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Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet

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March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet

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August 04, 2021 - Study Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Citation Text: Chen K-H, Chen L-R, Su S. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. Qual Saf Health Care. 2010;19(2):138-43. doi:10.113…

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. | PSNet

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July 19, 2023 - Study A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Citation Text: Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…

Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. | PSNet

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September 05, 2018 - Study Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Citation Text: Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych…

What's in a name? Provider perception of injured John Doe patients. | PSNet

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September 27, 2017 - Study What's in a name? Provider perception of injured John Doe patients. Citation Text: Janowak CF, Agarwal SK, Zarzaur BL. What's in a Name? Provider Perception of Injured John Doe Patients. J Surg Res. 2019;238:218-223. doi:10.1016/j.jss.2019.01.027. Copy Citation Format: …

Using simulation to improve root cause analysis of adverse surgical outcomes. | PSNet

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May 19, 2021 - Study Using simulation to improve root cause analysis of adverse surgical outcomes. Citation Text: Slakey DP, Simms ER, Rennie K, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014;26(2):144-50. doi:10.1093/intqhc/mzu011. C…

Racial and ethnic harm in patient care is a patient safety issue. | PSNet

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October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet

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July 20, 2022 - Study Closing the gap and raising the bar: assessing board competency in quality and safety. Citation Text: McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…

Ambulatory patient safety. What we know and need to know. | PSNet

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May 27, 2015 - Study Ambulatory patient safety. What we know and need to know. Citation Text: Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007. Copy Citation Format: …

Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. | PSNet

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March 13, 2015 - Review Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. Citation Text: Zed PJ, Haughn C, Black KJL, et al. Medication-related emergency department visits and hospital admissions in pediatric patients: a quali…

Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet

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April 24, 2018 - Study Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. Citation Text: Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…

The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. | PSNet

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September 14, 2022 - Commentary The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. Citation Text: Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and…

Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. | PSNet

psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential

March 31, 2022 - Review Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. Citation Text: Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…

Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. | PSNet

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November 16, 2022 - Study Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. Citation Text: Benetti PJ, Kanse L, Fruhen LS, et al. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and it…

Emergency department crowding and risk of preventable medical errors. | PSNet

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November 23, 2011 - Study Emergency department crowding and risk of preventable medical errors. Citation Text: Epstein SK, Huckins DS, Liu SW, et al. Emergency department crowding and risk of preventable medical errors. Intern Emerg Med. 2012;7(2):173-180. doi:10.1007/s11739-011-0702-8. Copy Citation …

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. | PSNet

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August 04, 2021 - Study Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Citation Text: Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/…

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. | PSNet

psnet.ahrq.gov/issue/national-estimates-adverse-events-during-nonpsychiatric-hospitalizations-persons

August 09, 2017 - Study National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Citation Text: Khaykin E, Ford DE, Pronovost P, et al. National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia. Gen Hosp …

Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. | PSNet

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October 19, 2022 - Study Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service. Citation Text: Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves patient care among the gynecological oncology se…

Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures

January 03, 2017 - Study Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures. Citation Text: Ashley L, Armitage G. Failure Mode and Effects Analysis. J Patient Saf. 2010;6(4):210-215. doi:10.1097/pts.0b013e3181fc98d7. Copy Citation Format: DOI Goog…

Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. | PSNet

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March 25, 2017 - Commentary Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient. Citation Text: Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end trans…

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