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Teamwork behaviours and errors during neonatal resuscitation. | PSNet

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September 13, 2011 - Study Teamwork behaviours and errors during neonatal resuscitation. Citation Text: Williams AL, Lasky RE, Dannemiller JL, et al. Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-4. doi:10.1136/qshc.2007.025320. Copy Citation Format…

The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. | PSNet

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April 03, 2019 - Book/Report The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Citation Text: The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. Boston, MA: Betsy Lehman Center for Patient Saf…

Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. | PSNet

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May 03, 2023 - Book/Report Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Citation Text: Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. Massachusetts Protection …

Management of the difficult airway: a closed claims analysis. | PSNet

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July 13, 2010 - Study Management of the difficult airway: a closed claims analysis. Citation Text: Peterson GN, Domino KB, Caplan RA, et al. Management of the difficult airway: a closed claims analysis. Anesthesiology. 2005;103(1):33-39. Copy Citation Format: Google Scholar PubMed BibTeX…

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway. | PSNet

psnet.ahrq.gov/issue/using-multi-method-user-centred-prospective-hazard-analysis-assess-care-quality-and-patient

May 27, 2011 - Study Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway. Citation Text: Dean JE, Hutchinson A, Escoto KH, et al. Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient …

Safety huddles in the PACU: when a patient self-medicates. | PSNet

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December 14, 2016 - Commentary Safety huddles in the PACU: when a patient self-medicates. Citation Text: Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs. 2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010. Copy Citation Format: DOI Google Sc…

Role of intraoperative cholangiography in avoiding bile duct injury. | PSNet

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December 13, 2023 - Review Role of intraoperative cholangiography in avoiding bile duct injury. Citation Text: Massarweh NN, Flum DR. Role of intraoperative cholangiography in avoiding bile duct injury. J Am Coll Surg. 2007;204(4):656-64. Copy Citation Format: Google Scholar PubMed BibTeX En…

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. | PSNet

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December 21, 2014 - Study Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. Citation Text: O'Leary KJ, Wayne DB, Haviley C, et al. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826-32. do…

Time to sign off on signout. | PSNet

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March 11, 2011 - Commentary Time to sign off on signout. Citation Text: Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

Failure to notify reportable test results: significance in medical malpractice. | PSNet

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April 29, 2020 - Study Failure to notify reportable test results: significance in medical malpractice. Citation Text: Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.20…

The wisdom of patients and families: ignore it at our peril. | PSNet

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March 13, 2013 - Commentary The wisdom of patients and families: ignore it at our peril. Citation Text: Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573. Copy Citation Format: DOI Google Scholar PubMe…

'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people. | PSNet

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April 27, 2022 - Newspaper/Magazine Article 'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people. Citation Text: 'Nobody cared': Women who have reported mistreatment while giving b…

Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet

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November 01, 2017 - Review Emerging Classic Overdiagnosis in primary care: framing the problem and finding solutions. Citation Text: Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. Copy C…

Evaluating sample medications in primary care: a practice-based research network study. | PSNet

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July 12, 2010 - Study Evaluating sample medications in primary care: a practice-based research network study. Citation Text: Hansen LB, Saseen JJ, Westfall JM, et al. Evaluating sample medications in primary care: a practice-based research network study. Jt Comm J Qual Patient Saf. 2006;32(12):688-692…

Formalizing the hidden curriculum of performance enhancing errors. | PSNet

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February 17, 2021 - Review Formalizing the hidden curriculum of performance enhancing errors. Citation Text: Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. Copy Citation Format: …

Medical error and decision making: learning from the past and present in intensive care. | PSNet

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June 26, 2024 - Review Medical error and decision making: learning from the past and present in intensive care. Citation Text: Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001. C…

The role of surgeon error in withdrawal of postoperative life support. | PSNet

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July 03, 2014 - Study The role of surgeon error in withdrawal of postoperative life support. Citation Text: Schwarze ML, Redmann AJ, Brasel KJ, et al. The role of surgeon error in withdrawal of postoperative life support. Ann Surg. 2012;256(1):10-5. doi:10.1097/SLA.0b013e3182580de5. Copy Citation …

A framework for encouraging patient engagement in medical decision making. | PSNet

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September 17, 2010 - Commentary A framework for encouraging patient engagement in medical decision making. Citation Text: Holzmueller CG, Wu AW, Pronovost P. A framework for encouraging patient engagement in medical decision making. J Patient Saf. 2012;8(4):161-164. doi:10.1097/PTS.0b013e318267c56e. Copy C…

More than a tick box: medical checklist development, design, and use. | PSNet

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December 02, 2020 - Commentary More than a tick box: medical checklist development, design, and use. Citation Text: Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. Copy Citat…

Alarm fatigue: impacts on patient safety. | PSNet

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December 02, 2020 - Review Alarm fatigue: impacts on patient safety. Citation Text: Ruskin KJ, Hueske-Kraus D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol. 2015;28(6):685-690. doi:10.1097/ACO.0000000000000260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

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