Patient safety indicators during the initial COVID-19 pandemic surge in the United States. | PSNet

Provide Feedback |

Submit a Case

Register

Study

Patient safety indicators during the initial COVID-19 pandemic surge in the United States.

March 27, 2024

Rodriguez JA, Samal L, Ganesan S, et al. J Patient Saf. 2024;Epub Mar 13.

View more articles from the same authors.

The COVID-19 pandemic led to dramatic changes in healthcare delivery and presented new challenges to safe patient care. Among patients ages 18 years and older admitted to the hospital between January 2019 and June 2020, this study found that the first surge of the COVID-19 pandemic was not associated with an increase in patient safety events (measured using the AHRQ patient safety indicators) among patients without COVID-19. Among the individual PSIs, only in-hospital falls with hip fractures were significantly higher during the first surge of the pandemic.

PubMed citation

Related Resources From the Same Author(s)

Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.

August 3, 2022

Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.

May 24, 2017

The potential of artificial intelligence to improve patient safety: a scoping review.

March 31, 2021

Families as partners in hospital error and adverse event surveillance.

March 8, 2017

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program.

February 1, 2023

The safety of inpatient health care.

January 25, 2023

Changes in medical errors after implementation of a handoff program.

November 12, 2014

Key use cases for artificial intelligence to reduce the frequency of adverse drug events: a scoping review.

March 9, 2022

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

April 21, 2021

The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.

March 16, 2016

Effect of bar-code technology on the safety of medication administration.

May 12, 2010

Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems.

September 4, 2019

Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020.

September 23, 2020

Crisis checklists for the operating room: development and pilot testing.

January 30, 2005

Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application.

June 13, 2018

Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record.

May 30, 2018

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Simulation-based assessment of the management of critical events by board-certified anesthesiologists.

September 13, 2017

Racism and electronic health records (EHRs): perspectives for research and practice.

April 12, 2023

Structured override reasons for drug–drug interaction alerts in electronic health records.

May 15, 2019

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors.

June 27, 2018

Simulation-based trial of surgical-crisis checklists.

January 30, 2013

Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.

May 4, 2022

Physician and nurse well-being and preferred interventions to address burnout in hospital practice: factors associated with turnover, outcomes, and patient safety.

July 19, 2023

A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.

December 7, 2022

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

February 9, 2011

Comparison of methods to reduce bias from clinical prediction models of postpartum depression.

May 12, 2021

The Research on Adverse Drug Events and Reports (RADAR) project.

May 18, 2005

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

July 13, 2011

Mixed results in the safety performance of computerized physician order entry.

April 21, 2010

How long does it take to train a surgeon?

November 18, 2009

Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial.

May 29, 2019

Relationship between occurrence of surgical complications and hospital finances.

April 24, 2013

Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017.

July 5, 2023

Education outcomes from a duty-hour flexibility trial in internal medicine.

March 28, 2018

Patient activation related to fall prevention: a multisite study

February 19, 2020

Effect of genetic diagnosis on patients with previously undiagnosed disease.

November 7, 2018

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.

December 2, 2020

Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer.

January 10, 2018

Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation.

December 18, 2019

Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review.

January 12, 2022

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.

February 14, 2018

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Evaluating serial strategies for preventing wrong-patient orders in the NICU.

June 28, 2017

STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration.

October 14, 2016

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams.

December 11, 2013

Impact of sleep deficiency on surgical performance: a prospective assessment.

April 19, 2023

Health apps and health policy: what is needed?

October 24, 2018

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.

September 9, 2020

Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.

May 9, 2018

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning.

February 23, 2022

Expert consensus on currently accepted measures of harm.

September 9, 2020

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.

April 15, 2015

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

December 19, 2018

Incorporating medication indications into the prescribing process.

May 9, 2018

Association of surgical resident wellness with medical errors and patient outcomes.

May 6, 2020

Perspectives about racism and patient-clinician communication among black adults with serious illness.

July 26, 2023

Patterns of communication breakdowns resulting in injury to surgical patients.

