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Staying silent about safety issues: conceptualizing and measuring safety silence motives. | PSNet

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August 28, 2019 - Study Staying silent about safety issues: conceptualizing and measuring safety silence motives. Citation Text: Manapragada A, Bruk-Lee V. Staying silent about safety issues: Conceptualizing and measuring safety silence motives. Accid Anal Prev. 2016;91:144-56. doi:10.1016/j.aap.2016.02.0…

Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. | PSNet

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April 11, 2011 - Study Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. Citation Text: Howard M, Fleming ML, Parker E. Patients do not always complain when they are dissatisfied: implications for service quality and patient safety. J Patien…

Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet

psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed

September 01, 2021 - Study Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Citation Text: Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Anal…

Patient safety event reporting in critical care: a study of three intensive care units. | PSNet

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September 22, 2010 - Study Patient safety event reporting in critical care: a study of three intensive care units. Citation Text: Harris CB, Krauss MJ, Coopersmith CM, et al. Patient safety event reporting in critical care: a study of three intensive care units. Crit Care Med. 2007;35(4):1068-76. Copy Ci…

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. | PSNet

psnet.ahrq.gov/issue/developing-and-pilot-testing-practical-measures-preanalytic-surgical-specimen-identification

June 16, 2011 - Study Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Citation Text: Bixenstine PJ, Zarbo RJ, Holzmueller CG, et al. Developing and pilot testing practical measures of preanalytic surgical specimen identification defects. Am J M…

Can we make postoperative patient handovers safer? A systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature

June 10, 2015 - Review Can we make postoperative patient handovers safer? A systematic review of the literature. Citation Text: Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:1…

Failure events in transition of care for surgical patients. | PSNet

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October 19, 2022 - Study Failure events in transition of care for surgical patients. Citation Text: Helling TS, Martin LC, Martin M, et al. Failure events in transition of care for surgical patients. J Am Coll Surg. 2014;218(4):723-31. doi:10.1016/j.jamcollsurg.2013.12.026. Copy Citation Format: …

Systematic review of intraoperative anesthesia handoffs and handoff tools. | PSNet

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March 10, 2021 - Review Systematic review of intraoperative anesthesia handoffs and handoff tools. Citation Text: Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367. Cop…

Blink or think: can further reflection improve initial diagnostic impressions? | PSNet

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November 28, 2012 - Study Blink or think: can further reflection improve initial diagnostic impressions? Citation Text: Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. Copy…

Identifying failure modes in telemedicine: an instructional needs assessment. | PSNet

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August 23, 2023 - Study Identifying failure modes in telemedicine: an instructional needs assessment. Citation Text: Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365. C…

How teams work—or don’t—in primary care: a field study on internal medicine practices. | PSNet

psnet.ahrq.gov/issue/how-teams-work-or-dont-primary-care-field-study-internal-medicine-practices

November 28, 2012 - Study How teams work—or don’t—in primary care: a field study on internal medicine practices. Citation Text: Chesluk BJ, Holmboe ES. How teams work--or don't--in primary care: a field study on internal medicine practices. Health Aff (Millwood). 2010;29(5):874-879. doi:10.1377/hlthaff.2009…

Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. | PSNet

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August 03, 2022 - Study Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Citation Text: Dellve L, Skagert K. Organisational conditions for safety management practice in homecare and nursing homes, pre-pandemic and in pandemic. Safety Sci…

Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. | PSNet

psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps-outside-patient-rooms-during-covid-19

October 12, 2022 - Commentary Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. Citation Text: Blake JWC, Giuliano KK. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. AACN Adv Crit Care. 2020;31(4):357-363. doi:10.4037/aacnacc2020241. Copy Citation Fo…

A system-wide hospital child maltreatment patient safety program. | PSNet

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September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

Extended work shifts and neurobehavioral performance in resident-physicians. | PSNet

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July 15, 2020 - Study Emerging Classic Extended work shifts and neurobehavioral performance in resident-physicians. Citation Text: Rahman SA, Sullivan JP, Barger LK, et al. Extended Work Shifts and Neurobehavioral Performance in Resident-Physicians. Pediatrics. 2021;147(3):e202…

Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. | PSNet

psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education

March 17, 2021 - Commentary Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. Citation Text: Wei ET, Koh E, Kelly MS, et al. Patient errors in use of injectable antidiabetic medications: a need for improved clinic-based education. J Am Pharm Assoc (…

Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. | PSNet

psnet.ahrq.gov/issue/reporting-and-disclosing-medical-errors-pediatricians-attitudes-and-behaviors

April 30, 2014 - Study Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Citation Text: Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. Copy Citatio…

Nurses relate the contributing factors involved in medication errors. | PSNet

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February 18, 2009 - Study Nurses relate the contributing factors involved in medication errors. Citation Text: Tang F-I, Sheu S-J, Yu S, et al. Nurses relate the contributing factors involved in medication errors. J Clin Nurs. 2007;16(3):447-57. Copy Citation Format: Google Scholar PubMed Bi…

Improving the safety of health information technology requires shared responsibility: it is time we all step up. | PSNet

psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all

August 20, 2014 - Commentary Improving the safety of health information technology requires shared responsibility: it is time we all step up. Citation Text: Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healt…

Persistent noncompliance with the work-hour regulation. | PSNet

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February 08, 2023 - Study Persistent noncompliance with the work-hour regulation. Citation Text: Tabrizian P, Rajhbeharrysingh U, Khaitov S, et al. Persistent noncompliance with the work-hour regulation. Arch Surg. 2011;146(2):175-8. doi:10.1001/archsurg.2010.337. