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The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet

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January 01, 2015 - Commentary The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. Citation Text: Eichhorn JH. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection,…

Simulation-based training for patient safety: 10 principles that matter. | PSNet

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January 02, 2017 - Review Simulation-based training for patient safety: 10 principles that matter. Citation Text: Salas E, Wilson KA, Lazzara EH, et al. Simulation-Based Training for Patient Safety. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e3181656dd6. Copy Citation Format: DOI Google…

Maternal Health of Women and Girls of African Descent in the Americas. | PSNet

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September 02, 2015 - Book/Report Maternal Health of Women and Girls of African Descent in the Americas. Citation Text: Maternal Health of Women and Girls of African Descent in the Americas. New York, NY: United Nations Population Fund; July 2023. Copy Citation Save Save to your libr…

Medication safety issue brief. Bar code implementation strategies. | PSNet

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June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Bar code implementation strategies. Citation Text: Association AH, Pharmacists AS of H-S, Networks H and H. Medication Safety Issue Brief. Bar Code implementation strategies. Hospitals & health networks. 2005;79(7):65-6. Copy Citation …

System failure versus personal accountability--the case for clean hands. | PSNet

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February 16, 2011 - Commentary System failure versus personal accountability--the case for clean hands. Citation Text: Goldmann DA. System failure versus personal accountability--the case for clean hands. N Engl J Med. 2006;355(2):121-3. Copy Citation Format: Google Scholar PubMed BibTeX End…

The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. | PSNet

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May 12, 2010 - Book/Report Classic The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. Citation Text: The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. Senge PM. New York, NY: Currenc…

Thinking fast and slow in medicine. | PSNet

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June 21, 2017 - Commentary Thinking fast and slow in medicine. Citation Text: Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

The Forgotten Drip | PSNet

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April 01, 2014 - The Forgotten Drip Citation Text: Josephson AS. The Forgotten Drip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

Problem doctors: is there a system-level solution? | PSNet

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October 31, 2014 - Commentary Classic Problem doctors: is there a system-level solution? Citation Text: Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. Copy Citation Format: Google Scholar PubMed BibTeX End…

The effects of stress and coping on surgical performance during simulations. | PSNet

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February 16, 2011 - Study The effects of stress and coping on surgical performance during simulations. Citation Text: Wetzel CM, Black SA, Hanna GB, et al. The effects of stress and coping on surgical performance during simulations. Ann Surg. 2010;251(1):171-6. doi:10.1097/SLA.0b013e3181b3b2be. Copy Cita…

Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. | PSNet

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October 22, 2014 - Study Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. Citation Text: Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. Copy Citation…

Patient safety curriculum for surgical residency programs: results of a national consensus conference. | PSNet

psnet.ahrq.gov/issue/patient-safety-curriculum-surgical-residency-programs-results-national-consensus-conference

September 16, 2009 - Commentary Patient safety curriculum for surgical residency programs: results of a national consensus conference. Citation Text: Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results of a national consensus conference. Surgery. 20…

Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. | PSNet

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April 06, 2011 - Commentary Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. Citation Text: Madsen P, Desai V, Roberts K, et al. Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit. Organizati…

Patient Safety and the "Just Culture": A Primer for Health Care Executives. | PSNet

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July 24, 2013 - Book/Report Classic Patient Safety and the "Just Culture": A Primer for Health Care Executives. Citation Text: Marx DA. Patient Safety And The "Just Culture": A Primer For Health Care Executives. New York, NY: Trustees of Columbia University; 2001. Copy Citati…

Laney's story: the problem of delayed diagnosis of pediatric stroke. | PSNet

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April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. Citation Text: Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. Copy Citation For…

How structural racism works - racist policies as a root cause of U.S. racial health inequities. | PSNet

psnet.ahrq.gov/issue/how-structural-racism-works-racist-policies-root-cause-us-racial-health-inequities

April 14, 2017 - Commentary Classic How structural racism works - racist policies as a root cause of U.S. racial health inequities. Citation Text: Bailey ZD, Feldman JM, Bassett MT. How structural racism works - racist policies as a root cause of U.S. racial health inequities. N…

The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. | PSNet

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May 24, 2015 - Book/Report Classic The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. Citation Text: The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Mon…

Development and psychometric testing of a tool to measure missed nursing care. | PSNet

psnet.ahrq.gov/issue/development-and-psychometric-testing-tool-measure-missed-nursing-care

August 20, 2018 - Study Development and psychometric testing of a tool to measure missed nursing care. Citation Text: Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5. Copy Citation …

Hospital performance trends on national quality measures and the association with Joint Commission accreditation. | PSNet

psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission

September 20, 2011 - Study Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Citation Text: Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…

Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. | PSNet

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February 10, 2012 - Review Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Citation Text: Zahiri HR, Stromberg J, Skupsky H, et al. Prevention of 3 "never events" in the operating room: fires, gossypiboma, and wrong-site surgery. Surg Innov. 2011;18(1):55-…

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