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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…

Prognosis of undiagnosed chest pain: linked electronic health record cohort study. | PSNet

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March 19, 2018 - Study Prognosis of undiagnosed chest pain: linked electronic health record cohort study. Citation Text: Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. Copy Citation …

Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. | PSNet

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July 12, 2010 - Study Classic Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration on surgical teams but not with scale measures of teamwork climate, safety climate, or working conditions. Citation Text: Davenport DL…

Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. | PSNet

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January 25, 2023 - Study Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic. Citation Text: Zińczuk A, Rorat M, Simon K, et al. Unpacking the complexity of COVID-19 fatalities: adverse event…

How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. | PSNet

psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents

May 06, 2015 - Study How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. Citation Text: Polisena J, Gagliardi AR, Clifford T. How can we improve the recognition, reporting and resolution …

Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. | PSNet

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September 07, 2016 - Study Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. Citation Text: Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…

Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. | PSNet

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November 07, 2018 - Commentary Implementing a safer and more reliable system to monitor test results at a teaching university-affiliated facility in a family medicine group: a quality improvement process report. Citation Text: Dorimain M-V, Plouffe-Malette M, Paquette M, et al. Implementing a safer and more…

Potential harm caused by physicians' a-priori beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome--a simulation approach. | PSNet

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November 21, 2021 - Study Potential harm caused by physicians' a-priori beliefs in the clinical effectiveness of hydroxychloroquine and its impact on clinical and economic outcome--a simulation approach. Citation Text: Ebm C, Carfagna F, Edwards S, et al. Potential harm caused by physicians' a-priori belief…

Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. | PSNet

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October 19, 2022 - Study Patient safety incidents associated with obesity: a review of reports to the National Patient Safety Agency and recommendations for hospital practice. Citation Text: Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of reports to …

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

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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…

Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. | PSNet

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February 10, 2012 - Organizational Policy/Guidelines Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. Citation Text: Nak…

Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. | PSNet

psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study

May 01, 2024 - Study Emerging Classic Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. Citation Text: Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC…

Development of a multicomponent intervention to decrease racial bias among healthcare staff. | PSNet

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September 23, 2020 - Study Development of a multicomponent intervention to decrease racial bias among healthcare staff. Citation Text: Tajeu GS, Juarez L, Williams JH, et al. Development of a multicomponent intervention to decrease racial bias among healthcare staff. J Gen Intern Med. 2022;37(8):1970-1979. d…

A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. | PSNet

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February 12, 2020 - Study A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. Citation Text: Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Car…

Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. | PSNet

psnet.ahrq.gov/issue/why-psychiatry-different-challenges-and-difficulties-managing-nosocomial-outbreak-coronavirus

February 14, 2024 - Study Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. Citation Text: Rovers JJE, van de Linde LS, Kenters N, et al. Why psychiatry is different - challenges and difficulties in managing a nosoc…

Disclosing medical errors to patients: it's not what you say, it's what they hear. | PSNet

psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear

October 26, 2010 - Study Classic Disclosing medical errors to patients: it's not what you say, it's what they hear. Citation Text: Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…

Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. | PSNet

psnet.ahrq.gov/issue/hospital-implementation-computerized-provider-order-entry-systems-results-2003-leapfrog-group

November 21, 2021 - Study Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey. Citation Text: Hillman JM, Given RS. Hospital implementation of computerized provider order entry systems: results from the 2003 leapfrog group qu…

A contemporary medicolegal analysis of outpatient medication management in chronic pain. | PSNet

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September 28, 2017 - Study A contemporary medicolegal analysis of outpatient medication management in chronic pain. Citation Text: Abrecht CR, Brovman EY, Greenberg P, et al. A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain. Anesth Analg. 2017;125(5):1761-1768. doi:10.1…

Clinical information technologies and inpatient outcomes: a multiple hospital study. | PSNet

psnet.ahrq.gov/issue/clinical-information-technologies-and-inpatient-outcomes-multiple-hospital-study

October 14, 2009 - Study Clinical information technologies and inpatient outcomes: a multiple hospital study. Citation Text: Amarasingham R, Plantinga L, Diener-West M, et al. Clinical information technologies and inpatient outcomes: a multiple hospital study. Arch Intern Med. 2009;169(2):108-14. doi:10.10…

Discontinuity of chronic medications in patients discharged from the intensive care unit. | PSNet

psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit

November 03, 2015 - Study Discontinuity of chronic medications in patients discharged from the intensive care unit. Citation Text: Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. Copy Cita…

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