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How event reporting by US hospitals has changed from 2005 to 2009. | PSNet

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April 21, 2010 - Study How event reporting by US hospitals has changed from 2005 to 2009. Citation Text: Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. Copy Citation Format: D…

Measuring patient safety climate: a review of surveys. | PSNet

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June 14, 2011 - Review Classic Measuring patient safety climate: a review of surveys. Citation Text: Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. Copy Citation Format: Goog…

Unintended medication discrepancies at the time of hospital admission. | PSNet

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March 18, 2015 - Study Classic Unintended medication discrepancies at the time of hospital admission. Citation Text: Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. Copy Cit…

Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. | PSNet

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March 17, 2021 - Study Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. Citation Text: Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. …

Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. | PSNet

psnet.ahrq.gov/issue/medication-safety-events-after-acute-myocardial-infarction-among-veterans-treated-va-versus

April 07, 2022 - Study Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals. Citation Text: Weeda ER, Ward R, Gebregziabher M, et al. Medication safety events after acute myocardial infarction among veterans treated at VA versus non-VA hospitals.…

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses. | PSNet

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October 15, 2014 - Study Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses. Citation Text: Morris DS, Schweickert W, Holena DN, et al. Differences in outcomes between ICU attending and senior resident physician led medical emergency team resp…

Pain states, the opioid epidemic, and the role of radiologists. | PSNet

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September 01, 2013 - Review Pain states, the opioid epidemic, and the role of radiologists. Citation Text: Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists. Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x. Copy Citation Format:…

Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. | PSNet

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September 25, 2024 - Study Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. Citation Text: Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…

Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. | PSNet

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January 15, 2025 - Study Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. Citation Text: Dinis-Teixeira JP, Nunes AB, Leite A, et al. Moving towards a core measures set for patient safety in perioperative care: an e-Delphi consensus study. PLoS ONE. …

The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?. | PSNet

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August 20, 2018 - Commentary The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations?. Citation Text: Abel GA, Agniel D, Elliott MN. The good, the bad and the ugly: what do we really do when we identify the best and the worst organisations? BMJ Qual Saf. …

Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment

August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. | PSNet

psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety

October 02, 2019 - Commentary Emerging Classic Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. Citation Text: Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event

May 19, 2021 - Study Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest eve…

Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. | PSNet

psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-involvement-patient

February 17, 2021 - Review Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research. Citation Text: Hammoud S, Alsabek L, Rogers L, et al. Systematic review on the frequency and quality of reporting patient and public involvement in patient safety…

Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. | PSNet

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September 18, 2024 - Review Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. Citation Text: Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international resea…

National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. | PSNet

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December 15, 2021 - Organizational Policy/Guidelines National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. Citation Text: Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…

Body mass index category and adverse events in hospitalized children. | PSNet

psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children

August 03, 2022 - Study Body mass index category and adverse events in hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. Copy Citation …

Battling alarm fatigue in the pediatric intensive care unit. | PSNet

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July 22, 2020 - Commentary Battling alarm fatigue in the pediatric intensive care unit. Citation Text: Herrera H, Wood D. Battling alarm fatigue in the pediatric intensive care unit. Crit Care Nurs Clin North Am. 2023;35(3):347-355. doi:10.1016/j.cnc.2023.05.003. Copy Citation Format: DOI …

The impact of health information management professionals on patient safety: a systematic review. | PSNet

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August 25, 2021 - Review The impact of health information management professionals on patient safety: a systematic review. Citation Text: Kemp T, Butler‐Henderson K, Allen P, et al. The impact of health information management professionals on patient safety: a systematic review. Health Info Libr J. 2021;3…

Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. | PSNet

psnet.ahrq.gov/issue/strategies-improving-value-radiology-report-retrospective-analysis-errors-formally-over-read

November 10, 2021 - Study Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. Citation Text: Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read…

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