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Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. | PSNet

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November 14, 2018 - Review Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Citation Text: Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…

Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. | PSNet

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November 21, 2016 - Study Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. Citation Text: Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units: relationship to siz…

Pediatric medication safety considerations for pharmacists in an adult hospital setting. | PSNet

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January 29, 2020 - Commentary Pediatric medication safety considerations for pharmacists in an adult hospital setting. Citation Text: Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/aj…

Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. | PSNet

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November 03, 2015 - Study Impact of the World Health Organization's Surgical Safety Checklist on safety culture in the operating theatre: a controlled intervention study. Citation Text: Haugen AS, Søfteland E, Eide GE, et al. Impact of the World Health Organization's Surgical Safety Checklist on safety cu…

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. | PSNet

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October 05, 2022 - Study Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. Citation Text: Brown JE, Smith N, Sherfy BR. Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. J Nurs Care Qual. 2011;26(1):13-21. doi:10.1097/NCQ.0b0…

Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. | PSNet

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September 21, 2016 - Study Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Citation Text: Altfeld SJ, Shier GE, Rooney M, et al. Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial. Gerontologist.…

Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. | PSNet

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February 01, 2013 - Study Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. Citation Text: Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through th…

Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. | PSNet

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January 23, 2013 - Study Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. Citation Text: Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a…

A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. | PSNet

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May 12, 2021 - Study A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. Citation Text: Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community Hospita…

Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. | PSNet

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August 04, 2015 - Study Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy to inform clinician ordering. Citation Text: Kruger JF, Chen AH, Rybkin A, et al. Displaying radiation exposure and cost information at order entry for outpatient diagnos…

A target to achieve zero preventable trauma deaths through quality improvement. | PSNet

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March 03, 2011 - Study A target to achieve zero preventable trauma deaths through quality improvement. Citation Text: Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. Copy…

Developing agreement on never events in primary care dentistry: an international eDelphi study. | PSNet

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October 05, 2016 - Study Developing agreement on never events in primary care dentistry: an international eDelphi study. Citation Text: Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in primary care dentistry: an international eDelphi study. Br Dent J. 2018;2…

Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. | PSNet

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January 30, 2008 - Study Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. Citation Text: Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…

A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. | PSNet

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May 11, 2019 - Commentary A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. Citation Text: Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…

How health care complexity leads to cooperation and affects the autonomy of health care professionals. | PSNet

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October 27, 2021 - Study How health care complexity leads to cooperation and affects the autonomy of health care professionals. Citation Text: Molleman E, Broekhuis M, Stoffels R, et al. How health care complexity leads to cooperation and affects the autonomy of health care professionals. Health Care Ana…

Anesthesia Risk Alert program: a proactive safety initiative. | PSNet

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September 02, 2015 - Study Anesthesia Risk Alert program: a proactive safety initiative. Citation Text: Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. Copy Citation Format: …

Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. | PSNet

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May 18, 2016 - Study Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. Citation Text: Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. BMJ Qual Saf. 2015;24(5):303-10.…

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. | PSNet

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April 26, 2023 - Commentary Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management. Citation Text: Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew …

Combined SNA and LDA methods to understand adverse medical events | PSNet

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November 15, 2023 - Journal Article Combined SNA and LDA methods to understand adverse medical events Citation Text: Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. Copy Citation Form…

Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. | PSNet

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October 19, 2012 - Review Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. Citation Text: Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 201…

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