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Risk factors for wrong-patient medication orders in the emergency department. | PSNet

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June 08, 2022 - Study Risk factors for wrong-patient medication orders in the emergency department. Citation Text: Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. Copy Ci…

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. | PSNet

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August 23, 2023 - Review Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Citation Text: Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…

Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. | PSNet

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March 16, 2016 - Study Laboratory test ordering and results management systems: a qualitative study of safety risks identified by administrators in general practice. Citation Text: Bowie P, Halley L, McKay J. Laboratory test ordering and results management systems: a qualitative study of safety risks id…

Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? | PSNet

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June 25, 2014 - Study Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? Citation Text: Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):…

Visual acuity, literacy, and unintentional misuse of nonprescription medications. | PSNet

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November 26, 2014 - Study Visual acuity, literacy, and unintentional misuse of nonprescription medications. Citation Text: Mullen RJ, Curtis LM, O'Conor R, et al. Visual acuity, literacy, and unintentional misuse of nonprescription medications. Am J Health-Syst Pharm. 2018;75(9):e213-e220. doi:10.2146/ajhp1…

Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. | PSNet

psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical

May 08, 2017 - Commentary Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. Citation Text: Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. | PSNet

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November 02, 2010 - Study Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities. Citation Text: Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Physician patient communication failure facilitates medication errors in older polyme…

Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet

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March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet

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August 18, 2021 - Study Developing a hospital-wide quality and safety dashboard: a qualitative research study. Citation Text: Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. do…

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. | PSNet

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November 21, 2021 - Commentary The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. Citation Text: Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education …

Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. | PSNet

psnet.ahrq.gov/issue/impact-diagnostic-checklists-interpretation-normal-and-abnormal-electrocardiograms

September 14, 2022 - Study Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Citation Text: Staal J, Zegers R, Caljouw-Vos J, et al. Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms. Diagnosis (Berl). 2022;10(2):121…

Patients managing medications and reading their visit notes: a survey of OpenNotes participants. | PSNet

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July 01, 2020 - Study Patients managing medications and reading their visit notes: a survey of OpenNotes participants. Citation Text: DesRoches CM, Bell SK, Dong Z, et al. Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants. Ann Intern Med. 2019;171(1):69-71. …

Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. | PSNet

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February 02, 2022 - Commentary Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Citation Text: Reilly JB, Bennett N, Fosnocht K, et al. Redesigning rounds: towards a more purposeful approach to inpatient teaching and learning. Acad Med. 2015;90(4):450-3. doi:10.1097…

Patient safety strategies targeted at diagnostic errors: a systematic review. | PSNet

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March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…

Partners in our care: patient safety from a patient perspective. | PSNet

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December 04, 2016 - Study Partners in our care: patient safety from a patient perspective. Citation Text: Hovey RB, Morck A, Nettleton S, et al. Partners in our care: patient safety from a patient perspective. Qual Saf Health Care. 2010;19(6):e59. doi:10.1136/qshc.2008.030908. Copy Citation Format: …

Patient safety outcomes after two years of an enhanced internal medicine residency clinic handoff. | PSNet

psnet.ahrq.gov/issue/patient-safety-outcomes-after-two-years-enhanced-internal-medicine-residency-clinic-handoff

March 21, 2018 - Study Patient safety outcomes after two years of an enhanced internal medicine residency clinic handoff. Citation Text: Pincavage AT, Prochaska M, Dahlstrom M, et al. Patient Safety Outcomes after Two Years of an Enhanced Internal Medicine Residency Clinic Handoff. Am J Med. 2013;127(1).…

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet

psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events

September 01, 2021 - Commentary Classic Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Citation Text: Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. | PSNet

psnet.ahrq.gov/issue/preliminary-development-and-testing-global-trigger-tool-detect-error-and-patient-harm-primary

January 19, 2011 - Study The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Citation Text: de Wet C, Bowie P. The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. …

A patient safety approach to setting pass/fail standards for basic procedural skills checklists. | PSNet

psnet.ahrq.gov/issue/patient-safety-approach-setting-passfail-standards-basic-procedural-skills-checklists

July 28, 2010 - Commentary A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Citation Text: Yudkowsky R, Tumuluru S, Casey P, et al. A patient safety approach to setting pass/fail standards for basic procedural skills checklists. Simul Healthc. 2014;9(5):27…

Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events. | PSNet

psnet.ahrq.gov/issue/relationship-between-complaints-and-quality-care-new-zealand-descriptive-analysis

October 21, 2010 - Study Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events. Citation Text: Bismark MM, Brennan TA, Paterson RJ, et al. Relationship between complaints and quality of care in New Zealand:…

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