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What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. | PSNet

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October 27, 2021 - Book/Report What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. Citation Text: Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage …

Medication safety in the operating room: literature and expert-based recommendations. | PSNet

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October 19, 2022 - Review Medication safety in the operating room: literature and expert-based recommendations. Citation Text: Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…

Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. | PSNet

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January 20, 2010 - Book/Report Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Citation Text: Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. Wright S. Washington, DC: US Department of Health and Human Services, Office of t…

Time out: an analysis. | PSNet

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October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

Patient reports of preventable problems and harms in primary health care. | PSNet

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February 03, 2011 - Study Patient reports of preventable problems and harms in primary health care. Citation Text: Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40. Copy Citation Format: Google Sc…

Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. | PSNet

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October 06, 2011 - Commentary Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. Citation Text: Singh R, Singh A, Fox C, et al. Computer visualisation of patient safety in primary care: a systems approach adapted from management sci…

Progress in patient safety: a glass fuller than it seems. | PSNet

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March 13, 2013 - Commentary Progress in patient safety: a glass fuller than it seems. Citation Text: Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-9. doi:10.1177/1062860613495554. Copy Citation Format: DOI Google Scholar Pu…

Stories from the sharp end: case studies in safety improvement. | PSNet

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October 07, 2008 - Study Stories from the sharp end: case studies in safety improvement. Citation Text: Stories from the sharp end: case studies in safety improvement. McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 Copy Citation Save Save to your library Print Dow…

An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. | PSNet

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June 26, 2019 - Study An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Citation Text: Hofmann DA, Mark BA. AN INVESTIGATION OF THE RELATIONSHIP BETWEEN SAFETY CLIMATE AND MEDICATION ERRORS AS WELL AS OTHER NURSE AND PATIENT …

Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet

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January 30, 2019 - Commentary Classic Risk mitigation in large scale systems: lessons from high reliability organizations. Citation Text: Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…

Interorganizational complexity and organizational accident risk: a literature review. | PSNet

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June 02, 2021 - Review Interorganizational complexity and organizational accident risk: a literature review. Citation Text: Milch V, Laumann K. Interorganizational complexity and organizational accident risk: A literature review. Safety Sci. 2015;82:9-17. doi:10.1016/j.ssci.2015.08.010. Copy Citation …

Overcoming human barriers to safety event reporting in radiology. | PSNet

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February 09, 2022 - Commentary Overcoming human barriers to safety event reporting in radiology. Citation Text: Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. Copy Citation Format: …

Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet

psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii

March 15, 2022 - Special or Theme Issue Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. Citation Text: Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…

Transforming the health care environment collaborative. | PSNet

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October 07, 2015 - Commentary Transforming the health care environment collaborative. Citation Text: Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529-39. doi:10.1016/j.aorn.2014.01.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

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September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. | PSNet

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March 18, 2011 - Study Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study. Citation Text: White R, Cassano-Piché A, Fields A, et al. Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory stu…

Disruptive behavior and clinical outcomes: perceptions of nurses and physicians. | PSNet

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September 28, 2010 - Study Classic Disruptive behavior and clinical outcomes: perceptions of nurses and physicians. Citation Text: Rosenstein AH, O'Daniel M. Disruptive behavior and clinical outcomes: perceptions of nurses and physicians. Am J Nurs. 2005;105(1):54-64; quiz 64-5. …

Medication errors in pediatrics—the octopus evading defeat. | PSNet

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March 14, 2022 - Review Medication errors in pediatrics—the octopus evading defeat. Citation Text: Sullivan JE, Buchino JJ. Medication errors in pediatrics--the octopus evading defeat. J Surg Oncol. 2004;88(3):182-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

Hospital prescribing of opioids to Medicare beneficiaries. | PSNet

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December 04, 2016 - Study Hospital prescribing of opioids to Medicare beneficiaries. Citation Text: Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737. Copy Citation Format: DOI…

Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. | PSNet

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December 18, 2019 - Newspaper/Magazine Article Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Citation Text: Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Lintern S. The Independent. January 15, 2020. Copy Citation …

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