-
psnet.ahrq.gov/node/60152/psn-pdf
March 25, 2020 - Errors during resuscitation: the impact of perceived
authority on delivery of care.
March 25, 2020
Delaloye NJ, Tobler K, O?Neill T, et al. Errors during resuscitation: the impact of perceived authority on
delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000359.
https://psnet.ahrq.gov/issue/e…
-
psnet.ahrq.gov/node/41996/psn-pdf
July 03, 2014 - Effects of duty hour restrictions on core competencies,
education, quality of life, and burnout among general
surgery interns.
July 3, 2014
Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies,
education, quality of life, and burnout among general surgery interns. JAMA …
-
psnet.ahrq.gov/node/46247/psn-pdf
August 08, 2018 - Distractions in the anesthesia work environment: impact
on patient safety? Report of a meeting sponsored by the
Anesthesia Patient Safety Foundation.
August 8, 2018
van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety?
Report of a Meeting Sponsored by the Anesthesia Pat…
-
psnet.ahrq.gov/node/851917/psn-pdf
January 01, 2024 - Incivility in healthcare: the impact of poor
communication.
August 2, 2023
Guppy JH, Widlund H, Munro R, et al. Incivility in healthcare: the impact of poor communication. BMJ Lead.
2024;8(1):83-87. doi:10.1136/leader-2022-000717.
https://psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
Incivi…
-
psnet.ahrq.gov/node/45690/psn-pdf
June 28, 2017 - The impact of critical event checklists on medical
management and teamwork during simulated crises in a
surgical daycare facility.
June 28, 2017
Everett TC, Morgan PJ, Brydges R, et al. The impact of critical event checklists on medical management
and teamwork during simulated crises in a surgical daycare facility…
-
psnet.ahrq.gov/node/61032/psn-pdf
October 14, 2020 - System Governance Towards Improved Patient Safety:
Key Functions, Approaches and Pathways to
Implementation.
October 14, 2020
Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development. OECD
Publishing, Paris, France; 2020. OECD Health Working Papers, No. 120.
https://psnet.ahrq.…
-
psnet.ahrq.gov/node/43111/psn-pdf
November 04, 2014 - E-prescribing errors in community pharmacies: exploring
consequences and contributing factors.
November 4, 2014
Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences
and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.1016/j.ijmedinf.2014.02.004.
http…
-
psnet.ahrq.gov/node/40575/psn-pdf
July 06, 2011 - Student-observed surgical safety practices across an
urban regional health authority.
July 6, 2011
Spence J, Goodwin B, Enns C, et al. Student-observed surgical safety practices across an urban regional
health authority. BMJ Qual Saf. 2011;20(7):580-6. doi:10.1136/bmjqs.2010.044826.
https://psnet.ahrq.gov/issue/st…
-
psnet.ahrq.gov/node/44384/psn-pdf
August 12, 2015 - Effective followership: a standardized algorithm to
resolve clinical conflicts and improve teamwork.
August 12, 2015
Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical
conflicts and improve teamwork. J Healthc Risk Manag. 2015;35(1):21-30. doi:10.1002/jhrm.21174…
-
psnet.ahrq.gov/node/72753/psn-pdf
February 17, 2021 - Incidence of accidental awareness during general
anaesthesia in obstetrics: a multicentre, prospective
cohort study.
February 17, 2021
Odor PM, Bampoe S, Lucas DN, et al the Pan-London Peri-operative Audit and Research Network (PLAN),
for the DREAMY Investigators Group. Anaesthesia. 2021;76(6):759-776.
https://ps…
-
psnet.ahrq.gov/node/838193/psn-pdf
September 28, 2022 - Economics of Medication Safety. Improving Medication
Safety Through Collective, Real-time Learning.
September 28, 2022
de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and
Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147.
…
-
psnet.ahrq.gov/node/43981/psn-pdf
April 22, 2015 - National Aeronautics and Space Administration "threat
and error" model applied to pediatric cardiac surgery:
error cycles precede ?85% of patient deaths.
April 22, 2015
Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and
error" model applied to pediatric cardiac sur…
-
psnet.ahrq.gov/node/847044/psn-pdf
April 05, 2023 - Perioperative safety determinants in ethnic patient
groups.
April 5, 2023
Bloo G, Calsbeek H, Westert GP, et al. Perioperative safety determinants in ethnic patient groups. J Patient
Saf Risk Manag. 2023;28(1):31-46. doi:10.1177/25160435231151545.
https://psnet.ahrq.gov/issue/perioperative-safety-determinants-ethn…
-
psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
-
psnet.ahrq.gov/node/61058/psn-pdf
October 28, 2020 - Interventions and measurements of highly
reliable/resilient organization implementations: a
literature review.
October 28, 2020
Cantu J, Tolk J, Fritts S, et al. Interventions and measurements of highly reliable/resilient organization
implementations: a literature review. Appl Ergon. 2020;90:103241. doi:10.1016/j.…
-
psnet.ahrq.gov/node/47453/psn-pdf
May 20, 2019 - Patient safety and the ageing physician: a qualitative
study of key stakeholder attitudes and experiences.
May 20, 2019
White AA, Sage WM, Osinska PH, et al. Patient safety and the ageing physician: a qualitative study of key
stakeholder attitudes and experiences. BMJ Qual Saf. 2019;28(6):468-475. doi:10.1136/bmjqs…
-
psnet.ahrq.gov/node/44067/psn-pdf
June 02, 2015 - Surgical team member assessment of the safety of
surgery practice in 38 South Carolina hospitals.
June 2, 2015
Singer SJ, Jiang W, Huang LC, et al. Surgical team member assessment of the safety of surgery practice
in 38 South Carolina hospitals. Med Care Res Rev. 2015;72(3):298-323. doi:10.1177/1077558715577479.
h…
-
psnet.ahrq.gov/node/837734/psn-pdf
July 27, 2022 - Can the standard configuration of a cardiac monitor lead
to medical errors under a stress induction?
July 27, 2022
Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to
medical errors under a stress induction? Sensors (Basel). 2022;22(9):3536. doi:10.3390/s22093536.
https…
-
psnet.ahrq.gov/node/837425/psn-pdf
June 15, 2022 - Honest communication and social asymmetries inside a
hospital: pitfalls for clinicians.
June 15, 2022
Redelmeier DA, Etchells EE, Najeeb U. Honest communication and social asymmetries inside a hospital:
pitfalls for clinicians. J Hosp Med. 2022;17(5):405-409. doi:10.1002/jhm.12827.
https://psnet.ahrq.gov/issue/hon…
-
psnet.ahrq.gov/node/43992/psn-pdf
April 25, 2016 - Collaborating—or "selling" patients? A conceptual
framework for emergency department-to-inpatient handoff
negotiations.
April 25, 2016
Hilligoss B, Mansfield JA, Patterson ES, et al. Collaborating-or "Selling" Patients? A Conceptual Framework
for Emergency Department-to-Inpatient Handoff Negotiations. Jt Comm J Qu…