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Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet

psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting

January 19, 2016 - Review Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. Citation Text: Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a…

Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. | PSNet

psnet.ahrq.gov/issue/detecting-medication-order-discrepancies-nursing-homes-how-rns-and-lpns-differ

August 15, 2013 - Study Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. Citation Text: Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30…

The disclosure dilemma—large-scale adverse events. | PSNet

psnet.ahrq.gov/issue/disclosure-dilemma-large-scale-adverse-events

January 22, 2017 - Commentary The disclosure dilemma—large-scale adverse events. Citation Text: Dudzinski DM, Hébert PC, Foglia MB, et al. The disclosure dilemma--large-scale adverse events. New Engl J Med. 2010;363(10):978-986. doi:10.1056/NEJMhle1003134. Copy Citation Format: DOI Google S…

Adverse events in patients transitioning from the emergency department to the inpatient setting. | PSNet

psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting

September 07, 2022 - Study Adverse events in patients transitioning from the emergency department to the inpatient setting. Citation Text: Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…

Improving medication error reporting in hospice care. | PSNet

psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care

June 22, 2022 - Study Improving medication error reporting in hospice care. Citation Text: Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145. Copy Citation Format: DOI Go…

Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. | PSNet

psnet.ahrq.gov/issue/prospective-validation-classification-intraoperative-adverse-events-classintra-international

November 20, 2015 - Study Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. Citation Text: Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): internat…

Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. | PSNet

psnet.ahrq.gov/issue/graduate-medical-education-and-patient-safety-busy-and-occasionally-hazardous-intersection

March 02, 2011 - Commentary Classic Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection. Citation Text: Shojania KG, Fletcher KE, Saint S. Graduate medical education and patient safety: a busy--and occasionally hazardous--intersectio…

Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. | PSNet

psnet.ahrq.gov/issue/referrals-infection-control-breaches-public-health-authorities-ambulatory-care-settings

December 09, 2020 - Study Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. Citation Text: Braun B, Chitavi SO, Perkins KM, et al. Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. J…

Controversies in diagnosis: contemporary debates in the diagnostic safety literature. | PSNet

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December 21, 2018 - Review Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Citation Text: Bergl PA, Wijesekera TP, Nassery N, et al. Controversies in diagnosis: contemporary debates in the diagnostic safety literature. Diagnosis (Berl). 2020;7(1):3-9. doi:10.1515/dx-201…

Long-term care nurses' experiences with patient safety incident management: a qualitative study. | PSNet

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March 24, 2021 - Study Long-term care nurses' experiences with patient safety incident management: a qualitative study. Citation Text: Serre N, Espin S, Indar A, et al. Long-term care nurses' experiences with patient safety incident management: a qualitative study. J Nurs Care Qual. 2022;37(2):188-194. d…

An observational study of how patients are identified before medication administrations in medical and surgical wards. | PSNet

psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and

June 24, 2020 - Study An observational study of how patients are identified before medication administrations in medical and surgical wards. Citation Text: Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surg…

An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. | PSNet

psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent

March 25, 2021 - Study An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. Citation Text: Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…

The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. | PSNet

psnet.ahrq.gov/issue/occurrence-adverse-events-potentially-attributable-nursing-care-medical-units-cross-sectional

December 29, 2014 - Study The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review. Citation Text: D'Amour D, Dubois C-A, Tchouaket E, et al. The occurrence of adverse events potentially attributable to nursing care in medical units: cross sec…

Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. | PSNet

psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-care

February 15, 2023 - Commentary Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. Citation Text: Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. J Intern Med. 2022;291(4):397-407…

Adverse events in women giving birth in a labor ward: a retrospective record review study. | PSNet

psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study

April 14, 2021 - Study Adverse events in women giving birth in a labor ward: a retrospective record review study. Citation Text: Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…

A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. | PSNet

psnet.ahrq.gov/issue/human-factors-intervention-hospital-evaluating-outcome-teamstepps-program-surgical-ward

November 03, 2021 - Study A human factors intervention in a hospital--evaluating the outcome of a TeamSTEPPS program in a surgical ward. Citation Text: Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward. …

Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. | PSNet

psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing

January 30, 2019 - Study Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors. Citation Text: True G, Frasso R, Cullen SW, et al. Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and prote…

Technology-related safety event analysis in community clinical informatics: a case study. | PSNet

psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study

April 03, 2024 - Commentary Technology-related safety event analysis in community clinical informatics: a case study. Citation Text: Recsky C, Stowe M, Rush KL, et al. Technology-related safety event analysis in community clinical informatics: a case study. Stud Health Technol Inform. 2024;315:452-457. d…

The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. | PSNet

psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns

April 17, 2013 - Study The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. Citation Text: Schmid F, Goepfert MS, Kuhnt D, et al. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patte…

Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. | PSNet

psnet.ahrq.gov/issue/challenging-authority-during-life-threatening-crisis-effect-operating-theatre-hierarchy

December 02, 2015 - Study Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Citation Text: Sydor DT, Bould MD, Naik VN, et al. Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy. Br J Anaesth. 2013;110(3):463-7…

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