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A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. | PSNet

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February 07, 2024 - Commentary A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. Citation Text: Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management. Safety Sci. 2021;134:105087.…

Analysis of medical malpractice claims to improve quality of care: cautionary remarks. | PSNet

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May 09, 2012 - Commentary Analysis of medical malpractice claims to improve quality of care: cautionary remarks. Citation Text: Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178. Copy Cit…

Geometric probability distribution for modeling of error risk during prescription dispensing. | PSNet

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December 24, 2008 - Study Geometric probability distribution for modeling of error risk during prescription dispensing. Citation Text: Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…

Preparing challenging medications for barcode scanning. | PSNet

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October 19, 2022 - Commentary Preparing challenging medications for barcode scanning. Citation Text: Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Rethinking use of air-safety principles to reduce fatal hospital errors. | PSNet

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May 15, 2024 - Newspaper/Magazine Article Rethinking use of air-safety principles to reduce fatal hospital errors. Citation Text: Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377/forefront.20220824.965364. Copy Citation Format: DOI Google Scholar BibTeX…

Tracking with virtual slides: a tool to study diagnostic error in histopathology. | PSNet

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January 08, 2020 - Study Tracking with virtual slides: a tool to study diagnostic error in histopathology. Citation Text: Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…

A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. | PSNet

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January 12, 2022 - Commentary A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Citation Text: Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12. Cop…

AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. | PSNet

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March 22, 2024 - Book/Report AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Citation Text: AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Engaging Patients and Families. Rockville, MD: Agency for Healthcare Rese…

Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. | PSNet

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September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…

Technical mistakes during the acquisition of the electrocardiogram. | PSNet

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March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet

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November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. Citation Text: Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…

A recurring call to action: every healthcare organization needs a medication safety officer! | PSNet

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March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…

Deprescribing as a clinical improvement focus. | PSNet

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April 08, 2011 - Study Deprescribing as a clinical improvement focus. Citation Text: Dharmarajan TS, Choi H, Hossain N, et al. Deprescribing as a Clinical Improvement Focus. J Am Med Dir Assoc. 2020;21(3):355-360. doi:10.1016/j.jamda.2019.08.031. Copy Citation Format: DOI Google Scholar Pub…

To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. | PSNet

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April 19, 2011 - Commentary Classic To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. Citation Text: Wu AW, Cavanaugh TA, McPhee SJ, et al. To tell the truth. J Gen Intern Med. 2003;12(12). doi:10.1046/j.1525-1497.1997.07163.x. Copy …

Organisational failure: rethinking whistleblowing for tomorrow's doctors. | PSNet

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May 18, 2022 - Commentary Organisational failure: rethinking whistleblowing for tomorrow's doctors. Citation Text: Taylor DJ, Goodwin D. Organisational failure: rethinking whistleblowing for tomorrow’s doctors. J Med Ethics. 2022;48(10):672-677. doi:10.1136/jme-2022-108328. Copy Citation Format: …

Safety, performance, and satisfaction outcomes in the operating room: a literature review. | PSNet

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April 03, 2019 - Review Emerging Classic Safety, performance, and satisfaction outcomes in the operating room: a literature review. Citation Text: Joseph A, Bayramzadeh S, Zamani Z, et al. Safety, Performance, and Satisfaction Outcomes in the Operating Room: A Literature Review.…

Development and psychometric testing of a tool to measure missed nursing care. | PSNet

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August 20, 2018 - Study Development and psychometric testing of a tool to measure missed nursing care. Citation Text: Kalisch BJ, Williams RA. Development and psychometric testing of a tool to measure missed nursing care. J Nurs Adm. 2009;39(5):211-9. doi:10.1097/NNA.0b013e3181a23cf5. Copy Citation …

Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet

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September 23, 2020 - Review Impact of hospital accreditation on quality improvement in healthcare: a systematic review. Citation Text: Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…

How surgical trainees handle catastrophic errors: a qualitative study. | PSNet

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March 19, 2019 - Study How surgical trainees handle catastrophic errors: a qualitative study. Citation Text: Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003. Copy Citation Fo…

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. | PSNet

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April 24, 2018 - Review Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review. Citation Text: Rabol LI, Ostergaard D, Mogensen T. Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review…

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