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Significant and sustained reduction in chemotherapy errors through improvement science. | PSNet

psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science

October 19, 2022 - Study Significant and sustained reduction in chemotherapy errors through improvement science. Citation Text: Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.20…

Toward understanding errors in inpatient psychiatry: a qualitative inquiry. | PSNet

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December 21, 2018 - Study Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Citation Text: Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z. Copy Citation …

Communication and shared understanding between parents and resident-physicians at night. | PSNet

psnet.ahrq.gov/issue/communication-and-shared-understanding-between-parents-and-resident-physicians-night

May 08, 2017 - Study Communication and shared understanding between parents and resident-physicians at night. Citation Text: Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2…

A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. | PSNet

psnet.ahrq.gov/issue/diagnostic-time-out-improve-differential-diagnosis-pediatric-abdominal-pain

February 10, 2021 - Study A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Citation Text: Kasick RT, Melvin JE, Perera ST, et al. A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain. Diagnosis (Berl). 2021;8(2):209-217. doi:10.1515/dx-2019-…

How to monitor patient safety in primary care? Healthcare professionals' views. | PSNet

psnet.ahrq.gov/issue/how-monitor-patient-safety-primary-care-healthcare-professionals-views

December 14, 2016 - Study How to monitor patient safety in primary care? Healthcare professionals' views. Citation Text: Samra R, Car J, Majeed A, et al. How to monitor patient safety in primary care? Healthcare professionals' views. JRSM Open. 2016;7(8):2054270416648045. doi:10.1177/2054270416648045. Cop…

Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. | PSNet

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September 09, 2015 - Commentary Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. Citation Text: Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.…

Monitoring during sedation given by non-anaesthetic doctors. | PSNet

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August 30, 2023 - Study Monitoring during sedation given by non-anaesthetic doctors. Citation Text: Fanning RM. Monitoring during sedation given by non-anaesthetic doctors. Anaesthesia. 2008;63(4):370-374. doi:10.1111/j.1365-2044.2007.05378.x. Copy Citation Format: DOI Google Scholar PubMe…

From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. | PSNet

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September 09, 2020 - Commentary From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme. Citation Text: Singh M, Collins L, Farrington R, et al. From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a…

Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. | PSNet

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June 19, 2024 - Commentary Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. Citation Text: Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…

Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. | PSNet

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November 18, 2009 - Study Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. Citation Text: Singer SJ, Meterko M, Baker LC, et al. Workforce perceptions of hospital safety culture: development and validation of the…

Introducing the patient safety professional: why, what, who, how, and where? | PSNet

psnet.ahrq.gov/issue/introducing-patient-safety-professional-why-what-who-how-and-where

July 03, 2014 - Commentary Introducing the patient safety professional: why, what, who, how, and where? Citation Text: Saint S, Krein SL, Manojlovich M, et al. Introducing the patient safety professional: why, what, who, how, and where? J Patient Saf. 2011;7(4):175-80. doi:10.1097/PTS.0b013e318230e58…

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. | PSNet

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May 09, 2014 - Study Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety. Citation Text: Hemstreet BA, Stolpman N, Badesch DB, et al. Potassium and phosphor…

Improving communication and resolution following adverse events using a patient-created simulation exercise. | PSNet

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September 01, 2018 - Study Improving communication and resolution following adverse events using a patient-created simulation exercise. Citation Text: Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. H…

Intensive care unit alarms—how many do we need? | PSNet

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March 01, 2011 - Study Intensive care unit alarms—how many do we need? Citation Text: Siebig S, Kuhls S, Imhoff M, et al. Intensive care unit alarms--how many do we need? Crit Care Med. 2010;38(2):451-6. doi:10.1097/CCM.0b013e3181cb0888. Copy Citation Format: DOI Google Scholar PubMed BibT…

A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. | PSNet

psnet.ahrq.gov/issue/study-frequency-and-rationale-overriding-allergy-warnings-computerized-prescriber-order-entry

February 15, 2011 - Study A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. Citation Text: Swiderski SM, Pedersen CA, Schneider PJ, et al. A Study of the Frequency and Rationale for Overriding Allergy Warnings in a Computerized Prescrib…

Use of a computerized forcing function improves performance in ordering restraints. | PSNet

psnet.ahrq.gov/issue/use-computerized-forcing-function-improves-performance-ordering-restraints

September 30, 2020 - Study Use of a computerized forcing function improves performance in ordering restraints. Citation Text: Griffey RT, Wittels K, Gilboy N, et al. Use of a computerized forcing function improves performance in ordering restraints. Ann Emerg Med. 2009;53(4):469-76. doi:10.1016/j.annemergm…

Reducing errors through discharge medication reconciliation by pharmacy services. | PSNet

psnet.ahrq.gov/issue/reducing-errors-through-discharge-medication-reconciliation-pharmacy-services

October 20, 2021 - Study Reducing errors through discharge medication reconciliation by pharmacy services. Citation Text: Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by pharmacy services. Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.21…

Diagnostic errors related to acute abdominal pain in the emergency department. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-related-acute-abdominal-pain-emergency-department

December 16, 2020 - Study Diagnostic errors related to acute abdominal pain in the emergency department. Citation Text: Medford-Davis L, Park E, Shlamovitz G, et al. Diagnostic errors related to acute abdominal pain in the emergency department. Emerg Med J. 2016;33(4):253-9. doi:10.1136/emermed-2015-204754.…

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. | PSNet

psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans

October 14, 2009 - Study Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. Citation Text: Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. | PSNet

psnet.ahrq.gov/issue/attitudinal-changes-resulting-repetitive-training-operating-room-personnel-using-high

February 25, 2009 - Study Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of …

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