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Bracing for the storm: one health care system's planning for the COVID-19 surge. | PSNet

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July 22, 2020 - Commentary Bracing for the storm: one health care system's planning for the COVID-19 surge. Citation Text: Kim CS, Meo N, Little D, et al. Bracing for the storm: one health care system's planning for the COVID-19 surge. Jt Comm J Qual Patient Saf. 2021;47(1):60-68. doi:10.1016/j.jcjq.202…

Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training | PSNet

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November 11, 2020 - Commentary Creating a framework to integrate residency program and medical center approaches to quality improvement and patient safety training Citation Text: Chen A, Wolpaw BJ, Vande Vusse LK, et al. Creating a framework to integrate residency program and medical center approaches to qu…

Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers | PSNet

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May 08, 2019 - Commentary Classic Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers Citation Text: Rangachari P, L. Woods J. Preserving organizational re…

Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. | PSNet

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September 22, 2021 - Review Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. Citation Text: Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis a…

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet

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February 01, 2011 - Study Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. Citation Text: Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …

The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. | PSNet

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March 04, 2015 - Study The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. Citation Text: Kapadia SN, Abramson EL, Carter EJ, et al. The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the Uni…

Adverse events after transition from ICU to hospital ward: a multicenter cohort study. | PSNet

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October 13, 2018 - Study Adverse events after transition from ICU to hospital ward: a multicenter cohort study. Citation Text: Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.00000…

Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. | PSNet

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June 24, 2020 - Commentary Emerging Classic Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. Citation Text: Traylor AM. Helping healthcare teams save lives during COVID-19: insights and countermeasures from team science. Am Ps…

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours. | PSNet

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June 10, 2020 - Study Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours. Citation Text: Clarke S. Safety leadership: A meta-analytic review of transformational and transactional leadership styles as antecedents of safet…

Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. | PSNet

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January 07, 2015 - Study Prescribers' interactions with medication alerts at the point of prescribing: a multi-method, in situ investigation of the human–computer interaction. Citation Text: Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of prescribin…

Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. | PSNet

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July 20, 2022 - Study Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. Citation Text: Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):3…

The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. | PSNet

psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing

August 03, 2017 - Review The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. Citation Text: Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhanc…

Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet

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July 07, 2021 - Study Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Citation Text: Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. do…

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. | PSNet

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October 03, 2011 - Study Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Citation Text: Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …

Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. | PSNet

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December 07, 2022 - Study Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. Citation Text: Dalal AK, Plombon S, Konieczny K, et al. Adverse diagnostic events in hospitalised patients: a single-centre, retrospective cohort study. BMJ Qual Saf. 2024;Epub Oct 1. d…

Adverse events in healthcare: learning from mistakes. | PSNet

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February 08, 2017 - Commentary Adverse events in healthcare: learning from mistakes. Citation Text: Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. Copy Citation Format: DOI Google Scholar PubMed BibT…

Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. | PSNet

psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute

May 30, 2016 - Study Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospita…

More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. | PSNet

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September 02, 2016 - Congressional Testimony More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Citation Text: More Than 1,000 Preventable Deaths a Day Is Too Many: The Need to Improve Patient Safety. Hearing Before the Subcommittee on Primary Health and Aging, 113th Co…

Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian

January 24, 2024 - Study Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. Citation Text: Goldman J, Rotteau L, Flintoft V, et al. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a C…

Unintended patient safety risks due to wireless smart infusion pump library update delays. | PSNet

psnet.ahrq.gov/issue/unintended-patient-safety-risks-due-wireless-smart-infusion-pump-library-update-delays

September 25, 2019 - Study Unintended patient safety risks due to wireless smart infusion pump library update delays. Citation Text: Hsu K-Y, DeLaurentis P, Bitan Y, et al. Unintended Patient Safety Risks Due to Wireless Smart Infusion Pump Library Update Delays. J Patient Saf. 2019;15(1):e8-e14. doi:10.1097…

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