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We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. | PSNet

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December 29, 2014 - Commentary We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. Citation Text: Fischbacher-Smith D, Fischbacher-Smith M. WE MAY REMEMBER BUT WHAT DID WE LEARN? DEALING WITH ERRORS, CRIMES AND MISDEMEANOURS AROUND ADVE…

Effectiveness of surgical safety checklists in improving patient safety. | PSNet

psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety

May 29, 2019 - Commentary Effectiveness of surgical safety checklists in improving patient safety. Citation Text: Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02. Copy…

Fault/no fault: bearing the brunt of medical mishaps. | PSNet

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January 27, 2021 - Commentary Fault/no fault: bearing the brunt of medical mishaps. Citation Text: Silversides A. Fault/no fault: bearing the brunt of medical mishaps. CMAJ. 2008;179(4):309-11. doi:10.1503/cmaj.081020. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. | PSNet

psnet.ahrq.gov/issue/design-and-implementation-point-care-computerized-system-drug-therapy-stockholm-metropolitan

October 21, 2010 - Commentary Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region--bridging the gap between knowledge and practice. Citation Text: SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care…

Changing how we think about healthcare improvement. | PSNet

psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement

October 09, 2024 - Commentary Classic Changing how we think about healthcare improvement. Citation Text: Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. Copy Citation Format: DOI Google Scholar PubMed Bib…

The 100,000 Lives Campaign: crystallizing standards of care for hospitals. | PSNet

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August 20, 2018 - Commentary The 100,000 Lives Campaign: crystallizing standards of care for hospitals. Citation Text: Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. Copy Citation Format: Goo…

Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. | PSNet

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May 26, 2010 - Commentary Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. Citation Text: Jeong H-J, Pham JC, Kim M, et al. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programm…

Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. | PSNet

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February 02, 2022 - Newspaper/Magazine Article Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Citation Text: Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…

Defensive medicine: it is time to finally slow down an epidemic. | PSNet

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November 18, 2016 - Commentary Emerging Classic Defensive medicine: it is time to finally slow down an epidemic. Citation Text: Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…

Development of a training program for bar-code–assisted medication administration in inpatient pharmacy. | PSNet

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September 22, 2021 - Commentary Development of a training program for bar-code–assisted medication administration in inpatient pharmacy. Citation Text: Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration in inpatient pharmacy. Am J Health Syst Pharm. 2010…

Results of a survey on medical error reporting systems in Korean hospitals. | PSNet

psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals

May 08, 2017 - Study Results of a survey on medical error reporting systems in Korean hospitals. Citation Text: KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005. Copy Citation Format: …

Microanalysis of video from the operating room: an underused approach to patient safety research. | PSNet

psnet.ahrq.gov/issue/microanalysis-video-operating-room-underused-approach-patient-safety-research

January 22, 2014 - Study Microanalysis of video from the operating room: an underused approach to patient safety research. Citation Text: Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-…

Changing operating room culture: implementation of a postoperative debrief and improved safety culture. | PSNet

psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety

December 03, 2014 - Study Changing operating room culture: implementation of a postoperative debrief and improved safety culture. Citation Text: Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…

Using standardized OR checklists and creating extended time-out checklists. | PSNet

psnet.ahrq.gov/issue/using-standardized-or-checklists-and-creating-extended-time-out-checklists

February 15, 2011 - Commentary Using standardized OR checklists and creating extended time-out checklists. Citation Text: Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007. Copy Citation Format: …

Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. | PSNet

psnet.ahrq.gov/issue/impact-feeling-responsible-adverse-events-doctors-personal-and-professional-lives-importance

March 13, 2013 - Study Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues. Citation Text: Aasland OG, Førde R. Impact of feeling responsible for adverse events on doctors' personal and professional live…

Medical error and systems of signaling: conceptual and linguistic definition. | PSNet

psnet.ahrq.gov/issue/medical-error-and-systems-signaling-conceptual-and-linguistic-definition

July 12, 2019 - Commentary Medical error and systems of signaling: conceptual and linguistic definition. Citation Text: Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-110…

LeDeR - Learning from Lives and Deaths. | PSNet

psnet.ahrq.gov/issue/leder-learning-lives-and-deaths

October 19, 2022 - Multi-use Website LeDeR - Learning from Lives and Deaths. Citation Text: LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England. Copy Citation Save Save to your library Print Download PDF Share Fa…

Functional health literacy and understanding of medications at discharge. | PSNet

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April 24, 2018 - Study Functional health literacy and understanding of medications at discharge. Citation Text: Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554. Copy Citation Format: …

Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet

psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality

September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

IV medication safety software implementation in a multihospital health system. | PSNet

psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system

October 17, 2018 - Commentary IV medication safety software implementation in a multihospital health system. Citation Text: Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151. Copy Citation Format: …

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