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Organizational factors that promote error reporting in healthcare: a scoping review. | PSNet

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June 01, 2022 - Review Organizational factors that promote error reporting in healthcare: a scoping review. Citation Text: Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166. Copy…

Fumbled handoffs: one dropped ball after another. | PSNet

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April 10, 2024 - Commentary Fumbled handoffs: one dropped ball after another. Citation Text: Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med. 2005;142(5):352-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet

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March 01, 2023 - Review The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Citation Text: Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…

Why stigma matters in addressing alcohol harm. | PSNet

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August 04, 2021 - Commentary Why stigma matters in addressing alcohol harm. Citation Text: Morris J, Schomerus G. Why stigma matters in addressing alcohol harm. Drug Alcohol Rev. 2023;42(5):1264-1268. doi:10.1111/dar.13660. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet

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April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

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January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

When a vital sign leads a country astray—the opioid epidemic. | PSNet

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May 27, 2020 - Commentary When a vital sign leads a country astray—the opioid epidemic. Citation Text: Chidgey BA, McGinigle KL, McNaull PP. When a Vital Sign Leads a Country Astray—The Opioid Epidemic. JAMA Surg. 2019;154(11):987-988. doi:10.1001/jamasurg.2019.2104. Copy Citation Format: …

Incidence of medication errors and adverse drug events in the ICU: a systematic review. | PSNet

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October 16, 2019 - Review Incidence of medication errors and adverse drug events in the ICU: a systematic review. Citation Text: Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc…

Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. | PSNet

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July 19, 2023 - Study Medication administration variances before and after implementation of computerized physician order entry in a neonatal intensive care unit. Citation Text: Taylor JA, Loan LA, Kamara J, et al. Medication administration variances before and after implementation of computerized phy…

The Lancet Commission on lessons for the future from the COVID-19 pandemic. | PSNet

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January 12, 2022 - Commentary The Lancet Commission on lessons for the future from the COVID-19 pandemic. Citation Text: Sachs JD, Karim SSA, Aknin L, et al. The Lancet Commission on lessons for the future from the COVID-19 pandemic. Lancet. 2022;400(10359):1224-1280. doi:10.1016/s0140-6736(22)01585-9. C…

Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet

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March 27, 2024 - Study Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. Citation Text: Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…

Peer support for nurses as second victims: resilience, burnout, and job satisfaction. | PSNet

psnet.ahrq.gov/issue/peer-support-nurses-second-victims-resilience-burnout-and-job-satisfaction

March 03, 2019 - Study Emerging Classic Peer support for nurses as second victims: resilience, burnout, and job satisfaction. Citation Text: Connors C, Dukhanin V, March AL, et al. Peer support for nurses as second victims: Resilience, burnout, and job satisfaction. J Patient Sa…

Dispensing error rates in pharmacy: a systematic review and meta-analysis. | PSNet

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June 10, 2020 - Review Dispensing error rates in pharmacy: a systematic review and meta-analysis. Citation Text: Um IS, Clough A, Tan ECK. Dispensing error rates in pharmacy: a systematic review and meta-analysis. Res Social Adm Pharm. 2024;20(1):1-9. doi:10.1016/j.sapharm.2023.10.003. Copy Citation …

What this computer needs is a physician: humanism and artificial intelligence. | PSNet

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June 21, 2016 - Commentary What this computer needs is a physician: humanism and artificial intelligence. Citation Text: Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. Copy Citatio…

Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. | PSNet

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May 05, 2021 - Review Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;17…

Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. | PSNet

psnet.ahrq.gov/issue/essential-elements-nurses-have-address-promote-safe-discharge-paediatrics-systematic-review

September 28, 2022 - Review Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic review and narrative synthesis. Citation Text: Rossi S, Hayter M, Zuco A, et al. Essential elements nurses have to address to promote a safe discharge in paediatrics: a systematic re…

What 'just culture' doesn't understand about just punishment. | PSNet

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December 30, 2014 - Commentary What 'just culture' doesn't understand about just punishment. Citation Text: Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. Copy Citation Format: DOI Google Schola…

Between choice and chance: the role of human factors in acute care equipment decisions. | PSNet

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February 22, 2023 - Study Between choice and chance: the role of human factors in acute care equipment decisions. Citation Text: Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…

Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. | PSNet

psnet.ahrq.gov/issue/safety-concerns-hospital-based-new-practice-registered-nurses-and-their-preceptors

September 24, 2016 - Study Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. Citation Text: Myers S, Reidy P, French B, et al. Safety concerns of hospital-based new-to-practice registered nurses and their preceptors. J Contin Educ Nurs. 2010;41(4):163-71. doi:10.3928…

Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice. | PSNet

psnet.ahrq.gov/issue/impact-morbidity-and-mortality-conferences-analysis-mortality-and-critical-events-intensive

December 02, 2020 - Study Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive care practice. Citation Text: Ksouri H, Balanant P-Y, Tadié J-M, et al. Impact of morbidity and mortality conferences on analysis of mortality and critical events in intensive c…

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