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  1. Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
    April 20, 2016 - Commentary Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. Citation Text: Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool t…

  2. Higher rates of misdiagnosis in pediatric patients versus adults hospitalized with imported malaria. | PSNet

    psnet.ahrq.gov/issue/higher-rates-misdiagnosis-pediatric-patients-versus-adults-hospitalized-imported-malaria
    March 14, 2022 - Study Higher rates of misdiagnosis in pediatric patients versus adults hospitalized with imported malaria. Citation Text: Goldman-Yassen AE, Mony VK, Arguin PM, et al. Higher Rates of Misdiagnosis in Pediatric Patients Versus Adults Hospitalized With Imported Malaria. Pediatr Emerg Care.…

  3. Elopement: evidence-based mitigation and management. | PSNet

    psnet.ahrq.gov/issue/elopement-evidence-based-mitigation-and-management
    October 19, 2022 - Study Elopement: evidence-based mitigation and management. Citation Text: Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. Copy Citation Format: DOI Google Sc…

  4. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/effect-checklist-quality-post-anaesthesia-patient-handover-randomized-controlled-trial
    February 15, 2012 - Study The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Citation Text: Salzwedel C, Bartz H-J, Kühnelt I, et al. The effect of a checklist on the quality of post-anaesthesia patient handover: a randomized controlled trial. Int…

  5. Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
    August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

  6. Tools for primary care patient safety: a narrative review. | PSNet

    psnet.ahrq.gov/issue/tools-primary-care-patient-safety-narrative-review
    July 20, 2016 - Review Tools for primary care patient safety: a narrative review. Citation Text: Spencer R, Campbell S. Tools for primary care patient safety: a narrative review. BMC Fam Pract. 2014;15:166. doi:10.1186/1471-2296-15-166. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  7. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effect-distraction-surgeon-performance-directions-operating-room-policy-and
    November 14, 2011 - Review A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. Citation Text: Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for opera…

  8. Barriers and facilitators to injection safety in ambulatory care settings. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-injection-safety-ambulatory-care-settings
    November 18, 2016 - Review Barriers and facilitators to injection safety in ambulatory care settings. Citation Text: Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82.…

  9. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. | PSNet

    psnet.ahrq.gov/issue/living-aftermath-second-victim-experience-among-certified-registered-nurse-anesthetists
    April 12, 2019 - Study Living with the aftermath: the second victim experience among certified registered nurse anesthetists. Citation Text: Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173…

  10. The role of safety culture in influencing provider perceptions of patient safety. | PSNet

    psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-perceptions-patient-safety
    November 09, 2016 - Study The role of safety culture in influencing provider perceptions of patient safety. Citation Text: Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209. Copy Citation Format: Google Schol…

  11. Specimen labeling errors in surgical pathology: an 18-month experience. | PSNet

    psnet.ahrq.gov/issue/specimen-labeling-errors-surgical-pathology-18-month-experience
    January 04, 2012 - Study Specimen labeling errors in surgical pathology: an 18-month experience. Citation Text: Layfield LJ, Anderson GM. Specimen labeling errors in surgical pathology: an 18-month experience. Am J Clin Pathol. 2010;134(3):466-70. doi:10.1309/AJCPHLQHJ0S3DFJK. Copy Citation Format:…

  12. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. | PSNet

    psnet.ahrq.gov/issue/multi-disciplinary-approach-medication-safety-and-implication-nursing-education-and-practice
    September 26, 2018 - Study A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Citation Text: Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication for nursing education and practice. Nurse Educ To…

  13. The use of patient pictures and verification screens to reduce computerized provider order entry errors. | PSNet

    psnet.ahrq.gov/issue/use-patient-pictures-and-verification-screens-reduce-computerized-provider-order-entry-errors
    November 16, 2022 - Study The use of patient pictures and verification screens to reduce computerized provider order entry errors. Citation Text: Hyman D, Laire M, Redmond D, et al. The use of patient pictures and verification screens to reduce computerized provider order entry errors. Pediatrics. 2012;130(…

  14. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. | PSNet

    psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005
    June 07, 2016 - Study Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Citation Text: Moore TJ, Cohen MR, Furberg CD. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Arch Intern Med. 2007;167(16):1752-9. Copy Citation Forma…

  15. Zero preventable deaths after traumatic injury: an achievable goal. | PSNet

    psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
    March 24, 2021 - Commentary Zero preventable deaths after traumatic injury: an achievable goal. Citation Text: Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. Copy Citation Format: DOI Google Scholar BibT…

  16. Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet

    psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
    December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. Citation Text: Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…

  17. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. | PSNet

    psnet.ahrq.gov/issue/effects-intervention-increase-bed-alarm-use-prevent-falls-hospitalized-patients-cluster
    January 03, 2017 - Study Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. Citation Text: Shorr RI, Chandler M, Mion LC, et al. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a clust…

  18. Team-based care: the changing face of cardiothoracic surgery. | PSNet

    psnet.ahrq.gov/issue/team-based-care-changing-face-cardiothoracic-surgery
    October 07, 2013 - Review Team-based care: the changing face of cardiothoracic surgery. Citation Text: Crawford TC, Conte J, Sanchez JA. Team-Based Care: The Changing Face of Cardiothoracic Surgery. Surg Clin North Am. 2017;97(4):801-810. doi:10.1016/j.suc.2017.03.003. Copy Citation Format: D…

  19. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric
    June 27, 2011 - Study Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. Citation Text: Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital di…

  20. Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. | PSNet

    psnet.ahrq.gov/issue/development-huddle-observation-tool-structured-case-management-discussions-improve-situation
    March 06, 2013 - Study Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. Citation Text: Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured case management …
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