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Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. | PSNet

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September 05, 2018 - Commentary Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. Citation Text: Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. A…

Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. | PSNet

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July 10, 2008 - Study Classic Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Citation Text: Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order ent…

Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

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January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. | PSNet

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September 28, 2016 - Commentary Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Citation Text: McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex syst…

Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. | PSNet

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October 25, 2010 - Commentary Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensing: a case study. Citation Text: Nanji KC, Cina J, Patel N, et al. Overcoming barriers to the implementation of a pharmacy bar code scanning system for medication dispensi…

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…

Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices. | PSNet

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May 18, 2016 - Study Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices. Citation Text: Hewitt T, Chreim S, Forster AJ. Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Und…

Assessing medical students' perceptions of patient safety: The Medical Student Safety Attitudes and Professionalism Survey. | PSNet

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September 01, 2018 - Study Assessing medical students' perceptions of patient safety: The Medical Student Safety Attitudes and Professionalism Survey. Citation Text: Liao JM, Etchegaray J, Williams T, et al. Assessing medical students' perceptions of patient safety: the medical student safety attitudes and…

Medical error disclosure training: evidence for values-based ethical environments. | PSNet

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October 15, 2016 - Study Medical error disclosure training: evidence for values-based ethical environments. Citation Text: Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3. Cop…

The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. | PSNet

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October 19, 2022 - Commentary The Armstrong Institute Resident/Fellow Scholars: a multispecialty curriculum to train future leaders in patient safety and quality improvement. Citation Text: Rinke ML, Mock CK, Persing NM, et al. The Armstrong Institute Resident/Fellow Scholars: A Multispecialty Curriculum t…

Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. | PSNet

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February 23, 2022 - Commentary Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. Citation Text: O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…

Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. | PSNet

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November 16, 2022 - Study Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Citation Text: Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(8):8…

Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. | PSNet

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November 16, 2022 - Study Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Citation Text: Latimer K, Pendleton C, Olivi A, et al. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Arch Surg. 2011;1…

The value of 'gentle reminder' on safe medical behaviour. | PSNet

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August 26, 2011 - Study The value of 'gentle reminder' on safe medical behaviour. Citation Text: Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763. Copy Citation Format: DOI Goog…

Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet

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September 10, 2014 - Study Improved incident reporting following the implementation of a standardized emergency department peer review process. Citation Text: Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. | PSNet

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September 27, 2017 - Review Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. Citation Text: Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry: methodological issues regarding identificati…

Anatomy of an incident disclosure: the importance of dialogue. | PSNet

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February 20, 2012 - Commentary Anatomy of an incident disclosure: the importance of dialogue. Citation Text: Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. Copy Citation Format: Google Scholar PubMed BibTeX En…

Algorithmic prediction of failure modes in healthcare. | PSNet

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September 06, 2023 - Study Algorithmic prediction of failure modes in healthcare. Citation Text: Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151. Copy Citation Format: DOI G…

Clinical handovers between prehospital and hospital staff: literature review. | PSNet

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March 23, 2022 - Review Clinical handovers between prehospital and hospital staff: literature review. Citation Text: Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165. Copy C…

Design of hospital errors and omissions activities that include patient-specific medication related problems. | PSNet

psnet.ahrq.gov/issue/design-hospital-errors-and-omissions-activities-include-patient-specific-medication-related

June 01, 2022 - Study Design of hospital errors and omissions activities that include patient-specific medication related problems. Citation Text: Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. …

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