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Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. | PSNet

psnet.ahrq.gov/issue/implementation-surgical-safety-checklist-and-postoperative-outcomes-prospective-randomized

October 10, 2018 - Study Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study. Citation Text: Chaudhary N, Varma V, Kapoor S, et al. Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled s…

Bridging gaps in handoffs: a continuity of care based approach. | PSNet

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January 07, 2015 - Study Bridging gaps in handoffs: a continuity of care based approach. Citation Text: Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011. Copy Citation Format: …

Proposal for a 'surgical checklist' for ambulatory oral surgery. | PSNet

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January 17, 2012 - Commentary Proposal for a 'surgical checklist' for ambulatory oral surgery. Citation Text: Perea-Pérez B, Santiago-Sáez A, García-Marín F, et al. Proposal for a 'surgical checklist' for ambulatory oral surgery. Int J Oral Maxillofac Surg. 2011;40(9):949-54. doi:10.1016/j.ijom.2011.04.0…

Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. | PSNet

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September 09, 2015 - Commentary Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. Citation Text: Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research.…

Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. | PSNet

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December 06, 2010 - Study Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Citation Text: Agnew C, Flin R. Senior charge nurses' leadership behaviours in relation to hospital ward safety: a mixed method study. Int J Nurs Stud. 2014;51(5):768-80. doi:10.1…

Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. | PSNet

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March 18, 2020 - Study Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. Citation Text: Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…

Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet

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March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. | PSNet

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April 03, 2013 - Study Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Citation Text: Lee S, Park J. Giving up learning from failures? An examination of learning from one's own failures in the context of heart surgeons. Strat Manage J…

Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. | PSNet

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August 28, 2019 - Study Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Citation Text: Lyman S, Sedrakyan A, Do H, et al. Infrequent physician use of implantable cardioverter-defibrillators risks patient safety. Heart. 2011;97(20):1655-60. doi:10.1136/hrt.2011.2…

Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. | PSNet

psnet.ahrq.gov/issue/litigation-related-drug-errors-anaesthesia-analysis-claims-against-nhs-england-1995-2007

November 12, 2014 - Study Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Citation Text: Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2…

Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients. | PSNet

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June 23, 2021 - Study Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients. Citation Text: Irani S, Seba P, Speich R, et al. Medication errors: an important component of nonadherence to medication in an outpatient population …

Failures in communication and information transfer across the surgical care pathway: interview study. | PSNet

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August 09, 2013 - Study Failures in communication and information transfer across the surgical care pathway: interview study. Citation Text: Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):8…

Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet

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March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

Safety culture and care: a program to prevent surgical errors. | PSNet

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March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. | PSNet

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July 14, 2010 - Study Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Citation Text: Wetterneck TB, Skibinski K, Roberts TL, et al. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology. Am J Health Syst Pharm. 2006;6…

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. | PSNet

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May 20, 2009 - Commentary Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. Citation Text: Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance betwee…

Error traps in pediatric patient blood management in the perioperative period. | PSNet

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January 12, 2022 - Commentary Error traps in pediatric patient blood management in the perioperative period. Citation Text: Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683. Copy C…

Impact of a computerized physician order-entry system. | PSNet

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October 19, 2022 - Study Impact of a computerized physician order-entry system. Citation Text: Stone WM, Smith BE, Shaft JD, et al. Impact of a computerized physician order-entry system. J Am Coll Surg. 2009;208(5):960-7; discussion 967-9. doi:10.1016/j.jamcollsurg.2009.01.042. Copy Citation Format…

ASHP guidelines on perioperative pharmacy services. | PSNet

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December 21, 2014 - Review ASHP guidelines on perioperative pharmacy services. Citation Text: Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. Copy Citation Format: DOI Google Sc…

Establishing a safe container for learning in simulation: the role of the presimulation briefing. | PSNet

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September 16, 2015 - Commentary Establishing a safe container for learning in simulation: the role of the presimulation briefing. Citation Text: Rudolph JW, Raemer D, Simon R. Establishing a safe container for learning in simulation: the role of the presimulation briefing. Simul Healthc. 2014;9(6):339-49. do…

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