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Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. | PSNet

psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010

December 02, 2009 - Study Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Citation Text: Thomas AN, Taylor RJ. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Anaesthesia. 2012;67(7):7…

Health information technology and patient safety: evidence from panel data. | PSNet

psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data

February 23, 2011 - Study Health information technology and patient safety: evidence from panel data. Citation Text: Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357. Copy Citation…

NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. | PSNet

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February 22, 2023 - Study NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. Citation Text: Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative documen…

A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. | PSNet

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November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…

Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. | PSNet

psnet.ahrq.gov/issue/information-concerning-icu-patients-families-handover-clinicians-game-whispers-qualitative

March 24, 2021 - Study Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. Citation Text: Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families in the handover—the clinicians’ “game of whi…

Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. | PSNet

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August 10, 2022 - Study Classic Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. Citation Text: Lyren A, Brilli RJ, Zieker K, et al. Children's Hospitals' Solutions for Patient Safety Collaborative Impact on Hospital-Acquired Harm…

"Near miss": a mixed-methods analysis of medical student assignments in patient safety. | PSNet

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May 25, 2016 - Study "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Citation Text: Plugge T, Breviu A, Lappé K, et al. "Near miss": a mixed-methods analysis of medical student assignments in patient safety. Am J Med Qual. 2024;39(4):168-173. doi:10.1097/jmq.0000…

Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. | PSNet

psnet.ahrq.gov/issue/patient-reported-receipt-medication-instructions-warfarin-associated-reduced-risk-serious

February 03, 2011 - Study Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. Citation Text: Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of…

Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. | PSNet

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March 01, 2011 - Study Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…

Medication errors reported by US family physicians and their office staff. | PSNet

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June 11, 2008 - Study Medication errors reported by US family physicians and their office staff. Citation Text: Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. …

Role of computerized physician order entry systems in facilitating medication errors. | PSNet

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February 18, 2011 - Study Classic Role of computerized physician order entry systems in facilitating medication errors. Citation Text: Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):119…

Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/levels-agreement-grading-analysis-and-reporting-significant-events-general-practitioners

April 06, 2011 - Study Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. Citation Text: McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practit…

Diagnostic inaccuracy of smartphone applications for melanoma detection. | PSNet

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April 24, 2018 - Study Diagnostic inaccuracy of smartphone applications for melanoma detection. Citation Text: Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382. Copy Citat…

Hemolysis Holdup | PSNet

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Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. | PSNet

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June 27, 2018 - Study Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. Citation Text: Abraham J, Kannampallil TG, Jarman A, et al. Reasons for computerised provider order entry (CPOE)-based inpatient medication orde…

Rates of medication errors among depressed and burnt out residents: prospective cohort study. | PSNet

psnet.ahrq.gov/issue/rates-medication-errors-among-depressed-and-burnt-out-residents-prospective-cohort-study

April 11, 2011 - Study Rates of medication errors among depressed and burnt out residents: prospective cohort study. Citation Text: Fahrenkopf AM, Sectish TC, Barger LK, et al. Rates of medication errors among depressed and burnt out residents: prospective cohort study. BMJ. 2008;336(7642):488-91. doi:…

Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. | PSNet

psnet.ahrq.gov/issue/increased-appropriateness-customized-alert-acknowledgement-reasons-overridden-medication

January 07, 2015 - Study Increased appropriateness of customized alert acknowledgement reasons for overridden medication alerts in a computerized provider order entry system. Citation Text: Dekarske BM, Zimmerman CR, Chang R, et al. Increased appropriateness of customized alert acknowledgement reasons for …

How useful are voluntary medication error reports? The case of warfarin-related medication errors. | PSNet

psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors

May 27, 2011 - Study How useful are voluntary medication error reports? The case of warfarin-related medication errors. Citation Text: Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;3…

Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. | PSNet

psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among

June 11, 2010 - Study Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. Citation Text: Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse ev…

Variation in quality of urgent health care provided during commercial virtual visits. | PSNet

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November 02, 2016 - Study Variation in quality of urgent health care provided during commercial virtual visits. Citation Text: Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/…

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