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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…

Where are my instruments? Hazards in delivery of surgical instruments. | PSNet

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September 25, 2008 - Study Where are my instruments? Hazards in delivery of surgical instruments. Citation Text: Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. Copy Citat…

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

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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…

Unveiling the hidden struggle of healthcare students as second victims through a systematic review. | PSNet

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September 06, 2023 - Review Unveiling the hidden struggle of healthcare students as second victims through a systematic review. Citation Text: Mira JJ, Matarredona V, Tella S, et al. Unveiling the hidden struggle of healthcare students as second victims through a systematic review. BMC Med Educ. 2024;24(1):3…

The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. | PSNet

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October 21, 2020 - Study The standardisation of handoffs in a large academic paediatric emergency department using I-PASS. Citation Text: Chladek MS, Doughty C, Patel B, et al. The Standardisation of handoffs in a large academic paediatric emergency department using I-PASS. BMJ Open Qual. 2021;10(3):e00125…

Status of patient safety culture in community pharmacy settings: a systematic review. | PSNet

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March 04, 2020 - Review Status of patient safety culture in community pharmacy settings: a systematic review. Citation Text: Kwon K-E, Nam DR, Lee M-S, et al. Status of patient safety culture in community pharmacy settings: a systematic review. J Patient Saf. 2023;19(6):353-361. doi:10.1097/pts.000000000…

ESPEN guideline on hospital nutrition. | PSNet

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February 17, 2015 - Organizational Policy/Guidelines ESPEN guideline on hospital nutrition. Citation Text: Thibault R, Abbasoglu O, Ioannou E, et al. ESPEN guideline on hospital nutrition. Clin Nutr. 2021;40(12):5684-5709. doi:10.1016/j.clnu.2021.09.039. Copy Citation Format: DOI Google Schola…

Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. | PSNet

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July 01, 2017 - Study Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. Citation Text: Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee-Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906…

Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. | PSNet

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September 16, 2020 - Study Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. Citation Text: Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J …

Unintended patient safety risks due to wireless smart infusion pump library update delays. | PSNet

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September 25, 2019 - Study Unintended patient safety risks due to wireless smart infusion pump library update delays. Citation Text: Hsu K-Y, DeLaurentis P, Bitan Y, et al. Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. J Patient Saf. 2019;15(1):e8-e14. doi:10.1097…

Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. | PSNet

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January 15, 2025 - Study Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. Citation Text: Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):…

Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. | PSNet

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May 19, 2018 - Study Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and potential root causes. Citation Text: Estock JL, Codario RA, Keddem S, et al. Insulin pump-associated adverse events: a qualitative descriptive study of clinical consequences and po…

Management of the deteriorating adult patient: does simulation-based education improve patient safety? | PSNet

psnet.ahrq.gov/issue/management-deteriorating-adult-patient-does-simulation-based-education-improve-patient-safety

June 08, 2022 - Review Management of the deteriorating adult patient: does simulation-based education improve patient safety? Citation Text: Bennion J, Mansell SK. Management of the deteriorating adult patient: does simulation-based education improve patient safety? Br J Hosp Med (Lond). 2021;82(8):1-8.…

Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. | PSNet

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November 07, 2018 - Study Surgeon's narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. Citation Text: El Boghdady M, Ewalds-Kvist BM. Surgeon’s narcissism, hostility, stress, bullying, meaning in life and work environment: a two-centered analysis. Langenb…

Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. | PSNet

psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality

July 11, 2018 - Review Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. Citation Text: Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement proj…

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. | PSNet

psnet.ahrq.gov/issue/transparency-public-reporting-and-culture-change-quality-and-safety-cardiac-surgery

February 17, 2021 - Commentary Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Citation Text: Ibrahim M, Szeto WY, Gutsche J, et al. Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery. Ann Thorac Surg. 2022;114(3…

Operational failures and interruptions in hospital nursing. | PSNet

psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing

November 03, 2021 - Study Operational failures and interruptions in hospital nursing. Citation Text: Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). | PSNet

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August 28, 2024 - Commentary Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). Citation Text: Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The H…

Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet

psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management

June 22, 2009 - Study Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Citation Text: Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …

Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. | PSNet

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August 23, 2023 - Review Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Citation Text: Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…

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