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Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. | PSNet

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August 20, 2021 - Press Release/Announcement Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. Citation Text: Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. MedWatch Safety Al…

Resident and nurse perspectives on the use of secure text messaging systems. | PSNet

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March 02, 2022 - Study Resident and nurse perspectives on the use of secure text messaging systems. Citation Text: Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953. Copy Citation For…

The intersection of traumatic childbirth and obstetric racism: a qualitative study. | PSNet

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June 14, 2023 - Study The intersection of traumatic childbirth and obstetric racism: a qualitative study. Citation Text: Dmowska A, Fielding‐Singh P, Halpern J, et al. The intersection of traumatic childbirth and obstetric racism: a qualitative study. Birth. 2024;51(1):209-217. doi:10.1111/birt.12774. …

Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. | PSNet

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December 02, 2020 - Study Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. Citation Text: Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2…

Medication errors and adverse drug events in pediatric inpatients. | PSNet

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January 19, 2011 - Study Classic Medication errors and adverse drug events in pediatric inpatients. Citation Text: Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20. Copy Citation Format: …

Market-based control mechanisms for patient safety. | PSNet

psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety

June 30, 2010 - Commentary Market-based control mechanisms for patient safety. Citation Text: Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care. 2009;18(2):99-103. doi:10.1136/qshc.2007.025833. Copy Citation Format: DOI Google Scholar PubMe…

The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons. | PSNet

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May 05, 2021 - Study The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons. Citation Text: Sherwood R, Bismark M. The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting sa…

From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. | PSNet

psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients

December 20, 2017 - Study From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. Citation Text: Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on pa…

Falling through the cracks: the invisible hospital cleaning workforce. | PSNet

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June 19, 2013 - Commentary Falling through the cracks: the invisible hospital cleaning workforce. Citation Text: Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035. Copy…

Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet

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January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident reporting systems. Citation Text: Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting system with existing incident reporting systems. Jt Comm J Qual…

Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

psnet.ahrq.gov/issue/measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute

January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. | PSNet

psnet.ahrq.gov/issue/plans-are-worthless-planning-everything-advancing-patient-safety-better-managing-paradox

September 23, 2020 - Commentary "Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. Citation Text: Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better mana…

Selecting indicators for patient safety at the health system level in OECD countries. | PSNet

psnet.ahrq.gov/issue/selecting-indicators-patient-safety-health-system-level-oecd-countries

June 28, 2011 - Study Selecting indicators for patient safety at the health system level in OECD countries. Citation Text: McLoughlin V, Millar J, Mattke S, et al. Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care. 2006;18 Suppl 1:14-20. Cop…

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. | PSNet

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December 14, 2022 - Study Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Citation Text: Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…

Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance

July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project

September 23, 2020 - Commentary Using Kotter's change model for implementing bedside handoff: a quality improvement project. Citation Text: Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.…

A Tale of Two Stories: Contrasting Views of Patient Safety. | PSNet

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March 27, 2005 - Book/Report Classic A Tale of Two Stories: Contrasting Views of Patient Safety. Citation Text: A Tale of Two Stories: Contrasting Views of Patient Safety. Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997. Copy Citation …

Implementing a human factors approach to RCA(2) : tools, processes and strategies. | PSNet

psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies

July 21, 2021 - Study Implementing a human factors approach to RCA(2) : tools, processes and strategies. Citation Text: Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. | PSNet

psnet.ahrq.gov/issue/framing-family-conversation-after-early-diagnosis-iatrogenic-injury-and-incidental-findings

November 14, 2011 - Study Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Citation Text: Barrios L, Tsuda S, Derevianko A, et al. Framing family conversation after early diagnosis of iatrogenic injury and incidental findings. Surg Endosc. 2009;23(11):2535-42…

Making an infusion error: the second victims of infusion therapy-related medication errors. | PSNet

psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors

June 27, 2018 - Study Making an infusion error: the second victims of infusion therapy-related medication errors. Citation Text: Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.00000000000…

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