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Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet

psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection

January 22, 2014 - Review Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. Citation Text: Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-ass…

A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-multifaceted-improvement-initiative-eliminate-mislabelled-laboratory

December 24, 2008 - Study A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laboratory specimens at a large tertiary care hospital. Citation Text: Seferian EG, Jamal S, Clark K, et al. A multidisciplinary, multifaceted improvement initiative to eliminate mislabelled laborator…

Risks of complications by attending physicians after performing nighttime procedures. | PSNet

psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures

February 14, 2018 - Study Classic Risks of complications by attending physicians after performing nighttime procedures. Citation Text: Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/ja…

Errors in administration of parenteral drugs in intensive care units: multinational prospective study. | PSNet

psnet.ahrq.gov/issue/errors-administration-parenteral-drugs-intensive-care-units-multinational-prospective-study

September 30, 2010 - Study Errors in administration of parenteral drugs in intensive care units: multinational prospective study. Citation Text: Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814.…

Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet

psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety

May 02, 2012 - Study Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Citation Text: Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08…

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. | PSNet

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September 23, 2020 - Commentary Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. Citation Text: Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…

Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. | PSNet

psnet.ahrq.gov/issue/post-implementation-optimization-medication-alerts-hospital-computerized-provider-order-entry

December 31, 2014 - Review Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. Citation Text: Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry s…

Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. | PSNet

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April 05, 2023 - Study Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. Citation Text: Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and valid…

Extended work duration and the risk of self-reported percutaneous injuries in interns. | PSNet

psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns

January 07, 2011 - Study Extended work duration and the risk of self-reported percutaneous injuries in interns. Citation Text: Ayas N, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA. 2006;296(9):1055-62. Copy Citation Format: …

Building physician work hour regulations from first principles and best evidence. | PSNet

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April 24, 2018 - Commentary Building physician work hour regulations from first principles and best evidence. Citation Text: Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. Copy Citation…

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. | PSNet

psnet.ahrq.gov/issue/using-healthcare-failure-mode-and-effect-analysis-reduce-medication-errors-process-drug

August 23, 2017 - Study Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. Citation Text: Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mo…

Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). | PSNet

psnet.ahrq.gov/issue/standardising-classification-harm-associated-medication-errors-harm-associated-medication

August 28, 2024 - Commentary Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). Citation Text: Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…

Association of safety culture with surgical site infection outcomes. | PSNet

psnet.ahrq.gov/issue/association-safety-culture-surgical-site-infection-outcomes

October 23, 2024 - Study Classic Association of safety culture with surgical site infection outcomes. Citation Text: Fan CJ, Pawlik TM, Daniels T, et al. Association of safety culture with surgical site infection outcomes. J Am Coll Surg. 2016;222(2):122-128. doi:10.1016/j.jamcoll…

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. | PSNet

psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined

August 10, 2022 - Study Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Citation Text: Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined wit…

The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. | PSNet

psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen

December 03, 2014 - Study The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. Citation Text: Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical …

"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing

April 23, 2014 - Study "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. Citation Text: Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…

Huddling for high reliability and situation awareness. | PSNet

psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness

January 29, 2014 - Study Huddling for high reliability and situation awareness. Citation Text: Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. Copy Citation Format: DOI Google …

Identifying high-risk medication: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review

June 27, 2011 - Review Identifying high-risk medication: a systematic literature review. Citation Text: Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. Copy Citation Fo…

Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center

February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

Medical large language models are vulnerable to data-poisoning attacks. | PSNet

psnet.ahrq.gov/issue/medical-large-language-models-are-vulnerable-data-poisoning-attacks

November 16, 2022 - Study Medical large language models are vulnerable to data-poisoning attacks. Citation Text: Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1. Copy Citation Format…

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