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Where are my instruments? Hazards in delivery of surgical instruments. | PSNet

psnet.ahrq.gov/issue/where-are-my-instruments-hazards-delivery-surgical-instruments

September 25, 2008 - Study Where are my instruments? Hazards in delivery of surgical instruments. Citation Text: Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. Copy Citat…

Causes of adverse events in home mechanical ventilation: a nursing perspective. | PSNet

psnet.ahrq.gov/issue/causes-adverse-events-home-mechanical-ventilation-nursing-perspective

November 10, 2021 - Study Causes of adverse events in home mechanical ventilation: a nursing perspective. Citation Text: Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. Copy…

Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. | PSNet

psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and

July 11, 2007 - Study Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Citation Text: Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and prior…

The relationship between hospital systems load and patient harm. | PSNet

psnet.ahrq.gov/issue/relationship-between-hospital-systems-load-and-patient-harm

November 12, 2008 - Study The relationship between hospital systems load and patient harm. Citation Text: Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. Copy Citation Format…

Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet

psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management

June 22, 2009 - Study Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Citation Text: Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …

Medication errors among acutely ill and injured children treated in rural emergency departments. | PSNet

psnet.ahrq.gov/issue/medication-errors-among-acutely-ill-and-injured-children-treated-rural-emergency-departments

December 13, 2013 - Study Medication errors among acutely ill and injured children treated in rural emergency departments. Citation Text: Marcin JP, Dharmar M, Cho M, et al. Medication errors among acutely ill and injured children treated in rural emergency departments. Ann Emerg Med. 2007;50(4):361-7, 36…

Pharmacy e-prescription dispensing before and after CancelRx implementation. | PSNet

psnet.ahrq.gov/issue/pharmacy-e-prescription-dispensing-and-after-cancelrx-implementation

October 05, 2022 - Study Pharmacy e-prescription dispensing before and after CancelRx implementation. Citation Text: Pitts SI, Olson S, Yanek LR, et al. Pharmacy e-prescription dispensing before and after CancelRx implementation. JAMA Intern Med. 2023;183(10):1120-1126. doi:10.1001/jamainternmed.2023.4192.…

Results of a national neurosurgery resident survey on duty hour regulations. | PSNet

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September 29, 2017 - Study Results of a national neurosurgery resident survey on duty hour regulations. Citation Text: Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989. Co…

Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults. | PSNet

psnet.ahrq.gov/issue/underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults

October 14, 2016 - Study Classic Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults. Citation Text: Amjad H, Roth DL, Sheehan OC, et al. Underdiagnosis of Dementia: an Observational Study of Patterns in Diagnosis and Awaren…

Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet

psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement

August 26, 2011 - Study Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. Citation Text: Zohar D, Werber YT, Marom R, et al. Modifying head nurse messages during daily conversations as leverage for safety climate improvement…

Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet

psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and

September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Lessons learned for reducing the negative impact of adverse events on patients, health profession…

Patient error: a preliminary taxonomy. | PSNet

psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy

June 02, 2010 - Study Patient error: a preliminary taxonomy. Citation Text: Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. | PSNet

psnet.ahrq.gov/issue/harmful-medication-errors-children-5-year-analysis-data-usps-medmarxr-program

July 12, 2010 - Study Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. Citation Text: Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. …

Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. | PSNet

psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology

August 25, 2021 - Study Influences of physical layout and space on patient safety and communication in ambulatory oncology practices: a multisite, mixed method investigation. Citation Text: Fauer AJ. Influences of physical layout and space on patient safety and communication in ambulatory oncology practic…

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. | PSNet

psnet.ahrq.gov/issue/design-and-implementation-application-and-associated-services-support-interdisciplinary

February 15, 2011 - Study Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. Citation Text: Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and …

Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. | PSNet

psnet.ahrq.gov/issue/fidelity-and-impact-patient-safety-huddles-teamwork-and-safety-culture-evaluation-huddle

August 25, 2021 - Study Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. Citation Text: Lamming L, Montague J, Crosswaite K, et al. Fidelity and the impact of patient safety huddles on teamwork and safety …

From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program. | PSNet

psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience

July 19, 2023 - Commentary From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program. Citation Text: Wiig S, Lyng HB, Guise V, et al. From theory to policy in resilient health care: policy recommendations and lessons lear…

The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/morbidity-and-mortality-conference-adverse-event-surveillance-tool-paediatric-intensive-care

April 06, 2016 - Study The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. Citation Text: Cifra CL, Jones KL, Ascenzi J, et al. The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. B…

The attributes of medical event reporting systems. | PSNet

psnet.ahrq.gov/issue/attributes-medical-event-reporting-systems

February 14, 2024 - Study Classic The attributes of medical event reporting systems. Citation Text: Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicin…

Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet

psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health

March 10, 2010 - Study Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. Citation Text: Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…

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