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A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. | PSNet

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January 03, 2017 - Study A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. Citation Text: Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…

Improving departmental psychological safety through a medical school-wide initiative | PSNet

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July 19, 2023 - Study Improving departmental psychological safety through a medical school-wide initiative Citation Text: Porter-Stransky KA, Horneffer-Ginter KJ, Bauler LD, et al. Improving departmental psychological safety through a medical school-wide initiative. BMC Med Educ. 2024;24(1):800. doi:10.…

Nurses' perceptions of causes of medication errors and barriers to reporting. | PSNet

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March 21, 2018 - Study Nurses' perceptions of causes of medication errors and barriers to reporting. Citation Text: Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. Copy Citation Format: …

Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. | PSNet

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October 19, 2022 - Review Emerging Classic Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. Citation Text: Gates M, Wingert A, Featherstone R, et al. Impact of fatigue and insufficient sleep on physician and patient outcomes: a syste…

Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. | PSNet

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April 21, 2016 - Study Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice. Citation Text: Pitts SI, Maruthur NM, Luu N-P, et al. Implementing the Comprehensive Unit-Based Safety Program (CUSP) to Improve Patient Safety in an Acad…

Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view. | PSNet

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September 09, 2010 - Study Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view. Citation Text: Fairbanks RJ, Crittenden CN, O’Gara KG, et al. Emergency Medical Services Provider Perceptions of the Nature of Adverse E…

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

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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…

Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. | PSNet

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May 13, 2020 - Study Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results. Citation Text: Farrell C‐JL, Giannoutsos J. Machine learning models outperform manual result review for the identification of wrong blood in…

Prescription opioid analgesics commonly unused after surgery: a systematic review. | PSNet

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March 30, 2022 - Review Prescription opioid analgesics commonly unused after surgery: a systematic review. Citation Text: Bicket MC, Long JJ, Pronovost PJ, et al. Prescription Opioid Analgesics Commonly Unused After Surgery. JAMA Surg. 2017;152(11):1066-1071. doi:10.1001/jamasurg.2017.0831. Copy Citati…

Adverse events in patients transitioning from the emergency department to the inpatient setting. | PSNet

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September 07, 2022 - Study Adverse events in patients transitioning from the emergency department to the inpatient setting. Citation Text: Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…

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…

Safety and risk management interventions in hospitals: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature

April 01, 2010 - Review Safety and risk management interventions in hospitals: a systematic review of the literature. Citation Text: Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):…

Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. | PSNet

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March 14, 2022 - Study Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. Citation Text: Alterio RE, Abreu AA, Meier J, et al. Association of hospital markup with preventable adverse events following pancreatic surgery in the United States. C…

Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. | PSNet

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October 19, 2022 - Study Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. Citation Text: Fox MT, Godage SK, Kim JM, et al. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency.…

Patients' concerns about medical errors during hospitalization. | PSNet

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December 22, 2008 - Study Classic Patients' concerns about medical errors during hospitalization. Citation Text: Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. Copy Citat…

Medication errors in community pharmacies: evaluation of a standardized safety program. | PSNet

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June 29, 2022 - Study Medication errors in community pharmacies: evaluation of a standardized safety program. Citation Text: Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016…

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign. | PSNet

psnet.ahrq.gov/issue/evaluation-organizational-culture-among-different-levels-healthcare-staff-participating

February 01, 2012 - Study Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign. Citation Text: Sinkowitz-Cochran R, Garcia-Williams A, Hackbarth AD, et al. Evaluation of organizational culture amo…

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

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August 12, 2014 - Study Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Citation Text: Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…

Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). | PSNet

psnet.ahrq.gov/issue/patient-safety-medical-imaging-joint-paper-european-society-radiology-esr-and-european

September 30, 2010 - Commentary Patient safety in medical imaging: a joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS). Citation Text: Radiology ES of, Societies EF of R. Patient Safety in Medical Imaging: a joint paper of the European Society…

Emotional harm in the radiology department: analysis of an underrecognized preventable error. | PSNet

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March 06, 2019 - Study Emotional harm in the radiology department: analysis of an underrecognized preventable error. Citation Text: Siewert B, Swedeen S, Brook OR, et al. Emotional harm in the radiology department: analysis of an underrecognized preventable error. Radiology. 2022;302(3):613-619. doi:10.1…

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