April 11, 2007

Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients.

November 14, 2007

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

February 11, 2009

Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova.

April 8, 2015

A surgical safety checklist to reduce morbidity and mortality in a global population.

January 21, 2009

Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.

December 10, 2014

Organization and representation of patient safety data: current status and issues around generalizability and scalability.

March 6, 2005

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

July 18, 2012

The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability.

July 30, 2014

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

Incidence and preventability of adverse drug events among older persons in the ambulatory setting.

March 6, 2005

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Effect of reducing interns' work hours on serious medical errors in intensive care units.

March 27, 2005

Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS).

August 10, 2011

Preventing home medication administration errors.

March 14, 2022

Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.

January 28, 2015

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

February 11, 2009

Strategies for detecting adverse drug events among older persons in the ambulatory setting.

March 6, 2005

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Medication errors and adverse drug events in pediatric inpatients.

August 10, 2005

We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations.

March 17, 2021

Mortality trends after a voluntary checklist-based surgical safety collaborative.

May 3, 2017

Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina.

August 16, 2017

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.

October 24, 2007

Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study.

January 30, 2005

Defining optimal length of opioid pain medication prescription after common surgical procedures.

October 18, 2017

Association between workarounds and medication administration errors in bar-code-assisted medication administration in hospitals.

April 25, 2018

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

September 12, 2012

The need for closed-loop systems for management of abnormal test results.

April 25, 2018

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

June 2, 2010

Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients.

April 20, 2016

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial.

March 12, 2014

Understanding the nature of medication errors in an ICU with a computerized physician order entry system.

February 11, 2015

The frequency and significance of discrepancies in the surgical count.

August 27, 2008

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

April 23, 2008

The relationship between electronic health records and malpractice claims.

July 11, 2012

Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications.

March 1, 2017

Evidence-based guidelines for fatigue risk management in emergency medical services.

March 14, 2018

View More

Related Resources

The Top Five: A Review of Post-Pandemic Patient Safety Priorities.

March 20, 2024

The effect of visitation restrictions on ED error.

March 6, 2024

Disparities in racial, ethnic, and payer groups for pediatric safety events in US hospitals.

February 28, 2024

Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals.

January 10, 2024

National survey of patient safety experiences in hospital medicine during the COVID-19 pandemic.

January 10, 2024

Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves.

December 13, 2023

Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian Model.

November 1, 2023

Staying safe while getting well.

August 16, 2023

Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic.

August 16, 2023

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.

August 9, 2023

The spectrum of hospitalization-associated harm in the elderly.

July 26, 2023

The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care.

July 12, 2023

Patient and public co-creation of healthcare safety and healthcare system resilience: the case of COVID-19.

July 5, 2023

Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings.

June 7, 2023

The impact of a nursing-led intervention bundle with a bedside checklist to reduce mortality during the initial COVID-19 pandemic and implications for future emergencies.

May 24, 2023

Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19.

May 10, 2023

Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.

May 3, 2023

Health care-associated infections among hospitalized patients with COVID-19, March 2020-March 2022.

May 3, 2023

Using a learning system approach to improve safety for prone-position ventilation patients.

April 26, 2023

Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19.

April 12, 2023

Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.

April 5, 2023

Why hospitals still make serious medical errors—and how they are trying to reduce them.

March 29, 2023

Using potentially preventable severe maternal morbidity to monitor hospital performance.

February 8, 2023

Speaking up during the COVID-19 pandemic: nurses' experiences of organizational disregard and silence.

February 1, 2023

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

December 7, 2022

Emotional exhaustion among US health care workers before and during the COVID-19 pandemic, 2019-2021.

October 5, 2022

Changes in unprofessional behaviour, teamwork, and co-operation among hospital staff during the COVID-19 pandemic.

September 28, 2022

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Teamwork before and during COVID-19: the good, the same, and the ugly….

August 24, 2022

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

June 22, 2022

View More

See More About The Topic

Infectious Diseases

Medical Complications

Pressure Ulcers

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364