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Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. | PSNet

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April 21, 2015 - Review Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress. Citation Text: Sevdalis N, Hull L, Birnbach DJ. Improving patient safety in the operating theatre and perioperative care: obstacles, inter…

SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet

psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post

November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. Citation Text: De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…

Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet

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March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. Citation Text: Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…

Fast tracking in cardiac surgery: is it safe? | PSNet

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October 05, 2022 - Study Fast tracking in cardiac surgery: is it safe? Citation Text: MacLeod JB, D’Souza K, Aguiar C, et al. Fast tracking in cardiac surgery: is it safe? J Cardiothorac Surg. 2022;17(1):69. doi:10.1186/s13019-022-01815-9. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors. | PSNet

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November 16, 2022 - Study Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors. Citation Text: Matlow AG, Moody L, Laxer R, et al. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influe…

The next step in learning from sentinel events in healthcare. | PSNet

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June 12, 2024 - Commentary The next step in learning from sentinel events in healthcare. Citation Text: Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739. Copy Citation Format: …

PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. | PSNet

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October 29, 2017 - Commentary PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. Citation Text: Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14…

Assessing adverse events among home care clients in three Canadian provinces using chart review. | PSNet

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June 28, 2017 - Study Assessing adverse events among home care clients in three Canadian provinces using chart review. Citation Text: Blais R, Sears NA, Doran D, et al. Assessing adverse events among home care clients in three Canadian provinces using chart review. BMJ Qual Saf. 2013;22(12):989-997. do…

Impact of patient communication problems on the risk of preventable adverse events in acute care settings. | PSNet

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April 22, 2011 - Study Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Citation Text: Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;1…

Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. | PSNet

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March 24, 2021 - Study Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. Citation Text: Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjope…

An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. | PSNet

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June 26, 2019 - Study An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. Citation Text: Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…

Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. | PSNet

psnet.ahrq.gov/issue/learning-through-simulated-independent-practice-leads-better-future-performance-simulated

June 14, 2019 - Study Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. Citation Text: Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better …

Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. | PSNet

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January 10, 2024 - Study Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. Citation Text: Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ’s Patient Safety Indicato…

Do final-year medical students have sufficient prescribing competencies? A systematic literature review. | PSNet

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February 22, 2023 - Review Emerging Classic Do final-year medical students have sufficient prescribing competencies? A systematic literature review. Citation Text: Brinkman DJ, Tichelaar J, Graaf S, et al. Do final-year medical students have sufficient prescribing competencies? A s…

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. | PSNet

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April 26, 2023 - Commentary Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Citation Text: Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …

Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. | PSNet

psnet.ahrq.gov/issue/using-patient-safetyquality-improvement-model-assess-telehealth-psychiatry-and-behavioral

September 27, 2023 - Commentary Using a patient safety/quality improvement model to assess telehealth for psychiatry and behavioral health services among special populations during COVID-19 and beyond. Citation Text: Using a patient safety/quality improvement model to assess telehealth for psychiatry and beh…

Dynamic pocket card for implementing ISBAR in shift handover communication. | PSNet

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July 10, 2024 - Study Dynamic pocket card for implementing ISBAR in shift handover communication. Citation Text: Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. …

Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. | PSNet

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June 01, 2022 - Study Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. Citation Text: De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.02575…

Leveraging patient safety research: efforts made fifteen years since To Err Is Human. | PSNet

psnet.ahrq.gov/issue/leveraging-patient-safety-research-efforts-made-fifteen-years-err-human

March 24, 2019 - Study Leveraging patient safety research: efforts made fifteen years since To Err Is Human. Citation Text: Liang C, Miao Q, Kang H, et al. Leveraging Patient Safety Research: Efforts Made Fifteen Years Since To Err Is Human. Stud Health Technol Inform. 2019;264:983-987. doi:10.3233/SHTI1…

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet

psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia

May 06, 2009 - Study The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. Citation Text: Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…

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