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Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19-pandemic

October 07, 2020 - Study Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Citation Text: Shen L, Levie A, Singh H, et al. Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2022;48(2):71-80. doi:10.1016/…

Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution

August 04, 2021 - Commentary Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Citation Text: Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…

Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review. | PSNet

psnet.ahrq.gov/issue/evaluation-extended-releaselong-acting-opioid-prescribing-risk-evaluation-and-mitigation

March 06, 2019 - Study Evaluation of the extended-release/long-acting opioid prescribing Risk Evaluation and Mitigation Strategy Program by the US Food and Drug Administration: a review. Citation Text: Heyward J, Olson L, Sharfstein JM, et al. Evaluation of the Extended-Release/Long-Acting Opioid Prescri…

Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. | PSNet

psnet.ahrq.gov/issue/raising-barcode-improving-medication-safety-behaviours-through-behavioural-science-informed

November 01, 2023 - Study Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. Citation Text: Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving med…

Using community detection techniques to identify themes in COVID-19-related patient safety event reports. | PSNet

psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related-patient-safety-event

July 29, 2020 - Study Using community detection techniques to identify themes in COVID-19-related patient safety event reports. Citation Text: Boxley C, Krevat SA, Sengupta S, et al. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. J Patient Saf. …

Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-discrepancy-pulse-oximetry-and-delayed-identification-treatment-eligibility

June 22, 2022 - Study Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. Citation Text: Fawzy A, Wu TD, Wang K, et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among …

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. | PSNet

psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during

September 24, 2018 - Study Emerging Classic Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. Citation Text: Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associa…

Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet

psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp

May 14, 2009 - Study Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study. | PSNet

psnet.ahrq.gov/issue/role-informal-and-formal-organisation-voice-about-concerns-healthcare-qualitative-interview

September 29, 2021 - Study The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study. Citation Text: Wu F, Dixon-Woods M, Aveling E-L, et al. The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative inter…

Improving timely recognition and treatment of sepsis in the pediatric ICU. | PSNet

psnet.ahrq.gov/issue/improving-timely-recognition-and-treatment-sepsis-pediatric-icu

December 09, 2020 - Study Improving timely recognition and treatment of sepsis in the pediatric ICU. Citation Text: Vidrine R, Zackoff M, Paff Z, et al. Improving timely recognition and treatment of sepsis in the pediatric ICU. Jt Comm J Qual Patient Saf. 2020;46(5):299-307. doi:10.1016/j.jcjq.2020.02.005. …

Patient safety culture: the impact on workplace violence and health worker burnout. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-impact-workplace-violence-and-health-worker-burnout

December 07, 2022 - Study Patient safety culture: the impact on workplace violence and health worker burnout. Citation Text: Kim S, Kitzmiller R, Baernholdt MB, et al. Patient safety culture: the impact on workplace violence and health worker burnout. Workplace Health Saf. 2022;71(2):78-88. doi:10.1177/2165…

In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel. | PSNet

psnet.ahrq.gov/issue/situ-simulation-based-team-training-and-its-significance-transfer-learning-clinical-practice

June 14, 2023 - Study In situ simulation-based team training and its significance for transfer of learning to clinical practice--a qualitative focus group interview study of anaesthesia personnel. Citation Text: Finstad AS, Aase I, Bjørshol CA, et al. In situ simulation-based team training and its signi…

Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/clinical-diagnoses-vs-autopsy-findings-early-deceased-septic-patients-intensive-care

September 22, 2021 - Study Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. Citation Text: Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive c…

A new safety event reporting system improves physician reporting in the surgical intensive care unit. | PSNet

psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit

August 02, 2011 - Study A new safety event reporting system improves physician reporting in the surgical intensive care unit. Citation Text: Schuerer DJE, Nast PA, Harris CB, et al. A new safety event reporting system improves physician reporting in the surgical intensive care unit. J Am Coll Surg. 2006…

Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. | PSNet

psnet.ahrq.gov/issue/improving-transfusion-safety-operating-room-barcode-scanning-system-designed-specifically

February 01, 2023 - Study Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. Citation Text: Vanneman MW, Balakrishna A, Lang AL, et al. Impro…

Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. | PSNet

psnet.ahrq.gov/issue/reasons-why-physicians-and-advanced-practice-clinicians-work-while-sick-mixed-methods

November 14, 2018 - Study Classic Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis. Citation Text: Szymczak JE, Smathers S, Hoegg C, et al. Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Anal…

Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. | PSNet

psnet.ahrq.gov/issue/automated-identification-antibiotic-overdoses-and-adverse-drug-events-analysis-prescribing

May 08, 2017 - Study Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records. Citation Text: Kirkendall ES, Kouril M, Dexheimer JW, et al. Automated identification of antibiotic overdoses and adverse drug events v…

Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. | PSNet

psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses

March 22, 2023 - Study Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. Citation Text: Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…

Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. | PSNet

psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study-based-focus-group

July 29, 2020 - Study Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. Citation Text: Silverglow A, Johansson L, Lidén E, et al. Perceptions of providing safe care for frail older people at home: a qualitative st…

Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. | PSNet

psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm

May 17, 2023 - Study Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. Citation Text: Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high-performance triggers for identifying patient …

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