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The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. | PSNet

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June 09, 2021 - Commentary The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. Citation Text: Ginestra JC, Atkins JH, Mikkelsen ME, et al. The I-READI Quality and Safety Framework: a health system’s response to a…

Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. | PSNet

psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events

November 08, 2023 - Study Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. Citation Text: Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and …

Managing the prevention of retained surgical instruments: what is the value of counting? | PSNet

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September 25, 2008 - Study Classic Managing the prevention of retained surgical instruments: what is the value of counting? Citation Text: Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. …

Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. | PSNet

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June 22, 2016 - Study Surgical checklist implementation project: the impact of variable WHO checklist compliance on risk-adjusted clinical outcomes after national implementation: a longitudinal study. Citation Text: Mayer EK, Sevdalis N, Rout S, et al. Surgical Checklist Implementation Project: The Impa…

The WHO surgical safety checklist: survey of patients' views. | PSNet

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January 19, 2016 - Study The WHO surgical safety checklist: survey of patients' views. Citation Text: Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. Copy Citation Format: DOI Google Schol…

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. | PSNet

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July 14, 2009 - Study Tracking rates of patient safety indicators over time: lessons from the Veterans Administration. Citation Text: Rosen AK, Zhao S, Rivard PE, et al. Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Med Care. 2006;44(9):850-61. Copy…

Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. | PSNet

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March 12, 2025 - Study Errors in electronic health record–based data query of statin prescriptions in patients with coronary artery disease in a large, academic, multispecialty clinic practice. Citation Text: Shin EY, Ochuko P, Bhatt K, et al. Errors in Electronic Health Record-Based Data Query of Statin…

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet

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March 28, 2011 - Study Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Citation Text: Rhodes P, Giles SJ, Cook GA, et al. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. Qual Saf Health Care. 2008;17(6):…

Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet

psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness

May 26, 2021 - Study Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. Citation Text: Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…

Impact of introducing an electronic physiological surveillance system on hospital mortality. | PSNet

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December 19, 2018 - Study Impact of introducing an electronic physiological surveillance system on hospital mortality. Citation Text: Schmidt PE, Meredith P, Prytherch DR, et al. Impact of introducing an electronic physiological surveillance system on hospital mortality. BMJ Qual Saf. 2015;24(1):10-20. doi:…

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? | PSNet

psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know

February 03, 2011 - Study Classic Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? Citation Text: Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with…

Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. | PSNet

psnet.ahrq.gov/issue/translating-concerns-action-detailed-qualitative-evaluation-interdisciplinary-intervention

November 01, 2017 - Study Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards. Citation Text: Pannick S, Archer S, Johnston MJ, et al. Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary interventio…

Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. | PSNet

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August 18, 2021 - Study Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. Citation Text: Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. | PSNet

psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections

February 22, 2017 - Study Classic Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. Citation Text: Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N E…

Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study. | PSNet

psnet.ahrq.gov/issue/healthcare-leaders-and-elected-politicians-approach-support-systems-and-requirements

February 28, 2024 - Study Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study. Citation Text: Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to…

The relationship between organizational leadership for safety and learning from patient safety events. | PSNet

psnet.ahrq.gov/issue/relationship-between-organizational-leadership-safety-and-learning-patient-safety-events

November 27, 2009 - Study The relationship between organizational leadership for safety and learning from patient safety events. Citation Text: Ginsburg LR, Chuang Y-T, Berta WB, et al. The relationship between organizational leadership for safety and learning from patient safety events. Health Serv Res. …

Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. | PSNet

psnet.ahrq.gov/issue/associations-between-hospital-mortality-health-care-utilization-and-inpatient-costs-2011

June 09, 2021 - Study Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. Citation Text: Eid SM, Ponor L, Reed DA, et al. Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011…

Improving the Working Environment for Safe Surgical Care. | PSNet

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July 29, 2015 - Book/Report Improving the Working Environment for Safe Surgical Care. Citation Text: Improving the Working Environment for Safe Surgical Care. Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. Copy Citation …

Situational Awareness and Patient Safety: A Learning Package. | PSNet

psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package

September 13, 2017 - Book/Report Situational Awareness and Patient Safety: A Learning Package. Citation Text: Situational Awareness and Patient Safety: A Learning Package. Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of Canada; 2011. ISBN: 9781926588100…

Optimal Resources for Surgical Quality and Safety. | PSNet

psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety

September 29, 2017 - Book/Report Optimal Resources for Surgical Quality and Safety. Citation Text: Optimal Resources for Surgical Quality and Safety. Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. Copy Citation Save Save to your library …

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