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Adverse events in patients with return emergency department visits. | PSNet

psnet.ahrq.gov/issue/adverse-events-patients-return-emergency-department-visits

May 31, 2017 - Study Adverse events in patients with return emergency department visits. Citation Text: Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194. Copy Citation Format: …

Adverse events associated with home blood transfusion: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/adverse-events-associated-home-blood-transfusion-retrospective-cohort-study

October 20, 2021 - Study Adverse events associated with home blood transfusion: a retrospective cohort study. Citation Text: Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.…

Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors. | PSNet

psnet.ahrq.gov/issue/impact-sample-size-variation-adverse-events-and-preventable-adverse-events-systematic-review

May 15, 2024 - Review Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors. Citation Text: Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse eve…

Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. | PSNet

psnet.ahrq.gov/issue/development-and-validation-surgical-patient-safety-system-surpass-checklist

March 23, 2011 - Study Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Citation Text: de Vries EN, Hollmann MW, Smorenburg SM, et al. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. Qual Saf Health Care. 2009;18(2):121-6. doi:1…

Case not closed: prescription errors 12 years after computerized physician order entry implementation. | PSNet

psnet.ahrq.gov/issue/case-not-closed-prescription-errors-12-years-after-computerized-physician-order-entry

April 08, 2011 - Study Case not closed: prescription errors 12 years after computerized physician order entry implementation. Citation Text: Kadmon G, Pinchover M, Weissbach A, et al. Case Not Closed: Prescription Errors 12 Years after Computerized Physician Order Entry Implementation. J Pediatr. 2017;19…

Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. | PSNet

psnet.ahrq.gov/issue/assessing-excess-costs-hospital-adverse-events-covered-ahrqs-patient-safety-indicators

January 10, 2024 - Study Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. Citation Text: Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ’s Patient Safety Indicato…

The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. | PSNet

psnet.ahrq.gov/issue/accuracy-global-trigger-tool-higher-identification-adverse-events-greater-harm-diagnostic

November 17, 2021 - Study The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. Citation Text: Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of gre…

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. | PSNet

psnet.ahrq.gov/issue/decreasing-mislabeled-laboratory-specimens-using-barcode-technology-and-bedside-printers

October 05, 2022 - Study Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. Citation Text: Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b0…

Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. | PSNet

psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety

December 29, 2014 - Study Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Citation Text: Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;…

Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. | PSNet

psnet.ahrq.gov/issue/difficult-diagnosis-icu-making-right-call-beware-uncertainty-and-bias

May 19, 2021 - Review Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Citation Text: Pisciotta W, Arina P, Hofmaenner D, et al. Difficult diagnosis in the ICU: making the right call but beware uncertainty and bias. Anaesthesia. 2023;78(4):501-509. doi:10.1111/anae…

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. | PSNet

psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural

April 24, 2018 - Study Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. Citation Text: Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through sim…

Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? | PSNet

psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience

February 06, 2014 - Study Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. | PSNet

psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive

November 21, 2016 - Study Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. Citation Text: Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units: relationship to siz…

The epidemiology of malpractice claims in primary care: a systematic review. | PSNet

psnet.ahrq.gov/issue/epidemiology-malpractice-claims-primary-care-systematic-review

June 13, 2011 - Review The epidemiology of malpractice claims in primary care: a systematic review. Citation Text: Wallace E, Lowry J, Smith SM, et al. The epidemiology of malpractice claims in primary care: a systematic review. BMJ Open. 2013;3(7). doi:10.1136/bmjopen-2013-002929. Copy Citation …

Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study. | PSNet

psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-intensive-care-units-prospective

March 29, 2012 - Study Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter study. Citation Text: Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in intensive care units: a prospective multicenter s…

Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. | PSNet

psnet.ahrq.gov/issue/excess-length-stay-charges-and-mortality-attributable-medical-injuries-during-hospitalization

February 27, 2009 - Study Classic Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. Citation Text: Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. …

Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. | PSNet

psnet.ahrq.gov/issue/inappropriate-preinjury-warfarin-use-trauma-patients-call-safety-initiative

August 04, 2021 - Study Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative. Citation Text: Hon HH, Elmously A, Stehly CD, et al. Inappropriate preinjury warfarin use in trauma patients: A call for a safety initiative. J Postgrad Med. 2016;62(2):73-9. doi:10.4103/0022-3…

An organization-specific and modifiable inpatient safety composite measure. | PSNet

psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure

June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…

Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet

psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline

June 16, 2011 - Study Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Citation Text: Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. | PSNet

psnet.ahrq.gov/issue/enhancing-patient-safety-pediatric-emergency-department-teams-communication-and-lessons-crew

April 26, 2023 - Commentary Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Citation Text: Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …

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