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Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. | PSNet

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June 25, 2018 - Commentary Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. Citation Text: Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health …

Measuring and improving patient safety through health information technology: the Health IT Safety Framework. | PSNet

psnet.ahrq.gov/issue/measuring-and-improving-patient-safety-through-health-information-technology-health-it-safety

December 06, 2023 - Commentary Measuring and improving patient safety through health information technology: the Health IT Safety Framework. Citation Text: Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(…

Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. | PSNet

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June 17, 2009 - Study Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. Citation Text: Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruption…

Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. | PSNet

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October 04, 2023 - Review Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. Citation Text: Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. …

Sensemaking of patient safety risks and hazards. | PSNet

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March 03, 2011 - Commentary Sensemaking of patient safety risks and hazards. Citation Text: Battles J, Dixon NM, Borotkanics RJ, et al. Sensemaking of patient safety risks and hazards. Health Serv Res. 2006;41(4 Pt 2):1555-1575. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

Mapping changes in surgical mortality over 9 years by peer review audit. | PSNet

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March 04, 2011 - Study Mapping changes in surgical mortality over 9 years by peer review audit. Citation Text: Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. Copy Citation Format: Google Schol…

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. | PSNet

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August 03, 2022 - Study Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. Citation Text: Cassidy CJ, Smith AF, Arnot-Smith J. Critical incident reports concerning anaesthetic equipment: analysis of the UK Nat…

Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. | PSNet

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July 03, 2014 - Study Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. Citation Text: Mamede S, Splinter TAW, Van Gog T, et al. Exploring the role of salient distracting clinical features…

Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. | PSNet

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December 10, 2014 - Study Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. Citation Text: March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study. BMJ Open. 2013;3(4). d…

A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. | PSNet

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February 08, 2017 - Study A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Citation Text: Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setti…

Professionalism: a necessary ingredient in a culture of safety. | PSNet

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November 01, 2011 - Study Professionalism: a necessary ingredient in a culture of safety. Citation Text: Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-55. Copy Citation Format: Google Scholar …

Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. | PSNet

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August 15, 2018 - Study Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth. Citation Text: Sherman J, Hedli LC, Kristensen-Cabrera AI, et al. Understanding the Heterogeneity of Labor and Del…

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. | PSNet

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December 21, 2022 - Study Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Citation Text: Dynan L, Smith RB. Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables. Health Serv Outcomes Res Methodol.…

From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. | PSNet

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September 09, 2020 - Commentary From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. Citation Text: Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a…

Using near-miss events to improve MRI safety in a large academic centre. | PSNet

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May 31, 2017 - Commentary Using near-miss events to improve MRI safety in a large academic centre. Citation Text: Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. Copy Citation…

Intensive care unit safety culture and outcomes: a US multicenter study. | PSNet

psnet.ahrq.gov/issue/intensive-care-unit-safety-culture-and-outcomes-us-multicenter-study

June 16, 2011 - Study Intensive care unit safety culture and outcomes: a US multicenter study. Citation Text: Huang DT, Clermont G, Kong L, et al. Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care. 2010;22(3):151-61. doi:10.1093/intqhc/mzq017. Copy Citat…

The safe day call: reducing silos in health care through frontline risk assessment. | PSNet

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May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…

PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. | PSNet

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November 16, 2022 - Study PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. Citation Text: Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…

Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. | PSNet

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September 26, 2012 - Study Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors. Citation Text: Pernar LIM, Shaw T, Pozner CN, et al. Using an Objective Structured Clinical Examination to test adherence to Joint Commissio…

FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. | PSNet

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January 03, 2017 - Commentary FOCUS: The Society of Cardiovascular Anesthesiologists' initiative to improve quality and safety in the cardiovascular operating room. Citation Text: Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to improve quality and…

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