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Chasing the 6-sigma: drawing lessons from the cockpit culture. | PSNet

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April 22, 2015 - Commentary Chasing the 6-sigma: drawing lessons from the cockpit culture. Citation Text: Hickey EJ, Halvorsen F, Laussen PC, et al. Chasing the 6-sigma: Drawing lessons from the cockpit culture. J Thorac Cardiovasc Surg. 2017;155(2). doi:10.1016/j.jtcvs.2017.09.097. Copy Citation F…

Same-hospital readmission rates as a measure of pediatric quality of care. | PSNet

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September 18, 2024 - Study Same-hospital readmission rates as a measure of pediatric quality of care. Citation Text: Khan A, Nakamura MM, Zaslavsky AM, et al. Same-Hospital Readmission Rates as a Measure of Pediatric Quality of Care. JAMA Pediatr. 2015;169(10):905-12. doi:10.1001/jamapediatrics.2015.1129. …

Adoption of patient-centered care practices by physicians: results from a national survey. | PSNet

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August 28, 2019 - Study Adoption of patient-centered care practices by physicians: results from a national survey. Citation Text: Audet A-M, Davis K, Schoenbaum S. Adoption of patient-centered care practices by physicians: results from a national survey. Arch Intern Med. 2006;166(7):754-9. Copy Citati…

Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? | PSNet

psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical

February 23, 2011 - Study Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Citation Text: Maaløe R, la Cour M, Hansen A, et al. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand. 2006;50(8):1005-13. …

The missing link: dedicated patient safety education within top-ranked US nursing school curricula. | PSNet

psnet.ahrq.gov/issue/missing-link-dedicated-patient-safety-education-within-top-ranked-us-nursing-school-curricula

November 15, 2018 - Study The missing link: dedicated patient safety education within top-ranked US nursing school curricula. Citation Text: Howard JN. The missing link: dedicated patient safety education within top-ranked US nursing school curricula. J Patient Saf. 2010;6(3):165-71. Copy Citation F…

Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. | PSNet

psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles

December 31, 2014 - Study Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences. Citation Text: Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacl…

Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. | PSNet

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February 15, 2011 - Commentary Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Citation Text: Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…

The perianesthesia nurse's role in the prevention of opioid-related sentinel events. | PSNet

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November 25, 2020 - Commentary The perianesthesia nurse's role in the prevention of opioid-related sentinel events. Citation Text: Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. Copy Citat…

Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? | PSNet

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April 24, 2018 - Review Partial do-not-resuscitate orders: a hazard to patient safety and clinical outcomes? Citation Text: Sanders A, Schepp M, Baird M. Partial do-not-resuscitate orders: A hazard to patient safety and clinical outcomes? Crit Care Med. 2011;39(1):14-8. doi:10.1097/CCM.0b013e3181feb8f6…

Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? | PSNet

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September 23, 2020 - Review Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Citation Text: Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52.…

Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. | PSNet

psnet.ahrq.gov/issue/double-gloves-randomized-trial-evaluate-simple-strategy-reduce-contamination-operating-room

November 09, 2015 - Study Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Double gloves: a randomized trial to evaluate a simple strategy to reduce contamination in the operating room. …

What is the value and impact of quality and safety teams? A scoping review. | PSNet

psnet.ahrq.gov/issue/what-value-and-impact-quality-and-safety-teams-scoping-review

December 06, 2017 - Review What is the value and impact of quality and safety teams? A scoping review. Citation Text: White DE, Straus SE, Stelfox T, et al. What is the value and impact of quality and safety teams? A scoping review. Implement Sci. 2011;6:97. doi:10.1186/1748-5908-6-97. Copy Citation …

Improving patient safety: lessons from rock climbing. | PSNet

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July 10, 2024 - Commentary Improving patient safety: lessons from rock climbing. Citation Text: Robertson N. Improving patient safety: lessons from rock climbing. Clin Teach. 2012;9(1):41-4. doi:10.1111/j.1743-498X.2011.00485.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

Defining patient safety in hospice: principles to guide measurement and public reporting. | PSNet

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September 23, 2020 - Commentary Defining patient safety in hospice: principles to guide measurement and public reporting. Citation Text: Casarett D, Spence C, Clark MA, et al. Defining patient safety in hospice: principles to guide measurement and public reporting. J Palliat Med. 2012;15(10):1120-3. doi:10…

Differences in the reporting of care-related patient injuries to existing reporting systems. | PSNet

psnet.ahrq.gov/issue/differences-reporting-care-related-patient-injuries-existing-reporting-systems

December 12, 2018 - Commentary Differences in the reporting of care-related patient injuries to existing reporting systems. Citation Text: Williams K, Pladevall M, Fendrick M, et al. Differences in the reporting of care-related patient injuries to existing reporting systems. Jt Comm J Qual Patient Saf. 20…

Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture. | PSNet

psnet.ahrq.gov/issue/mapping-research-culture-and-safety-high-risk-organizations-arguments-sociotechnical

August 09, 2017 - Commentary Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture. Citation Text: Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding of…

A series of anesthesia-related maternal deaths in Michigan, 1985-2003. | PSNet

psnet.ahrq.gov/issue/series-anesthesia-related-maternal-deaths-michigan-1985-2003

February 26, 2009 - Study A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Citation Text: Mhyre JM, Riesner MN, Polley LS, et al. A series of anesthesia-related maternal deaths in Michigan, 1985-2003. Anesthesiology. 2007;106(6):1096-1104. Copy Citation Format: Google S…

Creating a fellowship curriculum in patient safety and quality. | PSNet

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September 09, 2020 - Commentary Creating a fellowship curriculum in patient safety and quality. Citation Text: Abookire SA, Gandhi TK, Kachalia A, et al. Creating a Fellowship Curriculum in Patient Safety and Quality. Am J Med Qual. 2016;31(1):27-30. doi:10.1177/1062860614549012. Copy Citation Format: …

Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. | PSNet

psnet.ahrq.gov/issue/medication-error-alerts-warfarin-orders-detected-bar-code-assisted-medication-administration

July 03, 2014 - Study Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Citation Text: FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system. Am J Hea…

Safety in home care: a broadened perspective of patient safety. | PSNet

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December 04, 2016 - Commentary Safety in home care: a broadened perspective of patient safety. Citation Text: Lang A, Edwards N, Fleiszer A. Safety in home care: a broadened perspective of patient safety. International Journal for Quality in Health Care. 2007;20(2). doi:10.1093/intqhc/mzm068. Copy Citat…

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