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A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings

November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …

Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. | PSNet

psnet.ahrq.gov/issue/effect-number-open-charts-intercepted-wrong-patient-medication-orders-emergency-department

May 29, 2019 - Study Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. Citation Text: Kannampallil TG, Manning JD, Chestek DW, et al. Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department. J Am …

Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication regimens. | PSNet

psnet.ahrq.gov/issue/electronic-surveillance-and-pharmacist-intervention-vulnerable-older-inpatients-high-risk

March 21, 2017 - Study Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication regimens. Citation Text: Peterson JF, Kripalani S, Danciu I, et al. Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medicatio…

Unit-based care teams and the frequency and quality of physician–nurse communications. | PSNet

psnet.ahrq.gov/issue/unit-based-care-teams-and-frequency-and-quality-physician-nurse-communications

November 16, 2022 - Study Unit-based care teams and the frequency and quality of physician–nurse communications. Citation Text: Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.100…

The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. | PSNet

psnet.ahrq.gov/issue/impact-prolonged-continuous-wakefulness-resident-clinical-performance-intensive-care-unit

November 21, 2016 - Study The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. Citation Text: Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical performance in the intensi…

Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. | PSNet

psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence

May 18, 2022 - Study Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from English hospitals. Citation Text: Hauck KD, Wang S, Vincent CA, et al. Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From Engli…

Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. | PSNet

psnet.ahrq.gov/issue/stakeholders-safety-patient-reports-unsafe-clinical-behaviors-distinguish-hospital-mortality

November 29, 2023 - Study Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. Citation Text: Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):4…

A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. | PSNet

psnet.ahrq.gov/issue/qualitative-formative-evaluation-patient-centred-patient-safety-intervention-delivered

February 22, 2019 - Study A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. Citation Text: Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in …

Distractions in the operating room: a survey of the healthcare team. | PSNet

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November 16, 2022 - Study Distractions in the operating room: a survey of the healthcare team. Citation Text: Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. Copy Citation …

Shifting indirect patient care duties to after hours in the era of work hours restrictions. | PSNet

psnet.ahrq.gov/issue/shifting-indirect-patient-care-duties-after-hours-era-work-hours-restrictions

February 18, 2011 - Study Shifting indirect patient care duties to after hours in the era of work hours restrictions. Citation Text: Mourad M, Vidyarthi A, Hollander H, et al. Shifting indirect patient care duties to after hours in the era of work hours restrictions. Acad Med. 2011;86(5):586-90. doi:10.1097…

Staffing matters—every shift. | PSNet

psnet.ahrq.gov/issue/staffing-matters-every-shift

January 20, 2021 - Commentary Staffing matters—every shift. Citation Text: West G, Patrician PA, Loan L. Staffing matters-every shift: data from the Military Nursing Outcomes Database can be used to demonstrate that the right number and mix of nurses prevent errors. Am J Nurs. 2012;112(12):22-7; discussi…

Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020

September 10, 2014 - Book/Report Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Citation Text: Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. Washington, DC: Veterans Affairs Office of Inspector General; August …

Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. | PSNet

psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older

April 11, 2011 - Study Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Citation Text: Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm…

Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. | PSNet

psnet.ahrq.gov/issue/analysis-unintended-events-hospitals-inter-rater-reliability-constructing-causal-trees-and

April 30, 2014 - Study Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. Citation Text: Smits M, Janssen J, de Vet R, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and c…

How accurately do older adult emergency department patients recall their medications? | PSNet

psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their-medications

September 02, 2020 - Study How accurately do older adult emergency department patients recall their medications? Citation Text: Goldberg EM, Marks SJ, Merchant RC, et al. How accurately do older adult emergency department patients recall their medications? Acad Emerg Med. 2021;28(2):248-252. doi:10.1111/acem…

A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet

psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections

January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

Organizational response to known medical errors: does peer review protection impede improvement? | PSNet

psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement

April 24, 2018 - Commentary Organizational response to known medical errors: does peer review protection impede improvement? Citation Text: Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1…

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. | PSNet

psnet.ahrq.gov/issue/impact-reduction-working-hours-doctors-training-postgraduate-medical-education-and-patients

November 10, 2010 - Review Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. Citation Text: Moonesinghe SR, Lowery J, Shahi N, et al. Impact of reduction in working hours for doctors in training on postgraduate medical…

Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. | PSNet

psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective

June 21, 2016 - Study Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Citation Text: Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…

Repeat medication errors in nursing homes: contributing factors and their association with patient harm. | PSNet

psnet.ahrq.gov/issue/repeat-medication-errors-nursing-homes-contributing-factors-and-their-association-patient

August 07, 2013 - Study Repeat medication errors in nursing homes: contributing factors and their association with patient harm. Citation Text: Crespin DJ, Modi A, Wei D, et al. Repeat medication errors in nursing homes: Contributing factors and their association with patient harm. Am J Geriatr Pharmaco…

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