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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…

The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. | PSNet

psnet.ahrq.gov/issue/accreditation-council-graduate-medical-educations-limits-residents-work-hours-and-patient

July 10, 2008 - Study Classic The Accreditation Council for Graduate Medical Education's limits on residents' work hours and patient safety. Citation Text: Jagsi R, Weinstein DF, Shapiro J, et al. The Accreditation Council for Graduate Medical Education's limits on residents'…

Residents' response to duty-hour regulations—a follow-up national survey. | PSNet

psnet.ahrq.gov/issue/residents-response-duty-hour-regulations-follow-national-survey

December 02, 2014 - Study Classic Residents' response to duty-hour regulations—a follow-up national survey. Citation Text: Drolet BC, Christopher DA, Fischer SA. Residents' response to duty-hour regulations--a follow-up national survey. N Engl J Med. 2012;366(24):e35. doi:10.1056…

Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection. | PSNet

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November 11, 2015 - Study Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection. Citation Text: Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations t…

Out-of-hospital medication errors among young children in the United States, 2002–2012. | PSNet

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June 14, 2017 - Study Out-of-hospital medication errors among young children in the United States, 2002–2012. Citation Text: Smith MD, Spiller HA, Casavant MJ, et al. Out-of-hospital medication errors among young children in the United States, 2002-2012. Pediatrics. 2014;134(5):867-76. doi:10.1542/peds.…

Developing and evaluating an automated all-cause harm trigger system. | PSNet

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July 31, 2013 - Study Developing and evaluating an automated all-cause harm trigger system. Citation Text: Sammer C, Miller S, Jones C, et al. Developing and Evaluating an Automated All-Cause Harm Trigger System. Jt Comm J Qual Patient Saf. 2017;43(4):155-165. doi:10.1016/j.jcjq.2017.01.004. Copy Cita…

Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet

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September 29, 2021 - Commentary Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. Citation Text: Gavin N, Romney M-LS, Lema PC, et al. Organisational crisis resource management: leading an academic department of emergency medicine t…

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. | PSNet

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December 29, 2014 - Study Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Citation Text: López L, Weissman JS, Schneider EC, et al. Disclosure of hospital adverse events and its association with patients' ratings of the quality of care. Arch Intern Me…

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. | PSNet

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July 08, 2008 - Study Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. Citation Text: Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and…

Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. | PSNet

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December 04, 2015 - Study Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. Citation Text: Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…

Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. | PSNet

psnet.ahrq.gov/issue/registration-errors-among-patients-receiving-blood-transfusions-national-analysis-2008-2017

March 18, 2020 - Study Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Citation Text: Vijenthira S, Armali C, Downie H, et al. Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017. Vox Sang. 2021;116…

Morning handover of on-call issues: opportunities for improvement. | PSNet

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September 26, 2012 - Study Morning handover of on-call issues: opportunities for improvement. Citation Text: Devlin MK, Kozij NK, Kiss A, et al. Morning handover of on-call issues: opportunities for improvement. JAMA Intern Med. 2014;174(9):1479-85. doi:10.1001/jamainternmed.2014.3033. Copy Citation Fo…

Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. | PSNet

psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis

October 30, 2010 - Study Classic Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. Citation Text: Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post An…

Unscheduled returns to the emergency department: an outcome of medical errors? | PSNet

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November 12, 2014 - Study Unscheduled returns to the emergency department: an outcome of medical errors? Citation Text: Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. Copy Citation Format: …

Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. | PSNet

psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported

December 09, 2020 - Study Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. Citation Text: Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by …

The impact of perioperative catastrophes on anesthesiologists: results of a national survey. | PSNet

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August 27, 2009 - Study The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Citation Text: Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…

A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet

psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents

February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. | PSNet

psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine

October 31, 2011 - Study The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals. Citation Text: Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communi…

Office surgery incidents: what seven years of Florida data show us. | PSNet

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August 19, 2009 - Study Office surgery incidents: what seven years of Florida data show us. Citation Text: Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x. Copy C…

Implementation and impact of a rapid response team in a children's hospital. | PSNet

psnet.ahrq.gov/issue/implementation-and-impact-rapid-response-team-childrens-hospital

April 24, 2018 - Study Implementation and impact of a rapid response team in a children's hospital. Citation Text: Zenker P, Schlesinger A, Hauck M, et al. Implementation and impact of a rapid response team in a children's hospital. Jt Comm J Qual Patient Saf. 2007;33(7):418-425. Copy Citation Fo…

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