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Integrating systemic accident analysis into patient safety incident investigation practices. | PSNet

psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices

October 27, 2021 - Study Integrating systemic accident analysis into patient safety incident investigation practices. Citation Text: Canham A, Jun GT, Waterson P, et al. Integrating systemic accident analysis into patient safety incident investigation practices. Appl Ergon. 2018;72:1-9. doi:10.1016/j.aperg…

The power of written word: reflection reduces errors of omission. | PSNet

psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission

April 24, 2018 - Study The power of written word: reflection reduces errors of omission. Citation Text: Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. Copy Citation Format: DOI Go…

Dynamics of dignity and safety: a discussion. | PSNet

psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion

September 07, 2022 - Commentary Dynamics of dignity and safety: a discussion. Citation Text: Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. Copy Citation Format: DOI Google Scholar PubMed BibT…

How to mitigate the effects of cognitive biases during patient safety incident investigations. | PSNet

psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations

June 29, 2022 - Commentary How to mitigate the effects of cognitive biases during patient safety incident investigations. Citation Text: Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 20…

Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals. | PSNet

psnet.ahrq.gov/issue/design-retrospective-patient-record-study-occurrence-adverse-events-among-patients-dutch

December 29, 2014 - Study Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals. Citation Text: Zegers M, de Bruijne M, Wagner C, et al. Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch…

Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. | PSNet

psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient-retrieval-systems

March 09, 2016 - Commentary Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Citation Text: Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):9…

Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. | PSNet

psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptions

September 27, 2023 - Commentary Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. Citation Text: Morrison B, Rudolph JW. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in th…

Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. | PSNet

psnet.ahrq.gov/issue/surrogate-decision-makers-perspectives-preventable-breakdowns-care-among-critically-ill

June 07, 2016 - Study Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. Citation Text: Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients:…

Reliability of a revised NOTECHS scale for use in surgical teams. | PSNet

psnet.ahrq.gov/issue/reliability-revised-notechs-scale-use-surgical-teams

April 11, 2009 - Study Reliability of a revised NOTECHS scale for use in surgical teams. Citation Text: Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams. Am J Surg. 2008;196(2):184-90. doi:10.1016/j.amjsurg.2007.08.070. Copy Citation Format…

Do safety briefings improve patient safety in the acute hospital setting? A systematic review. | PSNet

psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review

August 14, 2024 - Review Do safety briefings improve patient safety in the acute hospital setting? A systematic review. Citation Text: Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…

The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-and-teamwork-coaching-tools-study-inter-rater-reliability

May 11, 2016 - Study The surgical safety checklist and teamwork coaching tools: a study of inter-rater reliability. Citation Text: Huang LC, Conley D, Lipsitz S, et al. The Surgical Safety Checklist and Teamwork Coaching Tools: a study of inter-rater reliability. BMJ Qual Saf. 2014;23(8):639-50. doi:10…

Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. | PSNet

psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help

June 15, 2012 - Study Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. Citation Text: Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…

Disclosing clinical adverse events to patients: can practice inform policy? | PSNet

psnet.ahrq.gov/issue/disclosing-clinical-adverse-events-patients-can-practice-inform-policy

September 29, 2017 - Study Disclosing clinical adverse events to patients: can practice inform policy? Citation Text: Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. Cop…

When a surgical colleague makes an error. | PSNet

psnet.ahrq.gov/issue/when-surgical-colleague-makes-error

December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. | PSNet

psnet.ahrq.gov/issue/developing-appreciation-patient-safety-analysis-interprofessional-student-experiences-health

July 24, 2024 - Study Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Citation Text: Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 20…

Mind the sentinel - applying patient-safety paradigms to clinician well-being. | PSNet

psnet.ahrq.gov/issue/mind-sentinel-applying-patient-safety-paradigms-clinician-well-being

October 19, 2022 - Commentary Mind the sentinel - applying patient-safety paradigms to clinician well-being. Citation Text: Humikowski CA. Mind the sentinel - applying patient-safety paradigms to clinician well-being. N Engl J Med. 2024;391(20):1870-1872. doi:10.1056/nejmp2406074. Copy Citation Forma…

Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. | PSNet

psnet.ahrq.gov/issue/patient-safety-where-aim-when-zero-harm-not-target-case-learning-and-resilience

February 01, 2023 - Commentary Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. Citation Text: Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-…

Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? | PSNet

psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be

August 03, 2022 - Review Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Citation Text: Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…

Tiered daily huddles: the power of teamwork in managing large healthcare organisations. | PSNet

psnet.ahrq.gov/issue/tiered-daily-huddles-power-teamwork-managing-large-healthcare-organisations

December 09, 2020 - Commentary Tiered daily huddles: the power of teamwork in managing large healthcare organisations. Citation Text: Mihaljevic T. Tiered daily huddles: the power of teamwork in managing large healthcare organisations. BMJ Qual Saf. 2020;29(12):1050-1052. doi:10.1136/bmjqs-2019-010575. Co…

A Crisis in Health Care: A Call to Action on Physician Burnout. | PSNet

psnet.ahrq.gov/issue/crisis-health-care-call-action-physician-burnout

February 05, 2014 - Book/Report A Crisis in Health Care: A Call to Action on Physician Burnout. Citation Text: A Crisis in Health Care: A Call to Action on Physician Burnout. Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvar…

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