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Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture | PSNet

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February 10, 2021 - Study Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture Citation Text: Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…

Exploring and evaluating patient safety culture in a community-based primary care setting. | PSNet

psnet.ahrq.gov/issue/exploring-and-evaluating-patient-safety-culture-community-based-primary-care-setting

March 19, 2018 - Study Exploring and evaluating patient safety culture in a community-based primary care setting. Citation Text: Desmedt M, Bergs J, Willaert B, et al. Exploring and Evaluating Patient Safety Culture in a Community-Based Primary Care Setting. J Patient Saf. 2021;17(8):e1216-e1222. doi:10.…

Health care huddles: managing complexity to achieve high reliability. | PSNet

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November 17, 2015 - Study Health care huddles: managing complexity to achieve high reliability. Citation Text: Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009. Copy Citat…

Time to accelerate integration of human factors and ergonomics in patient safety. | PSNet

psnet.ahrq.gov/issue/time-accelerate-integration-human-factors-and-ergonomics-patient-safety

October 03, 2013 - Commentary Time to accelerate integration of human factors and ergonomics in patient safety. Citation Text: Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. …

Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. | PSNet

psnet.ahrq.gov/issue/using-crew-resource-management-and-read-and-do-checklist-reduce-failure-rescue-events-step

November 04, 2020 - Study Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down unit. Citation Text: Young-Xu Y, Fore AM, Metcalf A, et al. Using crew resource management and a 'read-and-do checklist' to reduce failure-to-rescue events on a step-down …

Reducing errors through discharge medication reconciliation by pharmacy services. | PSNet

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October 20, 2021 - Study Reducing errors through discharge medication reconciliation by pharmacy services. Citation Text: Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by pharmacy services. Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.21…

Between choice and chance: the role of human factors in acute care equipment decisions. | PSNet

psnet.ahrq.gov/issue/between-choice-and-chance-role-human-factors-acute-care-equipment-decisions

February 22, 2023 - Study Between choice and chance: the role of human factors in acute care equipment decisions. Citation Text: Nemeth CP, Nunnally M, Bitan Y, et al. Between choice and chance: the role of human factors in acute care equipment decisions. J Patient Saf. 2009;5(2):114-21. doi:10.1097/PTS.0…

Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet

psnet.ahrq.gov/issue/communicating-doses-pediatric-liquid-medicines-parentscaregivers-comparison-written-dosing

July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

What 'just culture' doesn't understand about just punishment. | PSNet

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December 30, 2014 - Commentary What 'just culture' doesn't understand about just punishment. Citation Text: Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. Copy Citation Format: DOI Google Schola…

Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. | PSNet

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August 14, 2014 - Study Implementing an interprofessional patient safety learning initiative: insights from participants, project leads and steering committee members. Citation Text: Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative: insights fr…

Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). | PSNet

psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-application-systematic-human-error

February 06, 2019 - EMERGING INNOVATIONS Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). Citation Text: Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Predic…

A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. | PSNet

psnet.ahrq.gov/issue/review-educational-strategies-improve-nurses-roles-recognizing-and-responding-deteriorating

October 16, 2013 - Review A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. Citation Text: Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles in recognizing and responding to deterio…

The Daily Plan: including patients for safety's sake. | PSNet

psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake

March 13, 2013 - Study The Daily Plan: including patients for safety's sake. Citation Text: King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e. Copy Citation Format: DOI Google Sch…

Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet

psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy

September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure injury policy. Citation Text: Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…

Preventable morbidity at a mature trauma center. | PSNet

psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center

September 22, 2021 - Study Preventable morbidity at a mature trauma center. Citation Text: Preventable morbidity at a mature trauma center. Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. Copy Citation Save Save to your library Print Download PDF …

A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules-and-situated

June 14, 2011 - Commentary A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. Citation Text: Iedema RAM, Jorm C, Braithwaite J, et al. A root cause analysis of clinical error: confronting the disjunction between formal rules and si…

Measuring mobile patient safety information system success: an empirical study. | PSNet

psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study

September 27, 2017 - Study Measuring mobile patient safety information system success: an empirical study. Citation Text: Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. Copy Cit…

The potential of collective intelligence in emergency medicine. | PSNet

psnet.ahrq.gov/issue/potential-collective-intelligence-emergency-medicine

June 12, 2024 - Study The potential of collective intelligence in emergency medicine. Citation Text: Kämmer JE, Hautz WE, Herzog SM, et al. The Potential of Collective Intelligence in Emergency Medicine: Pooling Medical Students' Independent Decisions Improves Diagnostic Performance. Med Decis Making. 2…

Electronic health record usability contributions to patient safety and clinician burnout: a path forward. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-usability-contributions-patient-safety-and-clinician-burnout-path

December 21, 2022 - Commentary Electronic health record usability contributions to patient safety and clinician burnout: a path forward. Citation Text: Schwappach DLB, Ratwani RM. Electronic health record usability contributions to patient safety and clinician burnout: a path forward. J Patient Saf. 2023;19…

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

psnet.ahrq.gov/issue/enhancing-patient-safety-and-resident-education-during-academic-year-end-transfer-outpatients

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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