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Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. | PSNet

psnet.ahrq.gov/issue/multi-team-shared-expectations-tool-mt-set-exercise-improve-teamwork-across-health-care-teams

May 22, 2019 - Commentary Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Citation Text: Marsteller JA, Rosen MA, Wyskiel R, et al. Multi-team shared expectations tool (MT-SET): an exercise to improve teamwork across health care teams. Jt Comm J Q…

Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. | PSNet

psnet.ahrq.gov/issue/assessing-between-and-within-hospital-differences-patient-safety-between-medicaid-and

July 31, 2024 - Study Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patients. Citation Text: Gangopadhyaya A. Assessing between- and within-hospital differences in patient safety between Medicaid and privately insured hospital patien…

Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. | PSNet

psnet.ahrq.gov/issue/association-hospital-participation-quality-reporting-program-surgical-outcomes-and

January 13, 2016 - Study Classic Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. Citation Text: Osborne NH, Nicholas LH, Ryan AM, et al. Association of hospital participation in a quality repo…

Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health

August 02, 2015 - Study Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Citation Text: Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…

Evaluation of perioperative medication errors and adverse drug events. | PSNet

psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events

July 16, 2019 - Study Classic Evaluation of perioperative medication errors and adverse drug events. Citation Text: Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000…

A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. | PSNet

psnet.ahrq.gov/issue/smartphone-app-designed-empower-patients-contribute-toward-safer-surgical-care-community

February 12, 2020 - Study A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. Citation Text: Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Car…

The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. | PSNet

psnet.ahrq.gov/issue/global-comparators-project-international-comparison-30-day-hospital-mortality-day-week

May 04, 2016 - Study The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. Citation Text: Ruiz M, Bottle A, Aylin PP. The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week. BMJ Qual Saf. 2015;24…

Clinical impact of intraoperative electronic health record downtime on surgical patients. | PSNet

psnet.ahrq.gov/issue/clinical-impact-intraoperative-electronic-health-record-downtime-surgical-patients

March 14, 2016 - Study Clinical impact of intraoperative electronic health record downtime on surgical patients. Citation Text: Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933.…

Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. | PSNet

psnet.ahrq.gov/issue/increasing-compliance-world-health-organization-surgical-safety-checklist-regional-health

September 12, 2018 - Study Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. Citation Text: Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health sys…

Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation | PSNet

psnet.ahrq.gov/issue/pharmacist-led-video-stimulated-feedback-reduce-prescribing-errors-doctors-training-mixed

August 10, 2022 - Journal Article Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation Citation Text: Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A…

Communication practices on 4 Harvard surgical services: a surgical safety collaborative. | PSNet

psnet.ahrq.gov/issue/communication-practices-4-harvard-surgical-services-surgical-safety-collaborative

September 29, 2017 - Study Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Citation Text: Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.…

Using radiofrequency technology to prevent retained sponges and improve patient outcomes. | PSNet

psnet.ahrq.gov/issue/using-radiofrequency-technology-prevent-retained-sponges-and-improve-patient-outcomes

November 25, 2020 - Study Using radiofrequency technology to prevent retained sponges and improve patient outcomes. Citation Text: Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13…

Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/are-operating-room-distractions-interruptions-and-disruptions-associated-performance-and

December 02, 2020 - Review Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis. Citation Text: Mcmullan RD, Urwin R, Gates PJ, et al. Are operating room distractions, interruptions and disruptions associated wi…

Bar-coding surgical sponges to improve safety: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial

March 02, 2011 - Study Classic Bar-coding surgical sponges to improve safety: a randomized controlled trial. Citation Text: Greenberg CC, Diaz-Flores R, Lipsitz SR, et al. Bar-coding Surgical Sponges To Improve Safety. Ann Surg. 2009;247(4). doi:10.1097/sla.0b013e3181656cd5.…

The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/impact-surgical-count-technology-retained-surgical-items-rates-veterans-health-administration

January 17, 2019 - Study The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. Citation Text: Gunnar W, Soncrant C, Lynn MM, et al. The impact of surgical count technology on retained surgical items rates in the Veterans Health Administration. J Pat…

So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. | PSNet

psnet.ahrq.gov/issue/so-many-ways-be-wrong-completeness-and-accuracy-prospective-study-or-icu-handoff

April 28, 2021 - Study So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Citation Text: Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt …

Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. | PSNet

psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-interventions-operating-room-intensive-care-unit-handoffs

July 08, 2020 - Review Emerging Classic Systematic review and meta-analysis of interventions for operating room to intensive care unit handoffs. Citation Text: Abraham J, Meng A, Tripathy S, et al. Systematic review and meta-analysis of interventions for operating room to inten…

A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? | PSNet

psnet.ahrq.gov/issue/systematic-review-teamwork-intensive-care-unit-what-do-we-know-about-teamwork-team-tasks-and

January 23, 2019 - Review A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? Citation Text: Dietz AS, Pronovost P, Mendez-Tellez PA, et al. A systematic review of teamwork in the intensive care unit: what do we know about team…

Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. | PSNet

psnet.ahrq.gov/issue/comparative-economic-analyses-patient-safety-improvement-strategies-acute-care-systematic

November 07, 2012 - Review Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. Citation Text: Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf.…

Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. | PSNet

psnet.ahrq.gov/issue/reduction-omission-events-after-implementing-rapid-response-system-mortality-review

April 20, 2022 - Study Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. Citation Text: Olsen SL, Nedrebø BS, Strand K, et al. Reduction in omission events after implementing a Rapid Response System: a mortality review…

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