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Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. | PSNet

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June 16, 2021 - Study Emerging Classic Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. Citation Text: Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of …

Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet

psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data

March 15, 2017 - Study Missed diagnosis of cancer in primary care: insights from malpractice claims data. Citation Text: Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.…

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? | PSNet

psnet.ahrq.gov/issue/it-time-mental-health-field-consider-unplanned-discharge-key-metric-patient-safety

June 01, 2022 - Study Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? Citation Text: Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 202…

Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. | PSNet

psnet.ahrq.gov/issue/implementing-robust-process-improvement-program-neonatal-intensive-care-unit-reduce-harm

March 23, 2022 - Study Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. Citation Text: Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1)…

Weight and size descriptors for drug dosing: too many options and too many errors. | PSNet

psnet.ahrq.gov/issue/weight-and-size-descriptors-drug-dosing-too-many-options-and-too-many-errors

April 06, 2022 - Commentary Weight and size descriptors for drug dosing: too many options and too many errors. Citation Text: Erstad BL, Romero AV, Barletta JF. Weight and size descriptors for drug dosing: Too many options and too many errors. Am J Health Syst Pharm. 2023;80(2):87-91. doi:10.1093/ajhp/zx…

Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet

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November 10, 2021 - Study Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. Citation Text: Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient safety incidents: a descriptive…

The July Effect in podiatric medicine and surgery residency. | PSNet

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July 14, 2021 - Study The July Effect in podiatric medicine and surgery residency. Citation Text: Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020. Copy Citation Format: …

Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety. | PSNet

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March 13, 2015 - Study Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety. Citation Text: Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to …

Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet

psnet.ahrq.gov/issue/effect-systematic-physician-cross-checking-reducing-adverse-events-emergency-department

November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …

Medical errors during training: how do residents cope?: a descriptive study. | PSNet

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October 13, 2021 - Study Medical errors during training: how do residents cope?: a descriptive study. Citation Text: Fatima S, Soria S, Esteban- Cruciani N. Medical errors during training: how do residents cope?: a descriptive study. BMC Med Educ. 2021;21(1):408. doi:10.1186/s12909-021-02850-1. Copy Cit…

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). | PSNet

psnet.ahrq.gov/issue/evaluation-second-victim-peer-support-program-perceptions-second-victim-experiences-and

December 23, 2020 - Study Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST). Citation Text: Finney RE, Czinski S, Fjerstad K, et al. Evaluation …

Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. | PSNet

psnet.ahrq.gov/issue/patients-admitted-weekends-have-higher-hospital-mortality-those-admitted-weekdays-analysis

January 26, 2022 - Study Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. Citation Text: Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekd…

Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. | PSNet

psnet.ahrq.gov/issue/who-do-hospital-physicians-and-nurses-go-advice-about-medications-social-network-analysis-and

May 22, 2013 - Study Who do hospital physicians and nurses go to for advice about medications? A social network analysis and examination of prescribing error rates. Citation Text: Creswick N, Westbrook JI. Who Do Hospital Physicians and Nurses Go to for Advice About Medications? A Social Network Analys…

Out-of-hospital pediatric patient safety events: results of the CSI chart review. | PSNet

psnet.ahrq.gov/issue/out-hospital-pediatric-patient-safety-events-results-csi-chart-review

November 23, 2016 - Study Out-of-hospital pediatric patient safety events: results of the CSI chart review. Citation Text: Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.201…

Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency rooms: a prospective observational study. | PSNet

psnet.ahrq.gov/issue/victims-severe-intimate-partner-violence-are-left-without-advocacy-intervention-primary-care

October 21, 2020 - Study Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency rooms: a prospective observational study. Citation Text: Hackenberg EAM, Sallinen V, Handolin L, et al. Victims of severe intimate partner violence are left without advocacy…

Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). | PSNet

psnet.ahrq.gov/issue/decisions-and-repercussions-second-victim-experiences-mothers-medicine-save-dr-mom

May 18, 2022 - Study Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). Citation Text: Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573.…

Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. | PSNet

psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency

October 19, 2022 - Study Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. Citation Text: Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …

Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. | PSNet

psnet.ahrq.gov/issue/patient-safety-events-out-hospital-paediatric-airway-management-medical-record-review-csi-ems

June 25, 2018 - Study Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. Citation Text: Hansen M, Meckler G, Lambert W, et al. Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS. BMJ Op…

The value of autopsies in the era of high-tech medicine: discrepant findings persist. | PSNet

psnet.ahrq.gov/issue/value-autopsies-era-high-tech-medicine-discrepant-findings-persist

October 18, 2023 - Study The value of autopsies in the era of high-tech medicine: discrepant findings persist. Citation Text: Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136…

Implementing computerized provider order entry with an existing clinical information system. | PSNet

psnet.ahrq.gov/issue/implementing-computerized-provider-order-entry-existing-clinical-information-system

October 19, 2022 - Study Implementing computerized provider order entry with an existing clinical information system. Citation Text: Barron WM, Reed L, Forsythe S, et al. Implementing computerized provider order entry with an existing clinical information system. Jt Comm J Qual Patient Saf. 2006;32(9):506-…

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