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The checklist--a tool for error management and performance improvement. | PSNet

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June 29, 2011 - Review The checklist--a tool for error management and performance improvement. Citation Text: Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

The pursuit of perfection: hospitals take heightened actions to reduce adverse events. | PSNet

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November 18, 2020 - Newspaper/Magazine Article The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Citation Text: May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3. Copy Citation …

Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? | PSNet

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November 16, 2022 - Study Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Citation Text: Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…

A root cause analysis project in a medication safety course. | PSNet

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October 07, 2020 - Commentary A root cause analysis project in a medication safety course. Citation Text: Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

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July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …

Measurement of adverse events using "incidence flagged" diagnosis codes. | PSNet

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June 18, 2013 - Study Measurement of adverse events using "incidence flagged" diagnosis codes. Citation Text: Jackson T, Duckett S, Shepheard J, et al. Measurement of adverse events using "incidence flagged" diagnosis codes. J Health Serv Res Policy. 2006;11(1):21-6. Copy Citation Format: …

Identifying cross contaminants and specimen mix-ups in surgical pathology. | PSNet

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July 22, 2020 - Review Identifying cross contaminants and specimen mix-ups in surgical pathology. Citation Text: Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596. Copy Citation Format: …

Researchers' roles in patient safety improvement. | PSNet

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December 01, 2010 - Commentary Researchers' roles in patient safety improvement. Citation Text: Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096. Copy Citation Format: DOI Google Scho…

Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. | PSNet

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February 17, 2016 - Study Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. Citation Text: Jones S. Alternative perspectives of safety in home delivered health care: a sequential exploratory mixed method study. J Adv Nurs. 2016;72(10):2536-46. doi…

The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? | PSNet

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July 27, 2016 - Newspaper/Magazine Article The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and our organizations? Citation Text: Hofmann PB. The importance of failing forward. All of us will fail and make mistakes, but how can they benefit us and ou…

Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. | PSNet

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July 10, 2024 - Commentary Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. Citation Text: Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…

Dental patient safety in the military health system: joining medicine in the journey to high reliability. | PSNet

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October 19, 2022 - Study Dental patient safety in the military health system: joining medicine in the journey to high reliability. Citation Text: Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…

Does your patient really understand? | PSNet

psnet.ahrq.gov/issue/does-your-patient-really-understand

January 25, 2023 - Newspaper/Magazine Article Does your patient really understand? Citation Text: Huff C. Does your patient really understand? Hospitals & health networks. 2011;85(10):34-5, 37-8, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

Geometric probability distribution for modeling of error risk during prescription dispensing. | PSNet

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December 24, 2008 - Study Geometric probability distribution for modeling of error risk during prescription dispensing. Citation Text: Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…

Frequency, types, and potential clinical significance of medication-dispensing errors. | PSNet

psnet.ahrq.gov/issue/frequency-types-and-potential-clinical-significance-medication-dispensing-errors

February 03, 2011 - Study Frequency, types, and potential clinical significance of medication-dispensing errors. Citation Text: Bohand X, Simon L, Perrier E, et al. Frequency, types, and potential clinical significance of medication-dispensing errors. Clinics (Sao Paulo). 2009;64(1):11-6. Copy Citation …

The doctor's new dilemma. | PSNet

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November 13, 2024 - Commentary The doctor's new dilemma. Citation Text: Koven S. The Doctor's New Dilemma. N Engl J Med. 2016;374(7):608-9. doi:10.1056/NEJMp1513708. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

Accountability, organisational learning and risks to patient safety in England: conflict or compromise? | PSNet

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December 29, 2014 - Commentary Accountability, organisational learning and risks to patient safety in England: conflict or compromise? Citation Text: Dodds A, Kodate N. Accountability, organisational learning and risks to patient safety in England: Conflict or compromise? Health Risk Soc. 2011;13(4):327-3…

OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. | PSNet

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February 04, 2009 - Commentary OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Citation Text: Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 S…

Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors

December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…

Saying goodbye. | PSNet

psnet.ahrq.gov/issue/saying-goodbye

September 11, 2019 - Commentary Saying goodbye. Citation Text: DeFilippis EM. Saying Goodbye. JAMA Intern Med. 2017;177(11):1565. doi:10.1001/jamainternmed.2017.4017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

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