSNet

    psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
    August 24, 2015 - Study Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Citation Text: Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…

  18. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. | PSNet

    psnet.ahrq.gov/issue/using-four-phased-unit-based-patient-safety-walkrounds-uncover-correctable-system-flaws
    October 05, 2022 - Study Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Citation Text: Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39…

  19. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. | PSNet

    psnet.ahrq.gov/issue/coping-and-recovery-surgical-residents-after-adverse-events-second-victim-phenomenon
    July 11, 2012 - Study Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Citation Text: Khansa I, Pearson GD. Coping and recovery in surgical residents after adverse events: the second victim phenomenon. Plast Reconstr Surg Glob Open. 2022;10(3):e4203. doi:10.1…

  20. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet

    psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
    November 29, 2023 - Study Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. Citation Text: Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. d…
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