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Patients' identification and reporting of unsafe events at six hospitals in Japan. | PSNet

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January 11, 2023 - Study Patients' identification and reporting of unsafe events at six hospitals in Japan. Citation Text: Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508. Copy Citati…

Improving hospital systems for the care of women with major obstetric hemorrhage. | PSNet

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July 06, 2022 - Study Improving hospital systems for the care of women with major obstetric hemorrhage. Citation Text: Skupski DW, Lowenwirt IP, Weinbaum FI, et al. Improving hospital systems for the care of women with major obstetric hemorrhage. Obstet Gynecol. 2006;107(5):977-983. Copy Citation …

The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. | PSNet

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August 16, 2023 - Review The impact of digital hospitals on patient and clinician experience: systematic review and qualitative evidence synthesis. Citation Text: Canfell OJ, Woods L, Meshkat Y, et al. The impact of digital hospitals on patient and clinician experience: systematic review and qualitative e…

Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. | PSNet

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July 30, 2014 - Commentary Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force. Citation Text: Goodman KW, Berner ES, Dente MA, et al. Challenges in ethics, safety, best practices, and oversight regard…

Standard practices for computerized clinical decision support in community hospitals: a national survey. | PSNet

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April 29, 2018 - Study Standard practices for computerized clinical decision support in community hospitals: a national survey. Citation Text: Ash JS, McCormack JL, Sittig DF, et al. Standard practices for computerized clinical decision support in community hospitals: a national survey. J Am Med Inform A…

How U.S. teams advanced communication and resolution program adoption at local, state and national levels. | PSNet

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April 24, 2018 - Study How U.S. teams advanced communication and resolution program adoption at local, state and national levels. Citation Text: LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program adoption at local, state and national levels. J Patient Saf Risk M…

VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. | PSNet

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October 12, 2022 - Book/Report VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Citation Text: VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…

OpenNotes and patient safety: a perilous voyage into uncharted waters. | PSNet

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March 10, 2021 - Commentary OpenNotes and patient safety: a perilous voyage into uncharted waters. Citation Text: Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2. Copy Citation …

Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. | PSNet

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October 14, 2009 - Study Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. Citation Text: Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs…

Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. | PSNet

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March 23, 2011 - Study Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. Citation Text: Michel P, Quenon JL, de Sarasqueta AM, et al. Comparison of three methods for estimating rates of adverse events and rates of prevent…

Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. | PSNet

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September 20, 2011 - Study Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. Citation Text: Wittich CM, Reed DA, Drefahl MM, et al. Residents' reflections on quality improvement: temporal stability and associations with preventab…

Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? | PSNet

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July 14, 2021 - Commentary Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? Citation Text: Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10…

The "July phenomenon": is trauma the exception? | PSNet

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January 15, 2014 - Study The "July phenomenon": is trauma the exception? Citation Text: Schroeppel TJ, Fischer PE, Magnotti LJ, et al. The "July phenomenon": is trauma the exception? J Am Coll Surg. 2009;209(3):378-84. doi:10.1016/j.jamcollsurg.2009.05.026. Copy Citation Format: DOI Google …

Building safer systems through critical occurrence reviews: nine years of learning. | PSNet

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July 05, 2017 - Study Building safer systems through critical occurrence reviews: nine years of learning. Citation Text: Stevens P, Campbell J, Urmson L, et al. Building safer systems through critical occurrence reviews: nine years of learning. Healthc Q. 2010;13 Spec No:74-80. Copy Citation For…

Understanding the effect of resident duty hour reform: a qualitative study. | PSNet

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March 23, 2011 - Study Understanding the effect of resident duty hour reform: a qualitative study. Citation Text: Pattani R, Wu PE, Dhalla IA. Resident duty hours in Canada: past, present and future. Can Med Assoc J. 2014;186(10). doi:10.1503/cmaj.131053. Copy Citation Format: DOI Google Sc…

Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. | PSNet

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June 14, 2023 - Study Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. Citation Text: Hopkins J, Hedlin H, Weinacker A, et al. Patterns of Disrespectful Physician Behavior at an Academic Medical Center: Implications for T…

Variation in the rates of adverse events between hospitals and hospital departments. | PSNet

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July 26, 2011 - Study Variation in the rates of adverse events between hospitals and hospital departments. Citation Text: Zegers M, de Bruijne M, Spreeuwenberg P, et al. Variation in the rates of adverse events between hospitals and hospital departments. Int J Qual Health Care. 2011;23(2):126-33. doi:10…

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

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July 15, 2009 - Study If only...: failed, missed and absent error recovery opportunities in medication errors. Citation Text: Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. | PSNet

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June 15, 2011 - Study Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Citation Text: Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based o…

The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. | PSNet

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April 22, 2017 - Commentary The Institute for Safe Medication Practices and poison control centers: collaborating to prevent medication errors and unintentional poisonings. Citation Text: Vaida AJ. The Institute for Safe Medication Practices and Poison Control Centers: Collaborating to Prevent Medication…

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