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Creating a just culture in the perioperative setting. | PSNet

psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting

July 13, 2009 - Commentary Creating a just culture in the perioperative setting. Citation Text: Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

Using portable digital technology for clinical care and critical incidents: a new model. | PSNet

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June 29, 2011 - Commentary Using portable digital technology for clinical care and critical incidents: a new model. Citation Text: Bolsin S, Faunce T, Colson M. Using portable digital technology for clinical care and critical incidents: a new model. Aust Health Rev. 2005;29(3):297-305. Copy Citation…

Characterising 'near miss' events in complex laparoscopic surgery through video analysis. | PSNet

psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video-analysis

October 09, 2013 - Study Characterising 'near miss' events in complex laparoscopic surgery through video analysis. Citation Text: Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…

Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet

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September 10, 2014 - Study Improved incident reporting following the implementation of a standardized emergency department peer review process. Citation Text: Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …

Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. | PSNet

psnet.ahrq.gov/issue/error-rating-tool-identify-and-analyse-technical-errors-and-events-laparoscopic-surgery

October 09, 2013 - Study Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Citation Text: Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1…

Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures

January 03, 2017 - Study Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures. Citation Text: Ashley L, Armitage G. Failure Mode and Effects Analysis. J Patient Saf. 2010;6(4):210-215. doi:10.1097/pts.0b013e3181fc98d7. Copy Citation Format: DOI Goog…

Compelled disclosure of confidential information in patient safety research. | PSNet

psnet.ahrq.gov/issue/compelled-disclosure-confidential-information-patient-safety-research

September 29, 2017 - Commentary Compelled disclosure of confidential information in patient safety research. Citation Text: Du L, Murdoch B, Chiu C, et al. Compelled disclosure of confidential information in patient safety research. J Patient Saf. 2021;17(3):200-206. doi:10.1097/pts.0000000000000293. Copy …

Patient safety and mental health-a growing quality gap in Canada. | PSNet

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February 19, 2010 - Commentary Patient safety and mental health-a growing quality gap in Canada. Citation Text: Waddell AE, Gratzer D. Patient safety and mental health-a growing quality gap in Canada. Can J Psychiatry. 2022;67(4):246-249. doi:10.1177/07067437211036596. Copy Citation Format: DO…

Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals

July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Citation Text: Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg…

Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/effectiveness-interventions-designed-promote-patient-involvement-enhance-safety-systematic

January 19, 2011 - Review Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. Citation Text: Hall J, Peat M, Birks Y, et al. Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. Qual Saf Hea…

Medication errors reported in a pediatric intensive care unit for oncologic patients. | PSNet

psnet.ahrq.gov/issue/medication-errors-reported-pediatric-intensive-care-unit-oncologic-patients

September 20, 2011 - Study Medication errors reported in a pediatric intensive care unit for oncologic patients. Citation Text: Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b0…

Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. | PSNet

psnet.ahrq.gov/issue/understanding-procedural-violations-using-safety-i-and-safety-ii-case-community-pharmacies

February 06, 2019 - Study Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. Citation Text: Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10…

Effect of a weight-based prescribing method within an electronic health record on prescribing errors. | PSNet

psnet.ahrq.gov/issue/effect-weight-based-prescribing-method-within-electronic-health-record-prescribing-errors

September 11, 2013 - Study Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Citation Text: Ginzburg R, Barr WB, Harris M, et al. Effect of a weight-based prescribing method within an electronic health record on prescribing errors. Am J Health Syst Pharm.…

Pharmacist work stress and learning from quality related events. | PSNet

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January 07, 2016 - Study Pharmacist work stress and learning from quality related events. Citation Text: Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003. Copy Citation Fo…

Sleep deprivation and clinical performance. | PSNet

psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance

February 16, 2011 - Study Classic Sleep deprivation and clinical performance. Citation Text: Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

Informatics opportunities: the intersection of patient safety and clinical informatics. | PSNet

psnet.ahrq.gov/issue/informatics-opportunities-intersection-patient-safety-and-clinical-informatics

May 27, 2011 - Commentary Informatics opportunities: the intersection of patient safety and clinical informatics. Citation Text: Kilbridge PM, Classen D. The informatics opportunities at the intersection of patient safety and clinical informatics. J Am Med Inform Assoc. 2008;15(4):397-407. doi:10.119…

Physician understanding and ability to communicate harms and benefits of common medical treatments. | PSNet

psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments

September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…

The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. | PSNet

psnet.ahrq.gov/issue/food-and-drug-administrations-initiative-safe-design-and-effective-use-home-medical-equipment

August 18, 2010 - Commentary The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. Citation Text: Weick-Brady M, Singh S. The Food and Drug Administration's initiative for safe design and effective use of home medical equipment. Home Healthc Nurse. 2014…

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making

June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay

December 22, 2008 - Commentary Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. Citation Text: Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…

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