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Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet

psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application

March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…

Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach

August 26, 2011 - Study Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Citation Text: Kopp BJ, Erstad BL, Allen ME, et al. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. Crit…

Does the concept of safety culture help or hinder systems thinking in safety? | PSNet

psnet.ahrq.gov/issue/does-concept-safety-culture-help-or-hinder-systems-thinking-safety

October 12, 2011 - Commentary Does the concept of safety culture help or hinder systems thinking in safety? Citation Text: Reiman T, Rollenhagen C. Does the concept of safety culture help or hinder systems thinking in safety? Accid Anal Prev. 2014;68(July):5-15. doi:10.1016/j.aap.2013.10.033. Copy Citati…

Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. | PSNet

psnet.ahrq.gov/issue/vaccination-errors-general-practice-creation-preventive-checklist-based-multimodal-analysis

July 08, 2020 - Study Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. Citation Text: Charles R, Vallée J, Tissot C, et al. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analys…

Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. | PSNet

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September 01, 2021 - Commentary Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. Citation Text: Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.131…

Learning not to take it seriously: junior doctors' accounts of error. | PSNet

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December 16, 2015 - Study Learning not to take it seriously: junior doctors' accounts of error. Citation Text: Kroll L, Singleton A, Collier J, et al. Learning not to take it seriously: junior doctors' accounts of error. Med Educ. 2008;42(10):982-90. doi:10.1111/j.1365-2923.2008.03151.x. Copy Citation…

Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. | PSNet

psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident

March 17, 2021 - Study Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Citation Text: Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…

The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. | PSNet

psnet.ahrq.gov/issue/prescription-opioid-crisis-role-anaesthesiologist-reducing-opioid-use-and-misuse

November 16, 2022 - Review Emerging Classic The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. Citation Text: Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and m…

Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care

February 01, 2011 - Study Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Citation Text: Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…

Impact of intensive care unit discharge time on patient outcome. | PSNet

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December 14, 2022 - Study Impact of intensive care unit discharge time on patient outcome. Citation Text: Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. | PSNet

psnet.ahrq.gov/issue/improving-documentation-beta-blocker-quality-measure-through-anesthesia-information

June 23, 2009 - Study Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. Citation Text: Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure throug…

Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. | PSNet

psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration

September 24, 2016 - Study Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. Citation Text: Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification…

Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. | PSNet

psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve

May 29, 2019 - Study Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. Citation Text: Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision support can improve problem…

Pediatric radiology malpractice claims—characteristics and comparison to adult radiology claims. | PSNet

psnet.ahrq.gov/issue/pediatric-radiology-malpractice-claims-characteristics-and-comparison-adult-radiology-claims

December 01, 2021 - Study Pediatric radiology malpractice claims—characteristics and comparison to adult radiology claims. Citation Text: Breen MA, Dwyer K, Yu-Moe W, et al. Pediatric radiology malpractice claims - characteristics and comparison to adult radiology claims. Pediatr Radiol. 2017;47(7):808-816.…

Accuracy of a popular online symptom checker for ophthalmic diagnoses. | PSNet

psnet.ahrq.gov/issue/accuracy-popular-online-symptom-checker-ophthalmic-diagnoses

March 04, 2011 - Study Accuracy of a popular online symptom checker for ophthalmic diagnoses. Citation Text: Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571. Copy Citatio…

Determinants of patient-reported medication errors: a comparison among seven countries. | PSNet

psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries

July 29, 2020 - Study Determinants of patient-reported medication errors: a comparison among seven countries. Citation Text: Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.0267…

Team communication during patient handover from the operating room: more than facts and figures. | PSNet

psnet.ahrq.gov/issue/team-communication-during-patient-handover-operating-room-more-facts-and-figures

December 16, 2009 - Study Team communication during patient handover from the operating room: more than facts and figures. Citation Text: Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56. Cop…

Beyond the medical record: other modes of error acknowledgment. | PSNet

psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment

August 03, 2009 - Study Beyond the medical record: other modes of error acknowledgment. Citation Text: Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. Copy Citation Format: Google Scholar PubMe…

Building an ambulatory safety program at an academic health system. | PSNet

psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system

April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

Use of the WHO surgical safety checklist in trauma and orthopaedic patients. | PSNet

psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients

August 30, 2017 - Study Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Citation Text: Sewell M, Adebibe M, Jayakumar P, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897-901. doi:10.1007/s00264-010-1112-7. Copy …

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