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Adverse events detected by clinical surveillance on an obstetric service. | PSNet

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September 11, 2009 - Study Adverse events detected by clinical surveillance on an obstetric service. Citation Text: Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108(5):1073-83. Copy Citation Format: Google…

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. | PSNet

psnet.ahrq.gov/issue/theory-driven-longitudinal-evaluation-impact-team-training-safety-culture-24-hospitals

October 16, 2019 - Study A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. Citation Text: Jones KJ, Skinner AM, High R, et al. A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals. BMJ Qual Saf. 20…

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. | PSNet

psnet.ahrq.gov/issue/sleep-deprivation-and-starvation-hospitalised-patients-how-medical-care-can-harm-patients

September 27, 2017 - Commentary Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. Citation Text: Xu T, Wick EC, Makary MA. Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients. BMJ Qual Saf. 2016;25(5):311-314. doi:10.1136/…

Errors, incidents and accidents in anaesthetic practice. | PSNet

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April 06, 2011 - Commentary Classic Errors, incidents and accidents in anaesthetic practice. Citation Text: Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care. 1993;21(5…

The computerized ECG: friend and foe. | PSNet

psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe

December 04, 2024 - Review Emerging Classic The computerized ECG: friend and foe. Citation Text: Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. | PSNet

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August 10, 2011 - Study Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. Citation Text: Anderson JE, Kodate N, Walters R, et al. Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporti…

The safe day call: reducing silos in health care through frontline risk assessment. | PSNet

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May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…

Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. | PSNet

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November 16, 2022 - Study Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Citation Text: Condren M, Honey BL, Carter SM, et al. Influence of a systems-based approach to prescribing errors in a pediatric resident clinic. Acad Pediatr. 2014;14(5):485-90. doi:10.1016…

Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. | PSNet

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September 12, 2016 - Study Raising the alarm: a cross-sectional study exploring the factors affecting patients' willingness to escalate care on surgical wards. Citation Text: Johnston MJ, Davis R, Arora S, et al. Raising the Alarm: A Cross-Sectional Study Exploring the Factors Affecting Patients' Willingness…

The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. | PSNet

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November 16, 2022 - Review Emerging Classic The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. Citation Text: Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and m…

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. | PSNet

psnet.ahrq.gov/issue/resident-duty-hour-regulation-and-patient-safety-establishing-balance-between-concerns-about

May 20, 2009 - Commentary Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. Citation Text: Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance betwee…

Impact of an antiretroviral stewardship strategy on medication error rates. | PSNet

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August 04, 2021 - Study Impact of an antiretroviral stewardship strategy on medication error rates. Citation Text: Shea KM, Hobbs AL, Shumake JD, et al. Impact of an antiretroviral stewardship strategy on medication error rates. Am J Health Syst Pharm. 2018;75(12):876-885. doi:10.2146/ajhp170420. Copy C…

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center. | PSNet

psnet.ahrq.gov/issue/impact-pharmacist-medication-reconciliation-patient-admission-veterans-affairs-medical-center

July 22, 2020 - Study Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center. Citation Text: Strunk LB, Matson AW, Steinke DT. Impact of a Pharmacist on Medication Reconciliation on Patient Admission to a Veterans Affairs Medical Center. Hosp Pharm.…

Determination of health-care teamwork training competencies: a Delphi study. | PSNet

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May 15, 2024 - Study Determination of health-care teamwork training competencies: a Delphi study. Citation Text: Clay-Williams R, Braithwaite J. Determination of health-care teamwork training competencies: a Delphi study. Int J Qual Health Care. 2009;21(6):433-40. doi:10.1093/intqhc/mzp042. Copy Ci…

A Department of Medicine infrastructure for patient safety and clinical quality improvement. | PSNet

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July 01, 2017 - Review A Department of Medicine infrastructure for patient safety and clinical quality improvement. Citation Text: Mathews SC, Pronovost P, Biddison LD, et al. A Department of Medicine Infrastructure for Patient Safety and Clinical Quality Improvement. Am J Med Qual. 2018;33(4):413-419. …

Clinical progress note: situation awareness for clinical deterioration in hospitalized children. | PSNet

psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children

January 19, 2022 - Commentary Clinical progress note: situation awareness for clinical deterioration in hospitalized children. Citation Text: Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic

May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. | PSNet

psnet.ahrq.gov/issue/observational-study-frequency-severity-and-etiology-failures-postoperative-care-after-major

August 11, 2010 - Study An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery. Citation Text: Symons NRA, Almoudaris AM, Nagpal K, et al. An observational study of the frequency, severity, and etiology of failures in postop…

Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. | PSNet

psnet.ahrq.gov/issue/barriers-reporting-medication-administration-errors-and-near-misses-interview-study-nurses

September 27, 2017 - Study Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. Citation Text: Haw C, Stubbs J, Dickens GL. Barriers to the reporting of medication administration errors and near misses: an interview study of nu…

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. | PSNet

psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit

March 24, 2011 - Study A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Citation Text: Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:1…

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