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Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. | PSNet

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October 29, 2014 - Study Reasons for the persistence of adverse events in the era of safer surgery―a qualitative approach. Citation Text: Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13…

Understanding pharmacist decision making for adverse drug event (ADE) detection. | PSNet

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May 27, 2011 - Study Understanding pharmacist decision making for adverse drug event (ADE) detection. Citation Text: Phansalkar S, Hoffman JM, Hurdle JF, et al. Understanding pharmacist decision making for adverse drug event (ADE) detection. J Eval Clin Pract. 2009;15(2):266-75. doi:10.1111/j.1365-27…

Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. | PSNet

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October 06, 2011 - Study Managed care penetration and other factors affecting computerized physician order entry in the ambulatory setting. Citation Text: Menachemi N, Ford E, Chukmaitov A, et al. Managed care penetration and other factors affecting computerized physician order entry in the ambulatory se…

Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students. | PSNet

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May 07, 2014 - Commentary Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students. Citation Text: Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical…

Provider and patient perceptions of an external medication history function. | PSNet

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July 16, 2015 - Study Provider and patient perceptions of an external medication history function. Citation Text: Wolver SE, Stultz JS, Aggarwal A, et al. Provider and Patient Perceptions of an External Medication History Function. J Patient Saf. 2018;14(4):234-240. doi:10.1097/PTS.0000000000000197. C…

Validating patient safety in the endoscopy unit using The Joint Commission standards. | PSNet

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March 02, 2011 - Commentary Validating patient safety in the endoscopy unit using The Joint Commission standards. Citation Text: Ragsdale JA. Validating patient safety in the endoscopy unit using the joint commission standards. Gastroenterol Nurs. 2011;34(3):218-23. doi:10.1097/SGA.0b013e3181d6e4b1. …

Safety is part of quality: a proposal for a continuum in performance measurement. | PSNet

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February 25, 2009 - Study Safety is part of quality: a proposal for a continuum in performance measurement. Citation Text: Kazandjian VA, Wicker KG, Matthes N, et al. Safety is part of quality: a proposal for a continuum in performance measurement. J Eval Clin Pract. 2008;14(2):354-359. doi:10.1111/j.1365…

Cognitive testing of older clinicians prior to recredentialing. | PSNet

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January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

Using simulation to improve systems-based practices. | PSNet

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January 22, 2016 - Review Using simulation to improve systems-based practices. Citation Text: Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. Copy Citation Format: …

Patient safety in dentistry: development of a candidate 'never event' list for primary care. | PSNet

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April 12, 2017 - Study Patient safety in dentistry: development of a candidate 'never event' list for primary care. Citation Text: Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J. 2017;222(10):782-788. doi:10.1038/sj.bdj.2017.456. …

The role of checklists and human factors for improved patient safety in plastic surgery. | PSNet

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November 02, 2016 - Commentary The role of checklists and human factors for improved patient safety in plastic surgery. Citation Text: Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097…

Current pulse: can a production system reduce medical errors in health care? | PSNet

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September 09, 2011 - Commentary Current pulse: can a production system reduce medical errors in health care? Citation Text: Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health care? Qual Manag Health Care. 2007;16(3):226-238. Copy Citation Format: …

Communication during trauma resuscitation: do we know what is happening? | PSNet

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February 03, 2021 - Study Communication during trauma resuscitation: do we know what is happening? Citation Text: Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. Copy Citation Format: Google Scholar …

Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. | PSNet

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July 19, 2019 - Study Lack of standardisation between specialties for human factors content in postgraduate training: an analysis of specialty curricula in the UK. Citation Text: Greig PR, Higham H, Vaux E. Lack of standardisation between specialties for human factors content in postgraduate training: a…

Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? | PSNet

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February 06, 2014 - Study Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? Citation Text: Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instr…

A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. | PSNet

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March 28, 2012 - Review A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. Citation Text: Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event mon…

Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. | PSNet

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April 18, 2016 - Review Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Citation Text: Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002. Copy Citation …

Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. | PSNet

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June 22, 2022 - Study Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study. Citation Text: doi:https://doi.org/10.1001/jamanetworkopen.2022.13234. Copy Citation Format: DOI BibTeX EndNote X3 XML E…

Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet

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August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

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January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

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