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  1. Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. | PSNet

    psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions
    August 03, 2017 - Review Classic Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. Citation Text: Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…

  2. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. | PSNet

    psnet.ahrq.gov/issue/approval-and-perceived-impact-duty-hour-regulations-survey-pediatric-program-directors
    February 27, 2013 - Study Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Citation Text: Drolet BC, Whittle SB, Khokhar MT, et al. Approval and perceived impact of duty hour regulations: survey of pediatric program directors. Pediatrics. 2013;132(5):819-24. doi…

  3. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. | PSNet

    psnet.ahrq.gov/issue/resident-physicians-clinical-training-and-error-rate-roles-autonomy-consultation-and
    July 13, 2010 - Study Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarity with the literature. Citation Text: Naveh E, Katz-Navon T, Stern Z. Resident physicians' clinical training and error rate: the roles of autonomy, consultation, and familiarit…

  4. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet

    psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
    March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

  5. 40 years behind the mask: safety revisited. | PSNet

    psnet.ahrq.gov/issue/40-years-behind-mask-safety-revisited
    January 13, 2012 - Commentary Classic 40 years behind the mask: safety revisited. Citation Text: Pierce EC. The 34th Rovenstine Lecture. 40 years behind the mask: safety revisited. Anesthesiology. 1996;84(4):965-975. Copy Citation Format: Google Scholar PubMed BibTeX…

  6. Standardizing concentrations of adult drug infusions in Indiana. | PSNet

    psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana
    August 01, 2018 - Commentary Standardizing concentrations of adult drug infusions in Indiana. Citation Text: Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana. Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018. Copy Citation For…

  7. Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/maximum-emergency-department-overcrowding-correlated-occurrence-unexpected-cardiac-arrest
    July 31, 2013 - Study Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. Citation Text: Kim J-sung, Bae H-J, Sohn CH, et al. Maximum emergency department overcrowding is correlated with occurrence of unexpected cardiac arrest. Crit Care. 2020;24(1):305.…

  8. Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-analysis-clinically-meaningful-documentation
    January 15, 2020 - Study Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. Citation Text: Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transf…

  9. Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. | PSNet

    psnet.ahrq.gov/issue/team-based-intervention-reduce-impact-nonactionable-alarms-adult-intensive-care-unit
    November 16, 2022 - Study Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit. Citation Text: Yeh J, Wilson R, Young L, et al. Team-Based Intervention to Reduce the Impact of Nonactionable Alarms in an Adult Intensive Care Unit. J Nurs Care Qual. 2019;35(2):1…

  10. Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. | PSNet

    psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
    September 01, 2021 - Study Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. Citation Text: Culler SD, Hawley JN, Naylor V, et al. Is the availability of hospital IT applications associ…

  11. Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet

    psnet.ahrq.gov/issue/adoption-national-quality-forum-safe-practices-magnet-hospitals
    May 15, 2019 - Study Adoption of National Quality Forum safe practices by magnet hospitals. Citation Text: Jayawardhana J, Welton JM, Lindrooth R. Adoption of National Quality Forum Safe Practices by Magnet® Hospitals. JONA: The Journal of Nursing Administration. 2011;41(9). doi:10.1097/nna.0b013e318…

  12. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. | PSNet

    psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting-hospitals-focus
    March 13, 2015 - Study Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study. Citation Text: Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus gr…

  13. Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery. | PSNet

    psnet.ahrq.gov/issue/am-i-safe-interpretative-phenomenological-analysis-vulnerability-experienced-patients
    July 10, 2024 - Study Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery. Citation Text: Sutton E, Booth L, Ibrahim M, et al. Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by pat…

  14. Implementing online medication reconciliation at a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
    January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

  15. Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet

    psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study
    August 18, 2021 - Study Developing a hospital-wide quality and safety dashboard: a qualitative research study. Citation Text: Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. do…

  16. Managing competing organizational priorities in clinical handover across organizational boundaries. | PSNet

    psnet.ahrq.gov/issue/managing-competing-organizational-priorities-clinical-handover-across-organizational
    February 07, 2024 - Study Managing competing organizational priorities in clinical handover across organizational boundaries. Citation Text: Sujan MA, Chessum P, Rudd M, et al. Managing competing organizational priorities in clinical handover across organizational boundaries. J Health Serv Res Policy. 2015;…

  17. An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. | PSNet

    psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-against-medical-oncologists-national-database
    July 02, 2019 - Study An analysis of medical malpractice claims against medical oncologists from a national database: implications for safer practice. Citation Text: Doolin JW, Schaffer AC, Tishler RB, et al. An analysis of medical malpractice claims against medical oncologists from a national database:…

  18. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. | PSNet

    psnet.ahrq.gov/issue/nonoperating-room-anaesthesia-safety-monitoring-cognitive-aids-and-severe-acute-respiratory
    November 10, 2021 - Review Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Citation Text: Borshoff DC, Sadleir P. Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2. Curr…

  19. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. | PSNet

    psnet.ahrq.gov/issue/medication-safety-events-after-acute-myocardial-infarction-among-veterans-treated-va-versus
    April 07, 2022 - Study Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. Citation Text: Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals.…

  20. Errors in medication history at hospital admission: prevalence and predicting factors. | PSNet

    psnet.ahrq.gov/issue/errors-medication-history-hospital-admission-prevalence-and-predicting-factors
    October 14, 2020 - Study Errors in medication history at hospital admission: prevalence and predicting factors. Citation Text: Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission: prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/…
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