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The checklist--a tool for error management and performance improvement. | PSNet

psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement

June 29, 2011 - Review The checklist--a tool for error management and performance improvement. Citation Text: Hales BM, Pronovost P. The checklist--a tool for error management and performance improvement. J Crit Care. 2006;21(3):231-5. Copy Citation Format: Google Scholar PubMed BibTeX E…

Using the medication error prioritization system to improve patient safety. | PSNet

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May 01, 2020 - Commentary Using the medication error prioritization system to improve patient safety. Citation Text: Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

Scientific inquiry. 100,000 lives campaign and the application to children. | PSNet

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April 05, 2017 - Commentary Scientific inquiry. 100,000 lives campaign and the application to children. Citation Text: Edson BS, Williams MC. Scientific Inquiry . 100,000 Lives Campaign and the Application to Children. Journal for Specialists in Pediatric Nursing. 2006;11(2). doi:10.1111/j.1744-6155.20…

A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication. | PSNet

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August 04, 2021 - Commentary A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication. Citation Text: Cunningham SC, Klein R, Kavic SM. A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of commu…

Individual and team-based medical error disclosure: dialectical tensions among health care providers. | PSNet

psnet.ahrq.gov/issue/individual-and-team-based-medical-error-disclosure-dialectical-tensions-among-health-care

September 27, 2017 - Study Individual and team-based medical error disclosure: dialectical tensions among health care providers. Citation Text: Jones M, Scarduzio J, Mathews E, et al. Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers. Qual Health Res. 2019;2…

Six things every plastic surgeon needs to know about teamwork training and checklists. | PSNet

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September 07, 2016 - Image/Poster Six things every plastic surgeon needs to know about teamwork training and checklists. Citation Text: Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417. Copy Ci…

Tort reform and the patient safety movement: seeking common ground. | PSNet

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August 04, 2021 - Commentary Tort reform and the patient safety movement: seeking common ground. Citation Text: Budetti PP. Tort reform and the patient safety movement: seeking common ground. JAMA. 2005;293(21):2660-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

Methodology and bias in assessing compliance with a surgical safety checklist. | PSNet

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May 04, 2012 - Study Methodology and bias in assessing compliance with a surgical safety checklist. Citation Text: Poon SJ, Zuckerman SL, Mainthia R, et al. Methodology and bias in assessing compliance with a surgical safety checklist. Jt Comm J Qual Patient Saf. 2013;39(2):77-82. Copy Citation …

Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making. | PSNet

psnet.ahrq.gov/issue/evaluating-physician-performance-individualizing-care-pilot-study-tracking-contextual-errors

September 20, 2011 - Study Evaluating physician performance at individualizing care: a pilot study tracking contextual errors in medical decision making. Citation Text: Weiner SJ, Schwartz A, Yudkowsky R, et al. Evaluating physician performance at individualizing care: a pilot study tracking contextual err…

Preventing patient harms through systems of care. | PSNet

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February 27, 2014 - Study Preventing patient harms through systems of care. Citation Text: Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

Safety learning system development--incident reporting component for family practice. | PSNet

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March 21, 2012 - Review Safety learning system development--incident reporting component for family practice. Citation Text: O'Beirne M, Sterling P, Reid R, et al. Safety learning system development--incident reporting component for family practice. Qual Saf Health Care. 2010;19(3):252-7. doi:10.1136/q…

Primary medication non-adherence: analysis of 195,930 electronic prescriptions. | PSNet

psnet.ahrq.gov/issue/primary-medication-non-adherence-analysis-195930-electronic-prescriptions

July 27, 2016 - Study Primary medication non-adherence: analysis of 195,930 electronic prescriptions. Citation Text: Fischer MA, Stedman MR, Lii J, et al. Primary medication non-adherence: analysis of 195,930 electronic prescriptions. J Gen Intern Med. 2010;25(4):284-90. doi:10.1007/s11606-010-1253-9.…

A piece of my mind. Coping with fallibility. | PSNet

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June 26, 2015 - Commentary Classic A piece of my mind. Coping with fallibility. Citation Text: Levinson W, Dunn PM. A piece of my mind. Coping with fallibility. JAMA. 1989;261(15):2252. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. | PSNet

psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management

February 07, 2024 - Commentary A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. Citation Text: Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management. Safety Sci. 2021;134:105087.…

Personalised performance feedback reduces narcotic prescription errors in a NICU. | PSNet

psnet.ahrq.gov/issue/personalised-performance-feedback-reduces-narcotic-prescription-errors-nicu

July 13, 2010 - Study Personalised performance feedback reduces narcotic prescription errors in a NICU. Citation Text: Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089. C…

NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0. | PSNet

psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container

September 09, 2020 - Book/Report NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels of Oral Liquid Medications Version 1.0. Citation Text: NCPDP Recommendations and Guidance for Standardizing the Dosing Designations on Prescription Container Labels o…

Severity of medication administration errors detected by a bar-code medication administration system. | PSNet

psnet.ahrq.gov/issue/severity-medication-administration-errors-detected-bar-code-medication-administration-system

June 17, 2010 - Study Severity of medication administration errors detected by a bar-code medication administration system. Citation Text: Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health Syst Pharm. 2008…

Geometric probability distribution for modeling of error risk during prescription dispensing. | PSNet

psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing

December 24, 2008 - Study Geometric probability distribution for modeling of error risk during prescription dispensing. Citation Text: Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…

First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. | PSNet

psnet.ahrq.gov/issue/first-year-who-surgical-safety-checklist-7148-otorhinolaryngological-operations-use-and-user

October 30, 2019 - Study First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes. Citation Text: Helmiö P, Takala A, Aaltonen L-M, et al. First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes…

Development and implementation of a hospital-based patient safety program. | PSNet

psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety-program

June 21, 2006 - Commentary Development and implementation of a hospital-based patient safety program. Citation Text: Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8. Copy Citation Format: Google Schol…

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