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A comprehensive obstetrics patient safety program improves safety climate and culture. | PSNet

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October 20, 2014 - Study A comprehensive obstetrics patient safety program improves safety climate and culture. Citation Text: Pettker CM, Thung SF, Raab CA, et al. A comprehensive obstetrics patient safety program improves safety climate and culture. Am J Obstet Gynecol. 2011;204(3):216.e1-6. doi:10.1016/…

An education-service partnership to achieve safety and quality improvement competencies in nursing. | PSNet

psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing

August 30, 2023 - Commentary An education-service partnership to achieve safety and quality improvement competencies in nursing. Citation Text: Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12).…

Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet

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February 04, 2015 - Commentary Using morbidity and mortality conferences to drive quality improvement and reduce errors. Citation Text: Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. Copy Cit…

Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

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December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…

'Just culture': improving safety by achieving substantive, procedural and restorative justice. | PSNet

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October 19, 2022 - Commentary 'Just culture': improving safety by achieving substantive, procedural and restorative justice. Citation Text: Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018.…

Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet

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January 06, 2016 - Commentary Towards high-reliability organising in healthcare: a strategy for building organisational capacity. Citation Text: Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(…

Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. | PSNet

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July 01, 2016 - Commentary Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. Citation Text: Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership, accountability, learning and innovation in …

Using an automated risk assessment report to identify patients at risk for clinical deterioration. | PSNet

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February 15, 2017 - Commentary Using an automated risk assessment report to identify patients at risk for clinical deterioration. Citation Text: Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…

Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs. | PSNet

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June 09, 2021 - Commentary Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs. Citation Text: Seidman J. Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs. Arch Intern Med. 2012;172…

The path to diagnostic excellence includes feedback to calibrate how clinicians think. | PSNet

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May 04, 2022 - Commentary Emerging Classic The path to diagnostic excellence includes feedback to calibrate how clinicians think. Citation Text: Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738…

Inpatients notes: sensemaking—fostering a shared understanding in clinical teams. | PSNet

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November 25, 2020 - Commentary Inpatients notes: sensemaking—fostering a shared understanding in clinical teams. Citation Text: Leykum LK, O'Leary KJ. Web Exclusives. Annals for Hospitalists Inpatient Notes - Sensemaking-Fostering a Shared Understanding in Clinical Teams. Ann Intern Med. 2017;167(4):HO2-HO3…

Analgesic prescribing errors and associated medication characteristics. | PSNet

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November 01, 2003 - Study Analgesic prescribing errors and associated medication characteristics. Citation Text: Smith HS, Lesar TS. Analgesic prescribing errors and associated medication characteristics. The journal of pain : official journal of the American Pain Society. 2011;12(1):29-40. doi:10.1016/j.…

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. | PSNet

psnet.ahrq.gov/issue/implementation-medication-reconciliation-process-ambulatory-internal-medicine-clinic

October 28, 2009 - Study Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Citation Text: Nassaralla CL, Naessens JM, Chaudhry R, et al. Implementation of a medication reconciliation process in an ambulatory internal medicine clinic. Qual Saf Health Care. 20…

Teamwork and error in the operating room: analysis of skills and roles. | PSNet

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April 15, 2009 - Study Teamwork and error in the operating room: analysis of skills and roles. Citation Text: Catchpole K, Mishra A, Handa A, et al. Teamwork and error in the operating room: analysis of skills and roles. Ann Surg. 2008;247(4):699-706. doi:10.1097/SLA.0b013e3181642ec8. Copy Citation …

Reason's accident causation model: application to adverse events in acute care. | PSNet

psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care

October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. | PSNet

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June 27, 2012 - Commentary Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Citation Text: Thornlow D, Anderson RA, Oddone E. Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults. Int J Nurs Stud…

Effect of barcode-assisted medication administration on emergency department medication errors. | PSNet

psnet.ahrq.gov/issue/effect-barcode-assisted-medication-administration-emergency-department-medication-errors

May 19, 2014 - Study Effect of barcode-assisted medication administration on emergency department medication errors. Citation Text: Bonkowski J, Carnes C, Melucci J, et al. Effect of barcode-assisted medication administration on emergency department medication errors. Acad Emerg Med. 2013;20(8):801-6.…

Health literacy and mortality among elderly persons. | PSNet

psnet.ahrq.gov/issue/health-literacy-and-mortality-among-elderly-persons

April 24, 2018 - Study Health literacy and mortality among elderly persons. Citation Text: Baker DW, Wolf MS, Feinglass J, et al. Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

I-PASS, a mnemonic to standardize verbal handoffs. | PSNet

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November 12, 2014 - Commentary I-PASS, a mnemonic to standardize verbal handoffs. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. Copy Citation Format: DOI Google Scholar…

The road to zero preventable birth injuries. | PSNet

psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries

January 05, 2012 - Commentary The road to zero preventable birth injuries. Citation Text: Mazza F, Kitchens J, Akin M, et al. The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

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