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Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. | PSNet

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September 29, 2010 - Study Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture. Citation Text: Pringle J, Weber RJ, Rice K, et al. Examination of how a survey can spur culture changes using a quality impro…

Effective communication with primary care providers. | PSNet

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October 02, 2019 - Commentary Effective communication with primary care providers. Citation Text: Smith K. Effective communication with primary care providers. Pediatr Clin North Am. 2014;61(4):671-679. doi:10.1016/j.pcl.2014.04.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? | PSNet

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August 20, 2018 - Study Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care? Citation Text: Mandell SP, Robinson EF, Cooper CL, et al. Patient safety measures in burn care: do National reporting systems accurately reflect quality of burn care? J Bu…

Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. | PSNet

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March 20, 2024 - Commentary Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. Citation Text: Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…

A classification system for incidents and accidents in the health-care system. | PSNet

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September 28, 2010 - Study Classic A classification system for incidents and accidents in the health-care system. Citation Text: Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. …

Evidence summary and recommendations for improved communication during care transitions. | PSNet

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October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…

Medicaid, hospital financial stress, and the incidence of adverse medical events for children. | PSNet

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December 21, 2022 - Study Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Citation Text: Smith RB, Dynan L, Fairbrother G, et al. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Health Serv Res. 2012;47(4):1621-4…

Identifying and reducing distractions and interruptions in a pharmacy department. | PSNet

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August 22, 2015 - Study Identifying and reducing distractions and interruptions in a pharmacy department. Citation Text: Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…

Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 | PSNet

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February 10, 2021 - Review Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 Citation Text: de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794. Copy Citation Format: …

"What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet

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July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…

Lessons learned: use of event reporting by nurses to improve patient safety and quality. | PSNet

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May 19, 2013 - Study Lessons learned: use of event reporting by nurses to improve patient safety and quality. Citation Text: Hession-Laband E, Mantell P. Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149-55. doi:10.1016/j.pedn.2010…

Opportunities to enhance laboratory professionals' role on the diagnostic team. | PSNet

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April 13, 2022 - Study Opportunities to enhance laboratory professionals' role on the diagnostic team. Citation Text: Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048. Copy Cit…

How do physicians conduct medication reviews? | PSNet

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September 02, 2010 - Study How do physicians conduct medication reviews? Citation Text: Tarn DM, Paterniti DA, Kravitz RL, et al. How do physicians conduct medication reviews? J Gen Intern Med. 2009;24(12):1296-302. doi:10.1007/s11606-009-1132-4. Copy Citation Format: DOI Google Scholar PubMe…

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. | PSNet

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April 03, 2009 - Book/Report Classic The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Citation Text: The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…

Improving electronic health record usability and safety requires transparency. | PSNet

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September 19, 2018 - Commentary Improving electronic health record usability and safety requires transparency. Citation Text: Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079. Copy Cita…

Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. | PSNet

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June 13, 2015 - Study Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. Citation Text: Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient…

Diagnostic error in pediatric cancer. | PSNet

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November 16, 2022 - Study Diagnostic error in pediatric cancer. Citation Text: Carberry AR, Hanson K, Flannery A, et al. Diagnostic Error in Pediatric Cancer. Clin Pediatr (Phila). 2017;57*1((1):11-18. doi:10.1177/0009922816687325. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

Improving patient safety in radiology: concepts for a comprehensive patient safety program. | PSNet

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December 14, 2016 - Commentary Improving patient safety in radiology: concepts for a comprehensive patient safety program. Citation Text: Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety in radiology: concepts for a comprehensive patient safety program. Semin Ultrasound CT MR. 2010…

Current pulse: can a production system reduce medical errors in health care? | PSNet

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September 09, 2011 - Commentary Current pulse: can a production system reduce medical errors in health care? Citation Text: Printezis A, Gopalakrishnan M. Current pulse: can a production system reduce medical errors in health care? Qual Manag Health Care. 2007;16(3):226-238. Copy Citation Format: …

Elopement: evidence-based mitigation and management. | PSNet

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October 19, 2022 - Study Elopement: evidence-based mitigation and management. Citation Text: Marlett JE, Vacovsky BA, Krug EA, et al. Elopement: evidence‐based mitigation and management. Worldviews Evid Based Nurs. 2024;20(6):634-641. doi:10.1111/wvn.12683. Copy Citation Format: DOI Google Sc…

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