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Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet

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January 01, 2015 - When you work together with nurses and other staff to design the workplace to be efficient, that workplace … A chief operating officer that had worked his way up from being a frontline nurse was embracing Lean

An Incomplete Anesthesia History Leads to Adverse Outcomes | PSNet

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January 29, 2021 - The safety of nurse-administered procedural sedation compared to anesthesia care in a historical cohort

Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet

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January 29, 2021 - The availability of these drugs should be assured by the scrub or circulating nurse using a standardized

The role of racism as a core patient safety issue. | PSNet

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March 18, 2020 - Newspaper/Magazine Article The role of racism as a core patient safety issue. Citation Text: Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58-61. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. | PSNet

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February 12, 2019 - Government Resource Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. Citation Text: Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report. Sorra J, Nieva V, Famolaro T, et al. Rockville, MD: Agency for Healthcare; 2007. AHRQ publication, …

AHRQ Health Information Technology Research: 2018 Year in Review. | PSNet

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May 07, 2014 - Government Resource AHRQ Health Information Technology Research: 2018 Year in Review. Citation Text: AHRQ Health Information Technology Research: 2018 Year in Review. AHRQ Health Information Technology Research: 2018 Year in Review. (Prepared by John Snow, Inc. Under Contract No. HHSN316…

Should patients have a role in patient safety? A safety engineering view. | PSNet

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June 10, 2009 - Commentary Should patients have a role in patient safety? A safety engineering view. Citation Text: Lyons M. Should patients have a role in patient safety? A safety engineering view. Qual Saf Health Care. 2007;16(2):140-2. Copy Citation Format: Google Scholar PubMed BibTe…

Framing diagnostic error: an epidemiological perspective. | PSNet

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January 12, 2022 - Review Framing diagnostic error: an epidemiological perspective. Citation Text: Hunter MK, Singareddy C, Mundt KA. Framing diagnostic error: an epidemiological perspective. Front Public Health. 2024;12:1479750. doi:10.3389/fpubh.2024.1479750. Copy Citation Format: DOI Googl…

Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet

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November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. Citation Text: Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…

Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies. | PSNet

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May 16, 2012 - Study Effects of mental demands during dispensing on perceived medication safety and employee well-being: a study of workload in pediatric hospital pharmacies. Citation Text: Holden RJ, Patel NR, Scanlon M, et al. Effects of mental demands during dispensing on perceived medication safe…

How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. | PSNet

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February 28, 2024 - Book/Report How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Citation Text: How Discrimination in Health Care Affects Older Americans, and What Health Systems and Providers Can Do. Doty MM, Horstman C, Shah A et al. Issue Brief. New…

How to deliver safer and effective patient care: tips for team leaders and educators. | PSNet

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April 24, 2018 - Commentary How to deliver safer and effective patient care: tips for team leaders and educators. Citation Text: Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017. Copy C…

Ethical duty of health care systems to address interfacility medical error discovery. | PSNet

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September 11, 2019 - Commentary Ethical duty of health care systems to address interfacility medical error discovery. Citation Text: Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.…

Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. | PSNet

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October 27, 2016 - Study Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Citation Text: Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):…

Quality and safety in medical care: what does the future hold? | PSNet

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September 18, 2019 - Commentary Quality and safety in medical care: what does the future hold? Citation Text: Liang BA, Mackey T. Quality and safety in medical care: what does the future hold? Arch Pathol Lab Med. 2011;135(11):1425-31. doi:10.5858/arpa.2011-0154-OA. Copy Citation Format: DOI Go…

Could emotional intelligence make patients safer? | PSNet

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October 29, 2017 - Commentary Could emotional intelligence make patients safer? Citation Text: Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

Errors, near misses and adverse events in the emergency department: what can patients tell us? | PSNet

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April 25, 2018 - Study Errors, near misses and adverse events in the emergency department: what can patients tell us? Citation Text: Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency department: what can patients tell us? CJEM. 2008;10(5):421-427. Copy Cit…

Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. | PSNet

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October 22, 2014 - Study Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. Citation Text: Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. Copy Citation…

Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. | PSNet

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March 15, 2016 - Study Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. Citation Text: Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…

Potential medication dosing errors in outpatient pediatrics. | PSNet

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July 29, 2020 - Study Potential medication dosing errors in outpatient pediatrics. Citation Text: McPhillips HA, Stille CJ, Smith DH, et al. Potential medication dosing errors in outpatient pediatrics. J Pediatr. 2005;147(6):761-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

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