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Making an infusion error: the second victims of infusion therapy-related medication errors. | PSNet

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June 27, 2018 - Study Making an infusion error: the second victims of infusion therapy-related medication errors. Citation Text: Treiber LA, Jones JH. Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors. J Infus Nurs. 2018;41(3):156-163. doi:10.1097/NAN.00000000000…

Improving hospital safety culture for falls prevention through interdisciplinary health education. | PSNet

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December 16, 2011 - Study Improving hospital safety culture for falls prevention through interdisciplinary health education. Citation Text: Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi…

Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

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August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

A patient reported approach to identify medical errors and improve patient safety in the emergency department. | PSNet

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July 13, 2010 - Study A patient reported approach to identify medical errors and improve patient safety in the emergency department. Citation Text: Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Pa…

Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

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July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

Advancing Patient Safety Through State Reporting Systems | PSNet

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June 01, 2007 - Advancing Patient Safety Through State Reporting Systems Jill Rosenthal, MPH | June 1, 2007 View more articles from the same authors. Citation Text: Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. Rockville (MD): Agency for…

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet

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February 02, 2022 - Commentary What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. Citation Text: Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…

Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model. | PSNet

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November 28, 2016 - Study Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model. Citation Text: Martinez W, Browning D, Varrin P, et al. Increasing Patient-Clinician Concordance About Medical Error Disclosure Through the Patient TIPS Model. J Patient Saf. 201…

Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce. | PSNet

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January 13, 2021 - Commentary Documenting quality improvement and patient safety efforts: the quality portfolio. A statement from the Academic Hospitalist Taskforce. Citation Text: Taylor BB, Parekh V, Estrada CA, et al. Documenting quality improvement and patient safety efforts: the quality portfolio. A…

Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet

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March 14, 2018 - Study Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. Citation Text: Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely …

Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. | PSNet

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August 14, 2017 - Commentary Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…

Pathologists' perspectives on disclosing harmful pathology error. | PSNet

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January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. | PSNet

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July 03, 2016 - Study Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting. Citation Text: Rubin DS, Pesyna C, Jakubczyk S, et al. Introduction of a Mobile Adverse Event Reporting System Is Associated With Participation in Adverse Event Repo…

The PROMISES Project. | PSNet

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January 30, 2019 - Multi-use Website The PROMISES Project. Citation Text: The PROMISES Project. Brigham and Women's Hospital; Institute for Healthcare Improvement; Massachusetts Coalition for the Prevention of Medical Errors; Coverys; CRICO; Harvard School of Public Health; Harvard Medical School; Health…

Positive approaches to safety: learning from what we do well. | PSNet

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September 15, 2021 - Commentary Positive approaches to safety: learning from what we do well. Citation Text: Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509. Copy Citation Format: DOI Google Sch…

The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet

psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error

March 30, 2022 - Study The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Citation Text: Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …

The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. | PSNet

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March 24, 2019 - Commentary The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Citation Text: Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. d…

Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. | PSNet

psnet.ahrq.gov/issue/quality-framework-remote-antenatal-care-qualitative-study-women-healthcare-professionals-and

October 21, 2020 - Study Quality framework for remote antenatal care: qualitative study with women, healthcare professionals and system-level stakeholders. Citation Text: Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with women, healthcare professiona…

Measuring harm in health care: optimizing adverse event review. | PSNet

psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review

May 15, 2013 - Study Measuring harm in health care: optimizing adverse event review. Citation Text: Walsh KE, Harik P, Mazor KM, et al. Measuring Harm in Health Care: Optimizing Adverse Event Review. Med Care. 2017;55(4):436-441. doi:10.1097/MLR.0000000000000679. Copy Citation Format: DOI…

Debrief it all: a tool for inclusion of Safety-II. | PSNet

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June 08, 2022 - Study Debrief it all: a tool for inclusion of Safety-II. Citation Text: Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. Copy Citation Format: DOI Google Schola…

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