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Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. | PSNet

psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory

April 01, 2020 - Study Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information tech…

Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. | PSNet

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June 07, 2017 - Study Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. Citation Text: Ruddy RM, Chamberlain JM, Mahajan P, et al. Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. BMJ Open. 2015;5(9):e007541. doi:10.1136/bmjopen-20…

ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. | PSNet

psnet.ahrq.gov/issue/ed-misdiagnosis-cerebrovascular-events-era-modern-neuroimaging-meta-analysis

August 19, 2020 - Review ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: a meta-analysis. Citation Text: Tarnutzer AA, Lee S-H, Robinson K, et al. ED misdiagnosis of cerebrovascular events in the era of modern neuroimaging: A meta-analysis. Neurology. 2017;88(15):1468-1477. do…

The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. | PSNet

psnet.ahrq.gov/issue/effects-leadership-curricula-and-without-implicit-bias-training-graduate-medical-education

January 31, 2024 - Study The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial. Citation Text: Hansen M, Harrod T, Bahr N, et al. The effects of leadership curricula with and without implicit bias training on graduate medic…

Identifying trigger concepts to screen emergency department visits for diagnostic errors. | PSNet

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March 12, 2025 - Study Identifying trigger concepts to screen emergency department visits for diagnostic errors. Citation Text: Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. | PSNet

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March 09, 2022 - Study Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Citation Text: Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Compreh…

Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. | PSNet

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October 19, 2022 - Study Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. Citation Text: Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical …

Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. | PSNet

psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency

May 04, 2017 - Study Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. Citation Text: Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department…

Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. | PSNet

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November 10, 2015 - Review Emerging Classic Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Citation Text: Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…

Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet

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April 14, 2011 - Study Unit-based incident reporting and root cause analysis: variation at three hospital unit types. Citation Text: Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/…

Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet

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November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse events. Citation Text: King A, Daniels J, Lim J, et al. Time to listen: a review of methods to solicit patient reports of adverse events. Qual Saf Health Care. 2010;19(2):148-57. doi:10.1136/qshc.2008.0301…

Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. | PSNet

psnet.ahrq.gov/issue/nurse-workload-and-inexperienced-medical-staff-members-are-associated-seasonal-peaks-severe

June 28, 2013 - Study Nurse workload and inexperienced medical staff members are associated with seasonal peaks in severe adverse events in the adult medical intensive care unit: a seven-year prospective study. Citation Text: Faisy C, Davagnar C, Ladiray D, et al. Nurse workload and inexperienced medica…

Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. | PSNet

psnet.ahrq.gov/issue/three-scans-are-better-two-follow-automatic-method-finding-missed-and-misidentified-lesions

August 17, 2022 - Study Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. Citation Text: Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic…

Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. | PSNet

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November 29, 2023 - Study Emerging Classic Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. Citation Text: Freund Y, Goulet H, Leblanc J, et al. Effect of Systematic Physician Cross-checking …

Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. | PSNet

psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals

March 28, 2011 - Study Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. Citation Text: Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to sa…

Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. | PSNet

psnet.ahrq.gov/issue/adherence-surgical-care-improvement-project-measures-and-association-postoperative-infections

November 25, 2020 - Study Classic Adherence to Surgical Care Improvement Project measures and the association with postoperative infections. Citation Text: Stulberg JJ, Delaney CP, Neuhauser D, et al. Adherence to surgical care improvement project measures and the association wit…

Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. | PSNet

psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality

October 19, 2022 - Study Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. Citation Text: Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…

Rate of undesirable events at beginning of academic year: retrospective cohort study. | PSNet

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June 08, 2010 - Study Classic Rate of undesirable events at beginning of academic year: retrospective cohort study. Citation Text: Haller G, Myles PS, Taffé P, et al. Rate of undesirable events at beginning of academic year: retrospective cohort study. BMJ. 2009;339:b3974. do…

Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. | PSNet

psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators

July 19, 2019 - Study Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. Citation Text: Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…

The influence of organizational factors on patient safety: examining successful handoffs in health care. | PSNet

psnet.ahrq.gov/issue/influence-organizational-factors-patient-safety-examining-successful-handoffs-health-care

November 20, 2015 - Study The influence of organizational factors on patient safety: examining successful handoffs in health care. Citation Text: Richter J, McAlearney AS, Pennell ML. The influence of organizational factors on patient safety: Examining successful handoffs in health care. Health Care Manage …

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