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Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. | PSNet

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June 22, 2011 - Commentary Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Citation Text: Effken JA, Brewer BB, Patil A, et al. Using OrgAhead, a computational modeling program, to improve patient care unit safety and quality outcomes. Int J …

'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet

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April 17, 2024 - Study 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. Citation Text: Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…

Wake Up Safe in the USA & international patient safety. | PSNet

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August 23, 2023 - Study Wake Up Safe in the USA & international patient safety. Citation Text: Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920. Copy Citation Format: DOI Google Scholar BibTeX En…

Preventing sentinel events caused by family members. | PSNet

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June 14, 2023 - Commentary Preventing sentinel events caused by family members. Citation Text: Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0. Copy Citation Format: DOI Google Scholar PubMed Bi…

Language barriers and understanding of hospital discharge instructions. | PSNet

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July 07, 2010 - Study Language barriers and understanding of hospital discharge instructions. Citation Text: Karliner LS, Auerbach AD, Nápoles A, et al. Language barriers and understanding of hospital discharge instructions. Med Care. 2012;50(4):283-9. doi:10.1097/MLR.0b013e318249c949. Copy Citation…

Assigning responsibility to close the loop on radiology test results. | PSNet

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April 03, 2024 - Review Assigning responsibility to close the loop on radiology test results. Citation Text: Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl). 2017;4(3):173-177. doi:10.1515/dx-2017-0019. Copy Citation Format: DOI Googl…

Toward a definition of teamwork in emergency medicine. | PSNet

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May 31, 2017 - Commentary Toward a definition of teamwork in emergency medicine. Citation Text: Fernandez R, Kozlowski SWJ, Shapiro MJ, et al. Toward a definition of teamwork in emergency medicine. Acad Emerg Med. 2008;15(11):1104-12. doi:10.1111/j.1553-2712.2008.00250.x. Copy Citation Format: …

Automation failures and patient safety. | PSNet

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November 21, 2012 - Review Automation failures and patient safety. Citation Text: Ruskin KJ, Ruskin AC, O’Connor M. Automation failures and patient safety. Curr Opin Anaesthesiol. 2020;33(6):788-792. doi:10.1097/aco.0000000000000935. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

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 …

Will human factors restore faith in the GMC? | PSNet

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January 12, 2022 - Commentary Will human factors restore faith in the GMC? Citation Text: Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

Documentation of clinical review and vital signs after major surgery. | PSNet

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September 30, 2010 - Study Documentation of clinical review and vital signs after major surgery. Citation Text: McGain F, Cretikos MA, Jones D, et al. Documentation of clinical review and vital signs after major surgery. Med J Aust. 2008;189(7):380-3. Copy Citation Format: Google Scholar PubMe…

Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. | PSNet

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July 31, 2013 - Study Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Citation Text: Murray MD, Ritchey ME, Wu J, et al. Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease. Arch …

What's the difference between a hospital and a bottling factory? | PSNet

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October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

Reforming the Veterans Health Administration—beyond palliation of symptoms. | PSNet

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May 11, 2019 - Commentary Reforming the Veterans Health Administration—beyond palliation of symptoms. Citation Text: Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. Copy Citation Form…

Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. | PSNet

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August 15, 2018 - Study Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. Citation Text: Choudhry NK, Anderson G, Laupacis A, et al. Impact of adverse events on prescribing warfarin in patients with atrial fibrillation: matched pair analysis. B…

Effect of surgical safety checklists on pediatric surgical complications in Ontario. | PSNet

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December 07, 2016 - Study Effect of surgical safety checklists on pediatric surgical complications in Ontario. Citation Text: O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. …

Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. | PSNet

psnet.ahrq.gov/issue/alcohol-and-drug-testing-health-professionals-following-preventable-adverse-events-bad-idea

January 02, 2017 - Commentary Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Citation Text: Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.20…

Implementing a surgical checklist: more than checking a box. | PSNet

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July 16, 2014 - Study Implementing a surgical checklist: more than checking a box. Citation Text: Levy SM, Senter CE, Hawkins RB, et al. Implementing a surgical checklist: more than checking a box. Surgery. 2012;152(3):331-6. doi:10.1016/j.surg.2012.05.034. Copy Citation Format: DOI Goog…

We know what they did wrong, but not why: the case for 'frame-based' feedback. | PSNet

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December 21, 2014 - Newspaper/Magazine Article We know what they did wrong, but not why: the case for 'frame-based' feedback. Citation Text: Rudolph JW, Raemer D, Shapiro J. We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. Clin Teach. 2013;10(3):186-189. doi:10.1111/j.1743-498x.2…

Creating a safer operating room: groups, team dynamics and crew resource management principles. | PSNet

psnet.ahrq.gov/issue/creating-safer-operating-room-groups-team-dynamics-and-crew-resource-management-principles

June 11, 2008 - Review Emerging Classic Creating a safer operating room: groups, team dynamics and crew resource management principles. Citation Text: Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…

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