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Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

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May 11, 2022 - Study Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. Citation Text: Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …

Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. | PSNet

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December 21, 2022 - Commentary Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. Citation Text: Cresswell K, Sheikh A. Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies. J Allergy Cli…

Classification of health information technology safety events in a pediatric tertiary care hospital. | PSNet

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May 20, 2019 - Study Classification of health information technology safety events in a pediatric tertiary care hospital. Citation Text: Khan A, Karavite DJ, Muthu N, et al. Classification of health information technology safety events in a pediatric tertiary care hospital. J Patient Saf. 2023;19(4):25…

Identifying health information technology related safety event reports from patient safety event report databases. | PSNet

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July 07, 2021 - Study Identifying health information technology related safety event reports from patient safety event report databases. Citation Text: Fong A, Adams KT, Gaunt MJ, et al. Identifying health information technology related safety event reports from patient safety event report databases. J …

Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. | PSNet

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April 22, 2013 - Study Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Citation Text: Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. …

Managing diagnostic uncertainty in primary care: a systematic critical review. | PSNet

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February 15, 2017 - Review Managing diagnostic uncertainty in primary care: a systematic critical review. Citation Text: Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0. …

An analysis of electronic health record–related patient safety incidents. | PSNet

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August 19, 2020 - Study An analysis of electronic health record–related patient safety incidents. Citation Text: Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. Copy…

Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. | PSNet

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September 14, 2011 - Study Mobile physician reporting of clinically significant events—a novel way to improve handoff communication and supervision of resident on call activities. Citation Text: Nabors C, Peterson SJ, Aronow WS, et al. Mobile physician reporting of clinically significant events-a novel way t…

Cognitive bias impact on management of postoperative complications, medical error, and standard of care. | PSNet

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March 09, 2022 - Study Cognitive bias impact on management of postoperative complications, medical error, and standard of care. Citation Text: Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. J Surg Res…

Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet

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January 26, 2022 - Study Prevalence of medication transfer errors in nephrology patients and potential risk factors. Citation Text: Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016…

Nursing bedside clinical handover—an integrated review of issues and tools. | PSNet

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July 07, 2021 - Review Nursing bedside clinical handover—an integrated review of issues and tools. Citation Text: Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706. Copy Citat…

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet

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November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

Why studying human behavior is a critical component of patient safety. | PSNet

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January 15, 2020 - Commentary Why studying human behavior is a critical component of patient safety. Citation Text: Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. Copy Citation F…

Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. | PSNet

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May 19, 2021 - Study Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. Citation Text: Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediat…

Principles of automation for patient safety in intensive care: learning from aviation. | PSNet

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April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning from aviation. Citation Text: Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…

Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study. | PSNet

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December 29, 2014 - Study Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study. Citation Text: Wahr JA, Shore AD, Harris LH, et al. Comparison of intensive care unit medication er…

Healthcare professionals' views on feedback of a patient safety culture assessment. | PSNet

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October 25, 2023 - Study Healthcare professionals' views on feedback of a patient safety culture assessment. Citation Text: Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1…

Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. | PSNet

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April 24, 2018 - Study Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. Citation Text: Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, clus…

Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. | PSNet

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June 21, 2016 - Study Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Citation Text: Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…

Association between implementation of an intensivist-led medical emergency team and mortality. | PSNet

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July 13, 2010 - Study Association between implementation of an intensivist-led medical emergency team and mortality. Citation Text: Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152…

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