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High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/high-fidelity-simulations-impact-clinical-reasoning-and-patient-safety-scoping-review

January 26, 2022 - Review High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. Citation Text: El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(…

Safety of overlapping surgery at a high-volume referral center. | PSNet

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January 11, 2017 - Study Classic Safety of overlapping surgery at a high-volume referral center. Citation Text: Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. …

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. | PSNet

psnet.ahrq.gov/issue/secure-multicentre-survey-safety-emergency-care-uk-emergency-departments

June 16, 2009 - Study SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. Citation Text: Flowerdew L, Tipping M. SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. Emerg Med J. 2021;38(10):769-775. doi:10.1136/emermed-2019-2089…

Disclosing harmful mammography errors to patients. | PSNet

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November 03, 2015 - Study Disclosing harmful mammography errors to patients. Citation Text: Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. Copy Citation Format: DOI Google Scholar BibTeX EndN…

The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. | PSNet

psnet.ahrq.gov/issue/use-positive-deviance-approach-improve-health-service-delivery-and-quality-care-scoping

May 29, 2024 - Review The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. Citation Text: Kassie AM, Eakin E, Abate BB, et al. The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. BMC H…

Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. | PSNet

psnet.ahrq.gov/issue/work-system-barriers-and-facilitators-inpatient-care-transitions-pediatric-trauma-patients

September 11, 2019 - Study Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. Citation Text: Wooldridge AR, Carayon P, Hoonakker P, et al. Work system barriers and facilitators in inpatient care transitions of pediatric trauma patients. App Ergon. 2020;85:103059…

Medical line entanglement: the unspoken patient safety hazard of medical devices. | PSNet

psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices

May 08, 2019 - Study Medical line entanglement: the unspoken patient safety hazard of medical devices. Citation Text: Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. Copy Cit…

How to do no harm: empowering local leaders to make care safer in low-resource settings. | PSNet

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March 03, 2021 - Commentary How to do no harm: empowering local leaders to make care safer in low-resource settings. Citation Text: Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1…

Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. | PSNet

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February 15, 2023 - Study Reducing ambulatory central line-associated bloodstream infections: a family-centered approach. Citation Text: Wong CI, Ilowite M, Yan A, et al. Reducing ambulatory central line‐associated bloodstream infections: a family‐centered approach. Pediatr Blood Cancer. 2024;71(8):e31064. …

Prevalence and nature of adverse medical device events in hospitalized children. | PSNet

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October 05, 2011 - Study Prevalence and nature of adverse medical device events in hospitalized children. Citation Text: Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. Copy …

The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/effect-checklist-quality-patient-handover-operating-room-intensive-care-unit-randomized

April 03, 2013 - Study The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. Citation Text: Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the operating room t…

Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. | PSNet

psnet.ahrq.gov/issue/use-situ-simulation-investigate-latent-safety-threats-prior-opening-new-emergency-department

January 20, 2021 - Study Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Citation Text: Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-…

A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. | PSNet

psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and

January 03, 2017 - Study A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. Citation Text: Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…

Information flow during pediatric trauma care transitions: things falling through the cracks. | PSNet

psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks

February 16, 2022 - Study Information flow during pediatric trauma care transitions: things falling through the cracks. Citation Text: Hoonakker PLT, Wooldridge AR, Hose B-Z, et al. Information flow during pediatric trauma care transitions: things falling through the cracks. Intern Emerg Med. 2019;14(5):797…

Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. | PSNet

psnet.ahrq.gov/issue/adverse-events-and-patient-outcomes-among-hospitalized-children-cared-general-pediatricians

March 23, 2016 - Study Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. Citation Text: Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.…

Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. | PSNet

psnet.ahrq.gov/issue/errors-and-error-producing-conditions-during-simulated-prehospital-pediatric-cardiopulmonary

August 25, 2021 - Study Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Citation Text: Lammers RL, Willoughby-Byrwa M, Fales WD. Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Simul Healthc. …

Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet

psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety

September 26, 2012 - Commentary Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. Citation Text: Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 20…

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. | PSNet

psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand

December 02, 2020 - Study Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Citation Text: Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…

Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. | PSNet

psnet.ahrq.gov/issue/implementing-comprehensive-unit-based-safety-program-cusp-improve-patient-safety-academic

April 21, 2016 - Study Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. Citation Text: Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…

It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. | PSNet

psnet.ahrq.gov/issue/it-depends-who-you-ask-divergences-staff-and-external-stakeholder-narratives-about-causes

August 05, 2020 - Study It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. Citation Text: Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthca…

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