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  1. Residents' duty hours—toward an empirical narrative. | PSNet

    psnet.ahrq.gov/issue/residents-duty-hours-toward-empirical-narrative
    March 28, 2018 - Commentary Residents' duty hours—toward an empirical narrative. Citation Text: Rosenbaum L, Lamas D. Residents' duty hours--toward an empirical narrative. N Engl J Med. 2012;367(21):2044-9. doi:10.1056/NEJMsr1210160. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  2. FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. | PSNet

    psnet.ahrq.gov/issue/fda-safety-communication-use-caution-implanted-pumps-intrathecal-administration-medicines
    June 20, 2018 - Press Release/Announcement FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management. Citation Text: FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management…

  3. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. | PSNet

    psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
    August 14, 2024 - Review Do safety briefings improve patient safety in the acute hospital setting? A systematic review. Citation Text: Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…

  4. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. | PSNet

    psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre
    July 19, 2023 - Study Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. Citation Text: Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…

  5. Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. | PSNet

    psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
    June 15, 2012 - Study Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. Citation Text: Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…

  6. The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. | PSNet

    psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error-prospective
    March 20, 2024 - Study The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. Citation Text: Tallentire VR, Hale RL, Dewhurst NG, et al. The contribution of prescription chart design and familiarity to prescribing error: a prospe…

  7. Using medicolegal data to support safe medical care: a contributing factor coding framework. | PSNet

    psnet.ahrq.gov/issue/using-medicolegal-data-support-safe-medical-care-contributing-factor-coding-framework
    April 03, 2024 - Commentary Using medicolegal data to support safe medical care: a contributing factor coding framework. Citation Text: McCleery A, Devenny K, Ogilby C, et al. Using medicolegal data to support safe medical care: A contributing factor coding framework. J Healthc Risk Manag. 2019;38(4):11-…

  8. Development of a pragmatic measure for evaluating and optimizing rapid response systems. | PSNet

    psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response-systems
    August 20, 2014 - Study Development of a pragmatic measure for evaluating and optimizing rapid response systems. Citation Text: Bonafide CP, Roberts KE, Priestley MA, et al. Development of a pragmatic measure for evaluating and optimizing rapid response systems. Pediatrics. 2012;129(4):e874-81. doi:10.1…

  9. Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. | PSNet

    psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment
    June 15, 2012 - Study Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. Citation Text: Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Abil…

  10. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. | PSNet

    psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected-tumour-areas
    April 21, 2021 - Study Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. Citation Text: Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. BJU Int. 2009;103(9):1184-9. d…

  11. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? | PSNet

    psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
    January 15, 2014 - Commentary Post-event debriefings during neonatal care: why are we not doing them, and how can we start? Citation Text: Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/…

  12. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. | PSNet

    psnet.ahrq.gov/issue/using-situ-simulation-improve-hospital-cardiopulmonary-resuscitation
    January 02, 2017 - Study Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Citation Text: Lighthall GK, Poon T, Harrison K. Using in situ simulation to improve in-hospital cardiopulmonary resuscitation. Jt Comm J Qual Patient Saf. 2010;36(5):209-16. Copy Citation Format: …

  13. The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. | PSNet

    psnet.ahrq.gov/issue/effect-opioid-prescribing-guidelines-prescriptions-emergency-physicians-ohio
    April 24, 2018 - Study The effect of opioid prescribing guidelines on prescriptions by emergency physicians in Ohio. Citation Text: Weiner SG, Baker O, Poon SJ, et al. The Effect of Opioid Prescribing Guidelines on Prescriptions by Emergency Physicians in Ohio. Ann Emerg Med. 2017;70(6):799-808.e1. doi:1…

  14. Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice. | PSNet

    psnet.ahrq.gov/issue/nurse-physician-teamwork-emergency-department-impact-perceptions-job-environment-autonomy-and
    November 04, 2012 - Study Nurse–physician teamwork in the emergency department: impact on perceptions of job environment, autonomy, and control over practice. Citation Text: Ajeigbe DO, McNeese-Smith D, Leach LS, et al. Nurse-physician teamwork in the emergency department: impact on perceptions of job env…

  15. Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

    psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
    May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

  16. Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. | PSNet

    psnet.ahrq.gov/issue/improving-handoff-communications-critical-care-utilizing-simulation-based-training-toward
    February 16, 2011 - Study Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk. Citation Text: Berkenstadt H, Haviv Y, Tuval A, et al. Improving handoff communications in critical care: utilizing simulation-based training …

  17. Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. | PSNet

    psnet.ahrq.gov/issue/hospira-issues-voluntary-nationwide-recall-one-lot-05-bupivacaine-hydrochloride-injection-usp
    June 20, 2018 - Press Release/Announcement Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivacaine Hydrochloride Injection, USP and one lot of 1% Lidocaine HCl Injection, USP due to mislabeling. Citation Text: Hospira issues a voluntary nationwide recall for one lot of 0.5% Bupivaca…

  18. The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. | PSNet

    psnet.ahrq.gov/issue/legibility-prescription-medication-labelling-canada-moving-pharmacy-centred-patient-centred
    September 23, 2020 - Study The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. Citation Text: Leat SJ, Ahrens K, Krishnamoorthy A, et al. The legibility of prescription medication labelling in Canada: Moving from pharmacy-centred to patient-c…

  19. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. | PSNet

    psnet.ahrq.gov/issue/training-induces-cognitive-bias-case-simulation-based-emergency-airway-curriculum
    May 18, 2022 - Study Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Citation Text: Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.…

  20. A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. | PSNet

    psnet.ahrq.gov/issue/perfect-storm-averted-flawed-systems-dropped-ball-and-cognitive-biases-delay-critical
    November 30, 2022 - Commentary A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. Citation Text: Roberts TJ, Sellars MC, Sands JM, et al. A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis. JCO Oncol…
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