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A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. | PSNet

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May 20, 2019 - Study A trial of automated decision support alerts for contraindicated medications using computerized physician order entry. Citation Text: Galanter W, Didomenico RJ, Polikaitis A. A trial of automated decision support alerts for contraindicated medications using computerized physician…

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

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March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. | PSNet

psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional

April 06, 2011 - Study Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. Citation Text: Lingard L, Espin S, Rubin B, et al. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessio…

How are medication errors defined? A systematic literature review of definitions and characteristics. | PSNet

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May 30, 2012 - Review How are medication errors defined? A systematic literature review of definitions and characteristics. Citation Text: Lisby M, Nielsen LP, Brock B, et al. How are medication errors defined? A systematic literature review of definitions and characteristics. International Journal f…

Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm

February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution following patient harm. Citation Text: Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…

Long working hours, safety, and health: toward a national research agenda. | PSNet

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November 16, 2022 - Review Long working hours, safety, and health: toward a national research agenda. Citation Text: Caruso CC, Bushnell T, Eggerth D, et al. Long working hours, safety, and health: toward a National Research Agenda. Am J Ind Med. 2006;49(11):930-42. Copy Citation Format: Googl…

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

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September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

Errors, incidents and accidents in anaesthetic practice. | PSNet

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April 06, 2011 - Commentary Classic Errors, incidents and accidents in anaesthetic practice. Citation Text: Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…

Development of an instrument to measure the unintended consequences of EHRs. | PSNet

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June 22, 2011 - Commentary Development of an instrument to measure the unintended consequences of EHRs. Citation Text: Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/019394591557608…

Transfers of patient care between house staff on internal medicine wards: a national survey. | PSNet

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August 15, 2018 - Study Transfers of patient care between house staff on internal medicine wards: a national survey. Citation Text: Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. …

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. | PSNet

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August 17, 2017 - Study Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU. Citation Text: Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2)…

Transitional chaos or enduring harm? The EHR and the disruption of medicine. | PSNet

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August 02, 2015 - Commentary Transitional chaos or enduring harm? The EHR and the disruption of medicine. Citation Text: Rosenbaum L. Transitional Chaos or Enduring Harm? The EHR and the Disruption of Medicine. New Engl J Med. 2015;373(17):1585-1588. doi:10.1056/NEJMp1509961. Copy Citation Format: …

Student mistakes and teacher reactions in bedside teaching. | PSNet

psnet.ahrq.gov/issue/student-mistakes-and-teacher-reactions-bedside-teaching

January 18, 2012 - Study Student mistakes and teacher reactions in bedside teaching. Citation Text: Rubisch HPK, Blaschke A-L, Berberat PO, et al. Student mistakes and teacher reactions in bedside teaching. Adv Health Sci Educ Theory Pract. 2023;28(5):1523-1556. doi:10.1007/s10459-023-10233-y. Copy Citat…

Learning from litigation. The role of claims analysis in patient safety. | PSNet

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November 21, 2018 - Study Learning from litigation. The role of claims analysis in patient safety. Citation Text: Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. Copy Citation Format: Google S…

A comparison of voluntarily reported medication errors in intensive care and general care units. | PSNet

psnet.ahrq.gov/issue/comparison-voluntarily-reported-medication-errors-intensive-care-and-general-care-units

October 26, 2010 - Study A comparison of voluntarily reported medication errors in intensive care and general care units. Citation Text: Kane-Gill SL, Kowiatek JG, Weber RJ. A comparison of voluntarily reported medication errors in intensive care and general care units. Qual Saf Health Care. 2010;19(1):5…

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. | PSNet

psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial

March 05, 2010 - Study Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Citation Text: Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…

The association between night or weekend admission and hospitalization-relevant patient outcomes. | PSNet

psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes

November 26, 2014 - Study The association between night or weekend admission and hospitalization-relevant patient outcomes. Citation Text: Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4.…

Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. | PSNet

psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient

January 26, 2022 - Commentary Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. Citation Text: John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…

Safety events in children's hospitals during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/safety-events-childrens-hospitals-during-covid-19-pandemic

January 15, 2020 - Study Safety events in children's hospitals during the COVID-19 pandemic. Citation Text: Safety events in children's hospitals during the COVID-19 pandemic. Masonbrink AR, Harris M, Hall M, et al. Hosp Pediatr. 2021;11(6):e95-e100. Copy Citation Save Save t…

The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. | PSNet

psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted

May 08, 2017 - Study The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. Citation Text: Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…

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