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Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors

January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

Lack of patient knowledge regarding hospital medications. | PSNet

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September 20, 2006 - Study Lack of patient knowledge regarding hospital medications. Citation Text: Lack of patient knowledge regarding hospital medications. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

A multidisciplinary team approach to retained foreign objects. | PSNet

psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects

June 10, 2010 - Study A multidisciplinary team approach to retained foreign objects. Citation Text: Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. Copy Citation Format: Google Scholar PubMed…

Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. | PSNet

psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus-reporting-behavior

September 29, 2017 - Study Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. Citation Text: Halbesleben JRB, Wakefield BJ, Wakefield DS, et al. Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. West J Nurs Res. 2008;30(…

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. | PSNet

psnet.ahrq.gov/issue/creating-improvement-culture-enhanced-patient-safety-service-improvement-learning-pre

July 19, 2023 - Study Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education. Citation Text: Christiansen A, Robson L, Griffith-Evans C. Creating an improvement culture for enhanced patient safety: service improvement learning in pre-reg…

Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. | PSNet

psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment

June 15, 2012 - Study Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. Citation Text: Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Abil…

Establishing a safe container for learning in simulation: the role of the presimulation briefing. | PSNet

psnet.ahrq.gov/issue/establishing-safe-container-learning-simulation-role-presimulation-briefing

September 16, 2015 - Commentary Establishing a safe container for learning in simulation: the role of the presimulation briefing. Citation Text: Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-49. do…

Rapid learning of adverse medical event disclosure and apology. | PSNet

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November 04, 2014 - Study Rapid learning of adverse medical event disclosure and apology. Citation Text: Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. Copy Citation Format: …

Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. | PSNet

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September 27, 2023 - Commentary Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. Citation Text: Morrison B, Rudolph JW. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in th…

Ensuring patient safety through effective leadership behaviour: a literature review. | PSNet

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July 10, 2013 - Review Ensuring patient safety through effective leadership behaviour: a literature review. Citation Text: Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004. Copy Citatio…

Speak up! Addressing the paradox plaguing patient-centered care. | PSNet

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October 17, 2018 - Commentary Speak up! Addressing the paradox plaguing patient-centered care. Citation Text: Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416. Copy Citation Format: DO…

Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. | PSNet

psnet.ahrq.gov/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational

November 16, 2022 - Commentary Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. Citation Text: Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational sile…

Cultural and associated enablers of, and barriers to, adverse incident reporting. | PSNet

psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting

March 23, 2011 - Study Cultural and associated enablers of, and barriers to, adverse incident reporting. Citation Text: Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to, adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.113…

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. | PSNet

psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural

March 03, 2011 - Study A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Citation Text: Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…

Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. | PSNet

psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk

August 06, 2014 - Study Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. Citation Text: Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…

Misdiagnosis of acute myocardial infarction: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature

July 28, 2021 - Review Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Citation Text: Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…

Influence of unit-level staffing on medication errors and falls in military hospitals. | PSNet

psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals

February 02, 2011 - Study Influence of unit-level staffing on medication errors and falls in military hospitals. Citation Text: Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:1…

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. | PSNet

psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge

September 23, 2020 - Commentary Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Citation Text: Martin ES, Overstreet RL, Jackson-Khalil LR, et al. Implementation of a specialized pharmacy team to monitor high-risk medications during discharge. Am J Health S…

Improving responses to safety incidents: we need to talk about justice. | PSNet

psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice

February 02, 2022 - Commentary Improving responses to safety incidents: we need to talk about justice. Citation Text: Cribb A, O'Hara JK, Waring J. Improving responses to safety incidents: we need to talk about justice. BMJ Qual Saf. 2022;31(4):327-330. doi:10.1136/bmjqs-2021-014333. Copy Citation For…

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet

psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery

October 06, 2021 - Commentary Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. Citation Text: Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/ao…

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