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Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet

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February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…

A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

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October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. | PSNet

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August 17, 2022 - Study Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medical center: a case-control study. Citation Text: Ivanovic V, Broadhead K, Beck R, et al. Factors associated with neuroradiologic diagnostic errors at a large tertiary-care academic medic…

Why Things Bite Back: Technology and the Revenge of Unintended Consequences. | PSNet

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March 20, 2019 - Book/Report Classic Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Citation Text: Why Things Bite Back: Technology and the Revenge of Unintended Consequences. Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632. Copy Citation …

Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. | PSNet

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December 21, 2018 - Study Classic Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. Citation Text: Dyrbye LN, Burke SE, Hardeman RR, et al. Association of Clinical Specialty With Symptoms of Burnout and Career Choice R…

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. | PSNet

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November 18, 2020 - Commentary Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. Citation Text: Stall NM, Johnstone J, McGeer AJ, et al. Finding the right balan…

Look alike/sound alike drugs: a literature review on causes and solutions. | PSNet

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September 28, 2022 - Review Look alike/sound alike drugs: a literature review on causes and solutions. Citation Text: Ciociano N, Bagnasco L. Look alike/sound alike drugs: a literature review on causes and solutions. Int J Clin Pharm. 2014;36(2):233-242. doi:10.1007/s11096-013-9885-6. Copy Citation For…

Surgical specimen management: a descriptive study of 648 adverse events and near misses. | PSNet

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December 22, 2021 - Study Surgical specimen management: a descriptive study of 648 adverse events and near misses. Citation Text: Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396…

The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. | PSNet

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March 01, 2023 - Study The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR' tools as a means of communication between anaesthetic staff. Citation Text: MacDougall-Davis SR, Kettley L, Cook TM. The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'S…

Multistate point-prevalence survey of health care-associated infections. | PSNet

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November 14, 2018 - Study Multistate point-prevalence survey of health care-associated infections. Citation Text: Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. N Engl J Med. 2014;370(13):1198-208. doi:10.1056/NEJMoa1306801. Copy Citation …

ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. | PSNet

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August 26, 2020 - Review ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. Citation Text: Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients out…

Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. | PSNet

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April 12, 2019 - Study Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night before. Citation Text: Vinden C, Nash DM, Rangrej J, et al. Complications of daytime elective laparoscopic cholecystectomies performed by surgeons who operated the night be…

Do Not Disturb! | PSNet

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February 03, 2011 - SPOTLIGHT CASE Do Not Disturb! Citation Text: Duffy DF, Cassel C. Do Not Disturb!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care | PSNet

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June 01, 2003 - SPOTLIGHT CASE Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care Citation Text: Rich V. Nurse Staffing Ratios: The Crucible of Money, Policy, Research, and Patient Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…

Is the Admission Drug Dose Too Low? | PSNet

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September 01, 2011 - Is the Admission Drug Dose Too Low? Citation Text: Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3…

The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment | PSNet

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June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment Citation Text: Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

Advancement toward High Reliability in Healthcare Awards. | PSNet

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June 08, 2011 - Government Resource Advancement toward High Reliability in Healthcare Awards. Citation Text: Advancement toward High Reliability in Healthcare Awards. Department of Defense Patient Safety Program; DoD PSP; DoD Copy Citation Save Save to your library Print …

Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. | PSNet

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August 06, 2016 - Book/Report Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Citation Text: Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Hunt J. London, UK: Swift Press; 2022. ISBN: ‎ 9781800751224. Copy Citation Save Save to your library Pri…

Annual Perspective: Topics in Medication Safety | PSNet

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April 27, 2022 - Annual Perspective Annual Perspective: Topics in Medication Safety March 31, 2022 View more articles from the same authors. Citation Text: Harris IB, Dowell P, Mossburg SE. Annual Perspective: Topics in Medication Safety. PSNet [internet]. Rockville (MD): Ag…

A Fatal Twist in Pseudohyperkalemia | PSNet

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February 10, 2021 - SPOTLIGHT CASE A Fatal Twist in Pseudohyperkalemia Citation Text: Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

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