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Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. | PSNet

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July 28, 2021 - Study Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. Citation Text: Gabrysz-Forget F, Young M, Zahabi S, et al. Surgical errors happen, but are learners trained to recover from them? A survey of North Amer…

"What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. | PSNet

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November 03, 2021 - Review "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. Citation Text: Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patien…

Patient safety outcomes under flexible and standard resident duty-hour rules. | PSNet

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March 13, 2019 - Study Emerging Classic Patient safety outcomes under flexible and standard resident duty-hour rules. Citation Text: Patient safety outcomes under flexible and standard resident duty-hour rules. Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N En…

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. | PSNet

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January 07, 2011 - Study Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. Citation Text: Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70. Cop…

Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. | PSNet

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March 11, 2011 - Study Estimating the information gap between emergency department records of community medication compared to on-line access to the community-based pharmacy records. Citation Text: Tamblyn R, Poissant L, Huang A, et al. Estimating the information gap between emergency department records …

Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach | PSNet

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June 30, 2021 - Study Never events in UK general practice: A survey of the views of general practitioners on their frequency and acceptability as a safety improvement approach Citation Text: Stocks SJ, Alam R, Bowie P, et al. Never Events in UK General Practice: A Survey of the Views of General Practiti…

Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. | PSNet

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November 07, 2011 - Study Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. Citation Text: de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices: patient safety outco…

Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet

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February 14, 2017 - Review Strategies for improving patient safety culture in hospitals: a systematic review. Citation Text: Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-0…

Exploring the sociotechnical intersection of patient safety and electronic health record implementation. | PSNet

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May 01, 2015 - Study Classic Exploring the sociotechnical intersection of patient safety and electronic health record implementation. Citation Text: Meeks DW, Takian A, Sittig DF, et al. Exploring the sociotechnical intersection of patient safety and electronic health record i…

Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. | PSNet

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October 09, 2019 - Study Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. Citation Text: Hamadi H, Borkar SR, DHA LRM, et al. Hospital-acquired Conditions Reduction Program, patient safety, and Magnet designation in the United States. J Patient Sa…

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. | PSNet

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June 07, 2023 - Study Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. Citation Text: Singh R, McLean-Plunckett EA, Kee R, et al. Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary …

Interventions to reduce pediatric medication errors: a systematic review. | PSNet

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December 04, 2016 - Review Interventions to reduce pediatric medication errors: a systematic review. Citation Text: Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531. Copy Citation …

Self-reported uptake of recommendations after dissemination of medication incident alerts. | PSNet

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January 07, 2015 - Study Self-reported uptake of recommendations after dissemination of medication incident alerts. Citation Text: Cheung K-C, Wensing M, Bouvy ML, et al. Self-reported uptake of recommendations after dissemination of medication incident alerts. BMJ Qual Saf. 2012;21(12):1009-18. doi:10.1…

Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. | PSNet

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May 25, 2022 - Study Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. Citation Text: Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and nea…

Hospital leadership and quality improvement: rhetoric versus reality. | PSNet

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May 07, 2014 - Study Hospital leadership and quality improvement: rhetoric versus reality. Citation Text: Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. Copy Citation Format: DOI Google Scholar…

Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016-18. | PSNet

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September 13, 2023 - Study Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 2016-18. Citation Text: Van Wilder A, Bruyneel L, Cox B, et al. Rates of Patient Safety Indicators in Belgian hospitals were low but generally higher than in US hospitals, 20…

The "weekend effect" in pediatric surgery—increased mortality for children undergoing urgent surgery during the weekend. | PSNet

psnet.ahrq.gov/issue/weekend-effect-pediatric-surgery-increased-mortality-children-undergoing-urgent-surgery

February 01, 2012 - Study Classic The "weekend effect" in pediatric surgery—increased mortality for children undergoing urgent surgery during the weekend. Citation Text: Goldstein SD, Papandria DJ, Aboagye J, et al. The "weekend effect" in pediatric surgery - increased mortality fo…

Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU. | PSNet

psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool-cpert

May 25, 2016 - Study Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU. Citation Text: Bates KE, Shea JA, Bird GL, et al. Development and Preliminary Testing of the…

Effect of barcode technology on medication preparation safety: a quasi-experimental study. | PSNet

psnet.ahrq.gov/issue/effect-barcode-technology-medication-preparation-safety-quasi-experimental-study

December 01, 2021 - Study Effect of barcode technology on medication preparation safety: a quasi-experimental study. Citation Text: Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1…

Two fatal cases of accidental intrathecal vincristine administration: learning from death events. | PSNet

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March 24, 2021 - Commentary Two fatal cases of accidental intrathecal vincristine administration: learning from death events. Citation Text: Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemothera…

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