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At risk care plans: a way to reduce readmissions and adverse events. | PSNet

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October 27, 2010 - Commentary At risk care plans: a way to reduce readmissions and adverse events. Citation Text: Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. Copy Citation…

Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving Patient Safety. | PSNet

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July 15, 2020 - Book/Report Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving Patient Safety. Citation Text: Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving Patient Safety. Kendir C, Fujisawa R, Brito Ferna…

Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

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December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

The attitudes and experiences of trainees regarding disclosing medical errors to patients. | PSNet

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April 13, 2011 - Study The attitudes and experiences of trainees regarding disclosing medical errors to patients. Citation Text: White AA, Gallagher TH, Krauss MJ, et al. The attitudes and experiences of trainees regarding disclosing medical errors to patients. Acad Med. 2008;83(3):250-6. doi:10.1097/A…

Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. | PSNet

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March 12, 2019 - Book/Report Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Citation Text: Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Silver Spring, MD: US Department of Health and Human Services, Food and Drug …

How trainees would disclose medical errors: educational implications for training programmes. | PSNet

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February 16, 2011 - Study How trainees would disclose medical errors: educational implications for training programmes. Citation Text: White AA, Bell SK, Krauss MJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ. 2011;45(4):372-80. doi:10.1111…

Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. | PSNet

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March 10, 2021 - Book/Report Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Citation Text: Utilizing a Systems and Design Thinking Approach for Improving Well-Being Within Health Professional Education and Health Care. Kreit…

Reclaiming the systems approach to paediatric safety. | PSNet

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April 03, 2019 - Commentary Reclaiming the systems approach to paediatric safety. Citation Text: Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. Copy Citation Format: DOI Googl…

Hospital safety scores: do grades really matter? | PSNet

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September 24, 2017 - Study Hospital safety scores: do grades really matter? Citation Text: Gonzalez AA, Ghaferi AA. Hospital Safety Scores: do grades really matter? JAMA Surg. 2014;149(5):413-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

Resilience and resilience engineering in health care. | PSNet

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September 19, 2013 - Commentary Resilience and resilience engineering in health care. Citation Text: Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. Copy Citation Format: Google Scholar PubMed BibTeX …

A statewide voluntary patient safety initiative: the Georgia experience. | PSNet

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October 04, 2011 - Commentary A statewide voluntary patient safety initiative: the Georgia experience. Citation Text: Rask KJ, Schuessler LD, Naylor DV. A statewide voluntary patient safety initiative: the Georgia experiene. Jt Comm J Qual Patient Saf. 2006;32(10):564-72. Copy Citation Format: …

Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. | PSNet

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August 26, 2020 - Study Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Citation Text: Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…

Safety incidents in family medicine. | PSNet

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December 11, 2013 - Study Safety incidents in family medicine. Citation Text: O'Beirne M, Sterling PD, Zwicker K, et al. Safety incidents in family medicine. BMJ Qual Saf. 2011;20(12):1005-10. doi:10.1136/bmjqs-2011-000105. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

ASHP guidelines on remote medication order processing. | PSNet

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April 19, 2013 - Commentary ASHP guidelines on remote medication order processing. Citation Text: Processing ASHPEP on RMO, Thompson B, Conrad G, et al. ASHP guidelines on remote medication order processing. Am J Health Syst Pharm. 2010;67(8):672-7. doi:10.2146/sp100003. Copy Citation Format: …

Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. | PSNet

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June 15, 2022 - Study Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. Citation Text: Ryan A, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk i…

Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

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July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …

Patient safety in trauma: maximal impact management errors at a level I trauma center. | PSNet

psnet.ahrq.gov/issue/patient-safety-trauma-maximal-impact-management-errors-level-i-trauma-center

February 19, 2020 - Study Patient safety in trauma: maximal impact management errors at a level I trauma center. Citation Text: Ivatury RR, Guilford K, Malhotra AK, et al. Patient safety in trauma: maximal impact management errors at a level I trauma center. J Trauma. 2008;64(2):265-270; discussion 270-27…

Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. | PSNet

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August 18, 2021 - Book/Report Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Citation Text: Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. Gangopadhyaya A. Washington DC: Urban Institu…

Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. | PSNet

psnet.ahrq.gov/issue/rules-and-guidelines-clinical-practice-qualitative-study-operating-theatres-doctors-and

January 06, 2018 - Study Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Citation Text: McDonald R. Rules and guidelines in clinical practice: a qualitative study in operating theatres of doctors' and nurses' views. Quality and Safety in…

Simulation-based clinical rehearsals as a method for improving patient safety. | PSNet

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September 28, 2022 - Commentary Simulation-based clinical rehearsals as a method for improving patient safety. Citation Text: Arnold J, Cashin M, Olutoye OO. Simulation-Based Clinical Rehearsals as a Method for Improving Patient Safety. JAMA Surg. 2018;153(12):1143-1144. doi:10.1001/jamasurg.2018.3526. Cop…

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