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Participation in a system-thinking simulation experience changes adverse event reporting. | PSNet

psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting

July 30, 2014 - Study Participation in a system-thinking simulation experience changes adverse event reporting. Citation Text: Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…

Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? | PSNet

psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution

October 30, 2013 - Commentary Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? Citation Text: Hunt GJF, Callaghan KSN. COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED? ANZ J Surg. 2008;78(8). doi:1…

An analysis of near misses identified by anesthesia providers in the intensive care unit. | PSNet

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August 17, 2017 - Study An analysis of near misses identified by anesthesia providers in the intensive care unit. Citation Text: Lipshutz AKM, Caldwell JE, Robinowitz DL, et al. An analysis of near misses identified by anesthesia providers in the intensive care unit. BMC Anesthesiol. 2015;15:93. doi:10.11…

A review of verbal order policies in acute care hospitals. | PSNet

psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals

January 03, 2017 - Study A review of verbal order policies in acute care hospitals. Citation Text: Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33. Copy Citation Format: Google Scholar PubMed…

Zero preventable deaths after traumatic injury: an achievable goal. | PSNet

psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal

March 24, 2021 - Commentary Zero preventable deaths after traumatic injury: an achievable goal. Citation Text: Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. Copy Citation Format: DOI Google Scholar BibT…

Nursing surveillance: a concept analysis | PSNet

psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis

May 26, 2021 - Review Nursing surveillance: a concept analysis Citation Text: Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

Aligning patient safety and stewardship: a harm reduction strategy for children. | PSNet

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February 27, 2019 - Review Aligning patient safety and stewardship: a harm reduction strategy for children. Citation Text: Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-0022…

Fostering patient safety competencies using multiple-patient simulation experiences. | PSNet

psnet.ahrq.gov/issue/fostering-patient-safety-competencies-using-multiple-patient-simulation-experiences

January 12, 2022 - Study Fostering patient safety competencies using multiple-patient simulation experiences. Citation Text: Ironside PM, Jeffries PR, Martin A. Fostering patient safety competencies using multiple-patient simulation experiences. Nurs Outlook. 2009;57(6):332-7. doi:10.1016/j.outlook.2009.0…

Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. | PSNet

psnet.ahrq.gov/issue/evidence-based-medicine-cornerstone-clinical-care-not-quality-improvement

September 01, 2021 - Commentary Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. Citation Text: Mondoux S, Shojania KG. Evidence-based medicine: A cornerstone for clinical care but not for quality improvement. J Eval Clin Pract. 2019;25(3):363-368. doi:10.1111/jep.131…

Examining medical office owners and clinicians perceptions on patient safety climate. | PSNet

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December 21, 2018 - Study Examining medical office owners and clinicians perceptions on patient safety climate. Citation Text: Mazurenko O, Richter J, Kazley AS, et al. Examining Medical Office Owners and Clinicians Perceptions on Patient Safety Climate. J Patient Saf. 2021;17(8):e1537-e1545. doi:10.1097/PT…

Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story. | PSNet

psnet.ahrq.gov/issue/implementation-and-spread-simple-and-effective-way-improve-accuracy-medicines-reconciliation

March 04, 2009 - Study Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story. Citation Text: Botros S, Dunn J. Implementation and spread of a simple and effective way to impr…

Impact of time pressure on dentists' diagnostic performance. | PSNet

psnet.ahrq.gov/issue/impact-time-pressure-dentists-diagnostic-performance

November 16, 2022 - Study Impact of time pressure on dentists' diagnostic performance. Citation Text: Plessas A, Nasser M, Hanoch Y, et al. Impact of time pressure on dentists' diagnostic performance. J Dent. 2019;82:38-44. doi:10.1016/j.jdent.2019.01.011. Copy Citation Format: DOI Google Scho…

Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room. | PSNet

psnet.ahrq.gov/issue/randomized-crossover-study-evaluating-effect-hand-sanitizer-dispenser-frequency-hand-hygiene

November 09, 2015 - Study Randomized crossover study evaluating the effect of a hand sanitizer dispenser on the frequency of hand hygiene among anesthesiology staff in the operating room. Citation Text: Munoz-Price S, Patel Z, Banks S, et al. Randomized crossover study evaluating the effect of a hand saniti…

The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. | PSNet

psnet.ahrq.gov/issue/effects-aviation-style-non-technical-skills-training-technical-performance-and-outcome

March 03, 2011 - Study The effects of aviation-style non-technical skills training on technical performance and outcome in the operating theatre. Citation Text: McCulloch P, Mishra A, Handa A, et al. The effects of aviation-style non-technical skills training on technical performance and outcome in th…

Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. | PSNet

psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia

January 07, 2015 - Study Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. Citation Text: Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…

Medicines safety in anaesthetic practice. | PSNet

psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice

February 02, 2022 - Review Medicines safety in anaesthetic practice. Citation Text: Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. | PSNet

psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during

April 20, 2016 - Commentary Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. Citation Text: Mason KP, Mason KP, Green SM, et al. Adverse event reporting tool t…

Call to action: addressing pediatric fall safety in ambulatory environments. | PSNet

psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments

June 30, 2021 - Study Call to action: addressing pediatric fall safety in ambulatory environments. Citation Text: Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. Copy Citat…

Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet

psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors

December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. | PSNet

psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based

October 19, 2022 - Study Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. Citation Text: Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…

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