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Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. | PSNet

psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13

September 06, 2023 - Study Classic Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. Citation Text: Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strat…

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. | PSNet

psnet.ahrq.gov/issue/critical-care-safety-study-incidence-and-nature-adverse-events-and-serious-medical-errors

July 15, 2020 - Study The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. Citation Text: Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical e…

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. | PSNet

psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta

February 03, 2021 - Review National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. Citation Text: Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…

Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet

psnet.ahrq.gov/issue/assessing-between-and-within-hospital-differences-patient-safety-between-medicaid-and

July 31, 2024 - Study Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. Citation Text: Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patien…

Medication errors in the outpatient setting: classification and root cause analysis. | PSNet

psnet.ahrq.gov/issue/medication-errors-outpatient-setting-classification-and-root-cause-analysis

December 16, 2020 - Study Medication errors in the outpatient setting: classification and root cause analysis. Citation Text: Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. Cop…

Transparent and open discussion of errors does not increase malpractice risk in trauma patients. | PSNet

psnet.ahrq.gov/issue/transparent-and-open-discussion-errors-does-not-increase-malpractice-risk-trauma-patients

October 19, 2022 - Study Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Citation Text: Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9;…

Clinicians' assessments of electronic medication safety alerts in ambulatory care. | PSNet

psnet.ahrq.gov/issue/clinicians-assessments-electronic-medication-safety-alerts-ambulatory-care

September 02, 2009 - Study Clinicians' assessments of electronic medication safety alerts in ambulatory care. Citation Text: Weingart SN, Simchowitz B, Shiman L, et al. Clinicians' assessments of electronic medication safety alerts in ambulatory care. Arch Intern Med. 2009;169(17):1627-1632. doi:10.1001/arch…

Processes for identifying and reviewing adverse events and near misses at an academic medical center. | PSNet

psnet.ahrq.gov/issue/processes-identifying-and-reviewing-adverse-events-and-near-misses-academic-medical-center

September 25, 2024 - Study Processes for identifying and reviewing adverse events and near misses at an academic medical center. Citation Text: Martinez W, Lehmann LS, Hu Y-Y, et al. Processes for Identifying and Reviewing Adverse Events and Near Misses at an Academic Medical Center. Jt Comm J Qual Patient S…

Impact of weekend effect on postoperative mortality in patients undergoing emergency General surgery procedures: meta-analysis of prospectively maintained national databases across the world. | PSNet

psnet.ahrq.gov/issue/impact-weekend-effect-postoperative-mortality-patients-undergoing-emergency-general-surgery

December 04, 2016 - Review Impact of weekend effect on postoperative mortality in patients undergoing emergency General surgery procedures: meta-analysis of prospectively maintained national databases across the world. Citation Text: Hajibandeh S, Hajibandeh S, Satyadas T. Impact of weekend effect on postop…

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. | PSNet

psnet.ahrq.gov/issue/preoperative-surgical-briefings-do-not-delay-operating-room-start-times-and-are-popular

March 02, 2022 - Study Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. Citation Text: Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team member…

Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. | PSNet

psnet.ahrq.gov/issue/exposure-media-information-about-disease-can-cause-doctors-misdiagnose-similar-looking

July 03, 2014 - Study Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases. Citation Text: Schmidt HG, Mamede S, Van den Berge K, et al. Exposure to media information about a disease can cause doctors to misdiagnose similar-looking clinical cases…

Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. | PSNet

psnet.ahrq.gov/issue/influencing-organisational-culture-improve-hospital-performance-care-patients-acute

February 21, 2018 - Study Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study. Citation Text: Curry LA, Brault MA, Linnander EL, et al. Influencing organisational culture to improve hospital performance i…

Graded autonomy in medical education—managing things that go bump in the night. | PSNet

psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night

July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…

Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet

psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types

April 14, 2011 - Study Unit-based incident reporting and root cause analysis: variation at three hospital unit types. Citation Text: Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/…

Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. | PSNet

psnet.ahrq.gov/issue/defining-impact-rapid-response-team-qualitative-study-nurses-physicians-and-hospital

September 26, 2012 - Study Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. Citation Text: Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.…

An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. | PSNet

psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety

June 08, 2010 - Study An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations. Citation Text: Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare managers to assess patient enga…

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. | PSNet

psnet.ahrq.gov/issue/evaluation-consistency-dosing-directions-and-measuring-devices-pediatric-nonprescription

May 31, 2017 - Study Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications. Citation Text: Yin S, Wolf MS, Dreyer BP, et al. Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medicati…

Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. | PSNet

psnet.ahrq.gov/issue/multicentre-study-develop-medication-safety-package-decreasing-inpatient-harm-omission-time

May 18, 2022 - Study Multicentre study to develop a medication safety package for decreasing inpatient harm from omission of time-critical medications. Citation Text: Graudins LV, Ingram C, Smith BT, et al. Multicentre study to develop a medication safety package for decreasing inpatient harm from omis…

Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. | PSNet

psnet.ahrq.gov/issue/are-adverse-events-related-completeness-clinical-records-results-retrospective-records-review

July 01, 2009 - Study Are adverse events related to the completeness of clinical records? Results from a retrospective records review using the Global Trigger Tool. Citation Text: Scarpis E, Cautero P, Tullio A, et al. Are adverse events related to the completeness of clinical records? Results from a re…

Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. | PSNet

psnet.ahrq.gov/issue/implementation-barcode-medication-administration-bmca-technology-infusion-pumps-operating

April 12, 2019 - Study Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. Citation Text: Hogerwaard M, Stolk M, Dijk L van, et al. Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. B…

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