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Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. | PSNet

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May 24, 2012 - Study Safety culture in cardiac surgical teams: data from five programs and national surgical comparison. Citation Text: Marsteller JA, Wen M, Hsu Y-J, et al. Safety Culture in Cardiac Surgical Teams: Data From Five Programs and National Surgical Comparison. Ann Thorac Surg. 2015;100(6):…

Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. | PSNet

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June 15, 2022 - Review Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. Citation Text: Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. | PSNet

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June 15, 2016 - Review Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. Citation Text: Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of computerized physician o…

Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. | PSNet

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May 25, 2016 - Study Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. Citation Text: Sacarny A, Yokum D, Finkelstein A, et al. Medicare Letters To Curb Overprescribing Of Controlled Substances Had No Detectable Effect On Providers. Health Aff (Mil…

Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. | PSNet

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September 22, 2021 - Study Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. Citation Text: Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive c…

Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. | PSNet

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June 21, 2016 - Study Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. Citation Text: Riskin A, Bamberger P, Erez A, et al. Incivility and Patient Safety: A Longitudinal Study of Rudeness, Protocol Compliance, and Adverse Events. Jt Comm J Qual Pa…

Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. | PSNet

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May 01, 2024 - Study Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. Citation Text: Berggren K, Ekstedt M, Joelsson‐Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit duri…

Central venous catheter guidewire retention: lessons from England's never event database. | PSNet

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September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event database. Citation Text: Mariyaselvam MZA, Patel V, Young HE, et al. Central venous catheter guidewire retention: lessons from England's never event database. J Patient Saf. 2022;18(2):e387-e392. doi:10…

Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. | PSNet

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September 22, 2021 - Study Readmission after delayed diagnosis of surgical site infection: a focus on prevention using the American College of Surgeons National Surgical Quality Improvement Program. Citation Text: Gibson A, Tevis S, Kennedy G. Readmission after delayed diagnosis of surgical site infection: a…

Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. | PSNet

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October 19, 2022 - Study Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. Citation Text: Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emerg…

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. | PSNet

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December 18, 2019 - Review Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. Citation Text: Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescrib…

High rates of adverse drug events in a highly computerized hospital. | PSNet

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August 04, 2021 - Study Classic High rates of adverse drug events in a highly computerized hospital. Citation Text: Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. Copy Citation …

What do medical records tell us about potentially harmful co-prescribing? | PSNet

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December 19, 2011 - Study Classic What do medical records tell us about potentially harmful co-prescribing? Citation Text: Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-4…

Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. | PSNet

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January 15, 2014 - Study Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. Citation Text: Ginsburg LR, Tregunno D, Norton PG, et al. Development and testing of an objective structured clinical exam (OSCE) to assess soci…

Free-text computerized provider order entry orders used as workaround for communicating medication information. | PSNet

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July 29, 2020 - Study Free-text computerized provider order entry orders used as workaround for communicating medication information. Citation Text: Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J…

Effects of health information technology on patient outcomes: a systematic review. | PSNet

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December 03, 2018 - Review Classic Effects of health information technology on patient outcomes: a systematic review. Citation Text: Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2…

How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. | PSNet

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February 14, 2024 - Study How does audit and feedback influence intentions of health professionals to improve practice? A laboratory experiment and field study in cardiac rehabilitation. Citation Text: Gude WT, van Engen-Verheul MM, van der Veer SN, et al. How does audit and feedback influence intentions of…

Lost information during the handover of critically injured trauma patients: a mixed-methods study. | PSNet

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October 04, 2023 - Study Lost information during the handover of critically injured trauma patients: a mixed-methods study. Citation Text: Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(1…

Burden of serious harms from diagnostic error in the USA. | PSNet

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June 03, 2020 - Study Burden of serious harms from diagnostic error in the USA. Citation Text: Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. Copy Citation Format: DO…

Using a potentially aggressive/violent patient huddle to improve health care safety. | PSNet

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November 16, 2022 - Commentary Using a potentially aggressive/violent patient huddle to improve health care safety. Citation Text: Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.…

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