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The problem with preventable deaths. | PSNet

psnet.ahrq.gov/issue/problem-preventable-deaths

July 24, 2024 - Commentary The problem with preventable deaths. Citation Text: Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-2015-004983. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

Using system analysis to build a safety culture: improving the reliability of epidural analgesia. | PSNet

psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia

January 14, 2009 - Study Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Citation Text: Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand…

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. | PSNet

psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating

March 03, 2011 - Study The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Citation Text: Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…

Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/evaluation-safety-radiation-oncology-setting-using-failure-mode-and-effects-analysis

January 22, 2017 - Study Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Citation Text: Ford E, Gaudette R, Myers L, et al. Evaluation of safety in a radiation oncology setting using failure mode and effects analysis. Int J Radiat Oncol Biol Phys. 2009;74(3):8…

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. | PSNet

psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision

July 19, 2017 - Study The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training. Citation Text: De Oliveira GS, Rahmani R, Fitzgerald PC, et al. The association between frequency of self-reported m…

Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. | PSNet

psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among

July 18, 2016 - Study Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting. Citation Text: Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of medical error reporting among ph…

Validity of selected patient safety indicators: opportunities and concerns. | PSNet

psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns

June 04, 2014 - Study Validity of selected patient safety indicators: opportunities and concerns. Citation Text: Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…

The influence of the availability heuristic on physicians in the emergency department. | PSNet

psnet.ahrq.gov/issue/influence-availability-heuristic-physicians-emergency-department

September 30, 2020 - Study The influence of the availability heuristic on physicians in the emergency department. Citation Text: Ly DP. The influence of the availability heuristic on physicians in the emergency department. Ann Emerg Med. 2021;78(5):650-657. doi:10.1016/j.annemergmed.2021.06.012. Copy Citat…

A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. | PSNet

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February 24, 2016 - Commentary A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. Citation Text: Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology service line. J Healthc Risk Manag. 2023;43(1):38-42.…

Connected care: reducing errors through automated vital signs data upload. | PSNet

psnet.ahrq.gov/issue/connected-care-reducing-errors-through-automated-vital-signs-data-upload

September 01, 2018 - Study Connected care: reducing errors through automated vital signs data upload. Citation Text: Smith LB, Banner L, Lozano D, et al. Connected care: reducing errors through automated vital signs data upload. Comput Inform Nurs. 2009;27(5):318-23. doi:10.1097/NCN.0b013e3181b21d65. Cop…

Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm

February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution following patient harm. Citation Text: Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…

A paradigm shift to balance safety and quality in pediatric pain management. | PSNet

psnet.ahrq.gov/issue/paradigm-shift-balance-safety-and-quality-pediatric-pain-management

July 01, 2020 - Study A paradigm shift to balance safety and quality in pediatric pain management. Citation Text: Avansino JR, Peters LM, Stockfish SL, et al. A paradigm shift to balance safety and quality in pediatric pain management. Pediatrics. 2013;131(3):e921-7. doi:10.1542/peds.2012-1378. Copy C…

Using near-miss events to improve MRI safety in a large academic centre. | PSNet

psnet.ahrq.gov/issue/using-near-miss-events-improve-mri-safety-large-academic-centre

May 31, 2017 - Commentary Using near-miss events to improve MRI safety in a large academic centre. Citation Text: Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. Copy Citation…

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. | PSNet

psnet.ahrq.gov/issue/prehospital-naloxone-and-emergency-department-adverse-events-dose-dependent-relationship

March 02, 2022 - Study Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. Citation Text: Maloney LM, Alptunaer T, Coleman G, et al. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. J Emerg Med. 2020;59(6):872-883. doi:1…

'Bad apples': time to redefine as a type of systems problem? | PSNet

psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem

April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …

The effects of power, leadership and psychological safety on resident event reporting. | PSNet

psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting

November 16, 2022 - Study The effects of power, leadership and psychological safety on resident event reporting. Citation Text: Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947…

Understanding safety culture in long-term care: a case study. | PSNet

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April 19, 2011 - Study Understanding safety culture in long-term care: a case study. Citation Text: Halligan MH, Zecevic A, Kothari AR, et al. Understanding safety culture in long-term care: a case study. J Patient Saf. 2014;10(4):192-201. doi:10.1097/PTS.0b013e31829d4ae7. Copy Citation Format: …

High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. | PSNet

psnet.ahrq.gov/issue/high-alert-medication-stratification-tool-revised-exploratory-study-objective-standardized

September 23, 2020 - Study High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. Citation Text: Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An Exploratory Study of an Objective, Standa…

Nurses' workarounds in acute healthcare settings: a scoping review. | PSNet

psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review

December 08, 2021 - Review Nurses' workarounds in acute healthcare settings: a scoping review. Citation Text: Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175. Copy Citation …

Seen through the patients' eyes: safety of chronic illness care. | PSNet

psnet.ahrq.gov/issue/seen-through-patients-eyes-safety-chronic-illness-care

May 16, 2018 - Study Seen through the patients' eyes: safety of chronic illness care. Citation Text: Desmedt M, Petrovic M, Bergs J, et al. Seen through the patients' eyes: Safety of chronic illness care. Int J Qual Health Care. 2017;29(7):916-921. doi:10.1093/intqhc/mzx137. Copy Citation Format:…

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