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Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. | PSNet

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April 27, 2019 - Review Serious hazards of transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Citation Text: Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol. 2013;163(3):303-14. doi…

Patient safety: what is really at issue? | PSNet

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October 18, 2017 - Commentary Patient safety: what is really at issue? Citation Text: Bagian JP. Patient safety: what is really at issue? Front Health Serv Manage. 2005;22(1):3-16. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Some unintended effects of teamwork in healthcare. | PSNet

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July 02, 2008 - Study Some unintended effects of teamwork in healthcare. Citation Text: Finn R, Learmonth M, Reedy P. Some unintended effects of teamwork in healthcare. Soc Sci Med. 2010;70(8):1148-54. doi:10.1016/j.socscimed.2009.12.025. Copy Citation Format: DOI Google Scholar PubMed B…

Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet

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August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma. | PSNet

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October 16, 2013 - Study Lack of awareness of community-acquired adverse drug reactions upon hospital admission: dimensions and consequences of a dilemma. Citation Text: Dormann H, Criegee-Rieck M, Neubert A, et al. Lack of awareness of community-acquired adverse drug reactions upon hospital admission : …

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. | PSNet

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March 07, 2018 - Study Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. Citation Text: Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot…

Patient safety in the context of neonatal intensive care: research and educational opportunities. | PSNet

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April 11, 2011 - Commentary Patient safety in the context of neonatal intensive care: research and educational opportunities. Citation Text: Raju TNK, Suresh G, Higgins RD. Patient safety in the context of neonatal intensive care: research and educational opportunities. Pediatr Res. 2011;70(1):109-15. do…

The Broselow tape as an effective medication dosing instrument: a review of the literature. | PSNet

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April 09, 2009 - Review The Broselow tape as an effective medication dosing instrument: a review of the literature. Citation Text: Meguerdichian MJ, Clapper TC. The Broselow tape as an effective medication dosing instrument: a review of the literature. J Pediatr Nurs. 2012;27(4):416-420. doi:10.1016/j.…

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…

Shifting the learning curve. | PSNet

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March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. | PSNet

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August 16, 2017 - Commentary Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis. Citation Text: Freundlich RE, Grondin L, Tremper KK, et al. Automated electronic reminders to prevent miscommunication among primary m…

Use of health information technology to reduce diagnostic errors. | PSNet

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April 30, 2014 - Review Use of health information technology to reduce diagnostic errors. Citation Text: El-Kareh R, Hasan O, Schiff G. Use of health information technology to reduce diagnostic errors. BMJ Qual Saf. 2013;22 Suppl 2:ii40-ii51. doi:10.1136/bmjqs-2013-001884. Copy Citation Format: …

Electronic prescribing in pediatrics: toward safer and more effective medication management. | PSNet

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October 04, 2011 - Organizational Policy/Guidelines Electronic prescribing in pediatrics: toward safer and more effective medication management. Citation Text: Committee 2011–2012 AA of PC on CITE. Electronic prescribing in pediatrics: toward safer and more effective medication management. Pediatrics. 2…

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. …

Organizational and cultural changes for providing safe patient care. | PSNet

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June 01, 2022 - Study Organizational and cultural changes for providing safe patient care. Citation Text: Odwazny R, Hasler S, Abrams R, et al. Organizational and cultural changes for providing safe patient care. Qual Manag Health Care. 2005;14(3):132-143. Copy Citation Format: Google Sc…

Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. | PSNet

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February 12, 2020 - Review Confusion—specimen mix-up in dermatopathology and measures to prevent and detect it. Citation Text: Weyers W. Confusion-specimen mix-up in dermatopathology and measures to prevent and detect it. Dermatol Pract Concept. 2014;4(1):27-42. doi:10.5826/dpc.0401a04. Copy Citation …

Patient-assisted incident reporting: including the patient in patient safety. | PSNet

psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety

June 16, 2011 - Commentary Patient-assisted incident reporting: including the patient in patient safety. Citation Text: Millman A, Pronovost P, Makary MA, et al. Patient-assisted incident reporting: including the patient in patient safety. J Patient Saf. 2011;7(2):106-8. doi:10.1097/PTS.0b013e31821b3c…

Assessment of latent factors contributing to error: addressing surgical pathology error wisely. | PSNet

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September 01, 2012 - Study Assessment of latent factors contributing to error: addressing surgical pathology error wisely. Citation Text: Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011…

Reducing diagnostic errors worldwide through diagnostic management teams. | PSNet

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May 23, 2018 - Review Reducing diagnostic errors worldwide through diagnostic management teams. Citation Text: Verna R, Velazquez AB, Laposata M. Reducing Diagnostic Errors Worldwide Through Diagnostic Management Teams. Ann Lab Med. 2019;39(2):121-124. doi:10.3343/alm.2019.39.2.121. Copy Citation …

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

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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…

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