-
psnet.ahrq.gov/node/45405/psn-pdf
November 18, 2016 - Relationship between operating room teamwork,
contextual factors, and safety checklist performance.
November 18, 2016
Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors,
and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2.
doi:10.1016/j.jamcollsu…
-
psnet.ahrq.gov/node/38536/psn-pdf
February 03, 2011 - Association between hospital-reported Leapfrog Safe
Practices scores and inpatient mortality.
February 3, 2011
Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13).
doi:10.1001/jama.2009.423.
https://psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-an…
-
psnet.ahrq.gov/node/42103/psn-pdf
January 07, 2015 - Indication-based prescribing prevents wrong-patient
medication errors in computerized provider order entry
(CPOE).
January 7, 2015
Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors
in computerized provider order entry (CPOE). J Am Med Inform Assoc. 2013;20(3…
-
psnet.ahrq.gov/node/39528/psn-pdf
May 19, 2010 - Multidisciplinary team training in a simulation setting for
acute obstetric emergencies: a systematic review.
May 19, 2010
Merién AER, van de Ven J, Mol BW, et al. Multidisciplinary Team Training in a Simulation Setting for Acute
Obstetric Emergencies. Obstetrics & Gynecology. 2010;115(5). doi:10.1097/aog.0b013e318…
-
psnet.ahrq.gov/node/40092/psn-pdf
December 22, 2010 - The value of adding a verbal report to written handoffs on
early readmission following prolonged respiratory failure.
December 22, 2010
Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early
readmission following prolonged respiratory failure. Chest. 2010;138(6):14…
-
psnet.ahrq.gov/node/45804/psn-pdf
August 03, 2017 - Meaningful use of health information technology and
declines in in-hospital adverse drug events.
August 3, 2017
Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and
declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;24(4):729-736.
doi:10.1093/jamia/…
-
psnet.ahrq.gov/node/46396/psn-pdf
August 15, 2018 - An ethnographic study of health information technology
use in three intensive care units.
August 15, 2018
Leslie M, Paradis E, Gropper MA, et al. An Ethnographic Study of Health Information Technology Use in
Three Intensive Care Units. Health Serv Res. 2017;52(4):1330-1348. doi:10.1111/1475-6773.12466.
https://psn…
-
psnet.ahrq.gov/node/46774/psn-pdf
April 12, 2019 - Association between handover of anesthesia care and
adverse postoperative outcomes among patients
undergoing major surgery.
April 12, 2019
Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse
Postoperative Outcomes Among Patients Undergoing Major Surgery. JAMA. 2018;319…
-
psnet.ahrq.gov/node/40534/psn-pdf
March 23, 2012 - Association between waiting times and short term
mortality and hospital admission after departure from
emergency department: population based cohort study
from Ontario, Canada.
March 23, 2012
Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality
and hospital admiss…
-
psnet.ahrq.gov/node/46645/psn-pdf
January 23, 2019 - Emergency department contribution to the prescription
opioid epidemic.
January 23, 2019
Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid
Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.annemergmed.2017.12.007.
https://psnet.ahrq.gov/issue/emergency-departm…
-
psnet.ahrq.gov/node/73121/psn-pdf
April 07, 2021 - The impact of introducing automated dispensing
cabinets, barcode medication administration, and closed-
loop electronic medication management systems on work
processes and safety of controlled medications in
hospitals: a systematic review.
April 7, 2021
Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr…
-
psnet.ahrq.gov/node/44168/psn-pdf
May 27, 2015 - The PRONE score: an algorithm for predicting doctors'
risks of formal patient complaints using routinely
collected administrative data.
May 27, 2015
Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal
patient complaints using routinely collected administrative …
-
psnet.ahrq.gov/node/43664/psn-pdf
September 01, 2016 - Insights into the problem of alarm fatigue with
physiologic monitor devices: a comprehensive
observational study of consecutive intensive care unit
patients.
September 1, 2016
Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of alarm fatigue with physiologic
monitor devices: a comprehensive ob…
-
psnet.ahrq.gov/node/46851/psn-pdf
January 23, 2019 - To care is human—collectively confronting the clinician-
burnout crisis.
January 23, 2019
Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis.
New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejmp1715127.
https://psnet.ahrq.gov/issue/care-human-collectively-confro…
-
psnet.ahrq.gov/node/45116/psn-pdf
February 15, 2017 - Postoperative adverse events inconsistently improved by
the World Health Organization surgical safety checklist: a
systematic literature review of 25 studies.
February 15, 2017
de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the
World Health Organization surgical s…
-
psnet.ahrq.gov/node/39231/psn-pdf
January 13, 2010 - The Checklist Manifesto: How to Get Things Right.
January 13, 2010
Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.
https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right
Harvard surgeon Atul Gawande has emerged as this generation's preeminent physician–author, through
his art…
-
psnet.ahrq.gov/node/37417/psn-pdf
March 28, 2012 - Medication use leading to emergency department visits
for adverse drug events in older adults.
March 28, 2012
Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for
adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765.
https://psnet.ahrq.gov/issue/med…
-
psnet.ahrq.gov/node/46098/psn-pdf
July 24, 2017 - Prospective evaluation of a multifaceted intervention to
improve outcomes in intensive care: the Promoting
Respect and Ongoing Safety through Patient Engagement
Communication and Technology study.
July 24, 2017
Dykes PC, Rozenblum R, Dalal A, et al. Prospective Evaluation of a Multifaceted Intervention to Improve
…
-
psnet.ahrq.gov/node/73252/psn-pdf
January 01, 2022 - Why test results are still getting "lost" to follow-up: a
qualitative study of implementation gaps.
May 12, 2021
Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative
study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…
-
psnet.ahrq.gov/node/37768/psn-pdf
April 27, 2010 - The wisdom and justice of not paying for "preventable
complications."
April 27, 2010
Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable
complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197.
https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…