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Application of failure mode and effect analysis in a radiology department. | PSNet

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October 13, 2010 - Commentary Application of failure mode and effect analysis in a radiology department. Citation Text: Thornton E, Brook OR, Mendiratta-Lala M, et al. Application of Failure Mode and Effect Analysis in a Radiology Department. RadioGraphics. 2010;31(1):281-293. doi:10.1148/rg.311105018. …

Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. | PSNet

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January 08, 2016 - Study Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Citation Text: Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466. Copy Citation Forma…

Drug shortages: effect on parenteral nutrition therapy. | PSNet

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June 20, 2018 - Review Drug shortages: effect on parenteral nutrition therapy. Citation Text: Holcombe B, Mattox TW, Plogsted S. Drug Shortages: Effect on Parenteral Nutrition Therapy. Nutr Clin Pract. 2018;33(1):53-61. doi:10.1002/ncp.10052. Copy Citation Format: DOI Google Scholar PubMed…

A medication safety education program to reduce the risk of harm caused by medication errors. | PSNet

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June 27, 2018 - Commentary A medication safety education program to reduce the risk of harm caused by medication errors. Citation Text: Dennison RD. A medication safety education program to reduce the risk of harm caused by medication errors. J Contin Educ Nurs. 2007;38(4):176-84. Copy Citation Fo…

Health information technology and hospital patient safety: a conceptual model to guide research. | PSNet

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December 17, 2009 - Study Health information technology and hospital patient safety: a conceptual model to guide research. Citation Text: Paez K, Roper RA, Andrews RM. Health information technology and hospital patient safety: a conceptual model to guide research. Jt Comm J Qual Patient Saf. 2013;39(9):41…

Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? | PSNet

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March 16, 2022 - Study Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? Citation Text: Soleimani F. Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"? N Z Med J. 2006;119(1239):U2099. Copy Citation Format: Goo…

The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability. | PSNet

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August 20, 2018 - Commentary The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability. Citation Text: Patel P, Robinson BS, Novicoff WM, et al. The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability. J Bone Joint Surg Am. 2011;…

Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. | PSNet

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March 11, 2020 - Study Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. Citation Text: Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2…

Assessing clinical handover between paramedics and the trauma team. | PSNet

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January 19, 2011 - Study Assessing clinical handover between paramedics and the trauma team. Citation Text: Evans S, Murray A, Patrick I, et al. Assessing clinical handover between paramedics and the trauma team. Injury. 2010;41(5):460-4. doi:10.1016/j.injury.2009.07.065. Copy Citation Format: …

Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. | PSNet

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December 31, 2012 - Study Enhanced morbidity and mortality meeting and patient safety education for specialty trainees. Citation Text: Singh HP, Durani P, Dias JJ. Enhanced Morbidity and Mortality Meeting and Patient Safety Education for Specialty Trainees. J Patient Saf. 2019;15(1):37-48. doi:10.1097/PTS.0…

Three simple rules to improve medication safety. | PSNet

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March 11, 2020 - Commentary Three simple rules to improve medication safety. Citation Text: Barba V. Three Simple Rules to Improve Medication Safety. J Patient Saf. 2016;12(3):171-2. doi:10.1097/PTS.0000000000000095. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. | PSNet

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July 10, 2024 - Commentary Adapting The Joint Commission's seven foundations of safe and effective transitions of care to home. Citation Text: Labson MC. Adapting the joint commission's seven foundations of safe and effective transitions of care to home. Home Healthc Now. 2015;33(3):142-6. doi:10.1097/N…

Adverse drug event prevention and detection in older emergency department patients. | PSNet

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November 16, 2022 - Commentary Adverse drug event prevention and detection in older emergency department patients. Citation Text: Koehl JL. Adverse drug event prevention and detection in older emergency department patients. Clin Geriatr Med. 2023;39(4):635-645. doi:10.1016/j.cger.2023.04.008. Copy Citatio…

Surgeons don't know what they don't know about the safe use of energy in surgery. | PSNet

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April 05, 2017 - Study Surgeons don't know what they don't know about the safe use of energy in surgery. Citation Text: Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe use of energy in surgery. Surg Endosc. 2012;26(10):2735-9. Copy Citation Form…

Safety culture includes "good catches." | PSNet

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August 21, 2024 - Commentary Safety culture includes "good catches." Citation Text: Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. | PSNet

psnet.ahrq.gov/issue/we-may-remember-what-did-we-learn-dealing-errors-crimes-and-misdemeanours-around-adverse

December 29, 2014 - Commentary We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. Citation Text: Fischbacher-Smith D, Fischbacher-Smith M. WE MAY REMEMBER BUT WHAT DID WE LEARN? DEALING WITH ERRORS, CRIMES AND MISDEMEANOURS AROUND ADVE…

Error training: missing link in surgical education. | PSNet

psnet.ahrq.gov/issue/error-training-missing-link-surgical-education

December 21, 2014 - Review Error training: missing link in surgical education. Citation Text: DaRosa DA, Pugh CM. Error training: missing link in surgical education. Surgery. 2012;151(2):139-45. doi:10.1016/j.surg.2011.08.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet

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June 17, 2014 - Commentary A surgical procedure grid for safety and operating room communication in multisite surgery. Citation Text: Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…

Doctors saved her life. She didn’t want them to. | PSNet

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November 02, 2016 - Newspaper/Magazine Article Doctors saved her life. She didn’t want them to. Citation Text: Raphael K. Doctors saved her life. She didn’t want them to. New York Times. August 26, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

The 100,000 Lives Campaign: crystallizing standards of care for hospitals. | PSNet

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August 20, 2018 - Commentary The 100,000 Lives Campaign: crystallizing standards of care for hospitals. Citation Text: Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. Copy Citation Format: Goo…

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