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Why do nurses miss nursing care? A qualitative meta-synthesis. | PSNet

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January 23, 2017 - Review Why do nurses miss nursing care? A qualitative meta-synthesis. Citation Text: Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta‐synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. Copy Citation Format: DOI Google Scho…

Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. | PSNet

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June 19, 2019 - Commentary Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. Citation Text: Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimi…

Prescription opioid exposures among children and adolescents in the United States: 2000–2015. | PSNet

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December 21, 2017 - Study Prescription opioid exposures among children and adolescents in the United States: 2000–2015. Citation Text: Allen JD, Casavant MJ, Spiller HA, et al. Prescription Opioid Exposures Among Children and Adolescents in the United States: 2000-2015. Pediatrics. 2017;139(4). doi:10.1542/…

Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. | PSNet

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February 07, 2024 - Study Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. Citation Text: Silén-Lipponen M, Tossavainen K, Turunen H, et al. Potential errors and their prevention in operating room teamwork as experienced by Finnish, B…

Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. | PSNet

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June 14, 2011 - Study Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: frequency and seriousness of medication errors. Qual Saf Health Care. …

Human factors systems approach to healthcare quality and patient safety. | PSNet

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October 03, 2013 - Commentary Human factors systems approach to healthcare quality and patient safety. Citation Text: Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…

Body CT: technical advances for improving safety. | PSNet

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September 28, 2022 - Review Body CT: technical advances for improving safety. Citation Text: Marin D, Nelson RC, Rubin GD, et al. Body CT: technical advances for improving safety. AJR Am J Roentgenol. 2011;197(1):33-41. doi:10.2214/AJR.11.6755. Copy Citation Format: DOI Google Scholar PubMed Bi…

Medical errors reported by French general practitioners in training: results of a survey and individual interviews. | PSNet

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March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…

Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. | PSNet

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January 22, 2017 - Study Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Citation Text: Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…

Embracing multiple aims in healthcare improvement and innovation. | PSNet

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June 24, 2020 - Commentary Embracing multiple aims in healthcare improvement and innovation. Citation Text: Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. Copy Citation Fo…

The role of error in organizing behaviour. | PSNet

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April 21, 2011 - Study Classic The role of error in organizing behaviour. Citation Text: Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. Copy Citation Format: DOI Google Scholar BibTeX End…

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

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December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. | PSNet

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March 23, 2011 - Study A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. Citation Text: Regenbogen SE, Hirose M, Imanaka Y, et al. A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. Qual Saf Hea…

Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet

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August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

Crisis preparedness: a systems-based framework for avoiding harm in surgery. | PSNet

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September 14, 2022 - Study Crisis preparedness: a systems-based framework for avoiding harm in surgery. Citation Text: Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.00000000000003…

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural

May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

Critical Issues in Food Allergy: A National Academies Consensus Report. | PSNet

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November 16, 2022 - Commentary Critical Issues in Food Allergy: A National Academies Consensus Report. Citation Text: Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194. Copy Citation Format: …

Augmenting health care failure modes and effects analysis with simulation. | PSNet

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December 18, 2024 - Study Augmenting health care failure modes and effects analysis with simulation. Citation Text: Nielsen DS, Dieckmann P, Mohr M, et al. Augmenting health care failure modes and effects analysis with simulation. Simul Healthc. 2014;9(1):48-55. doi:10.1097/SIH.0b013e3182a3defd. Copy Cit…

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…

Characterising 'near miss' events in complex laparoscopic surgery through video analysis. | PSNet

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October 09, 2013 - Study Characterising 'near miss' events in complex laparoscopic surgery through video analysis. Citation Text: Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…

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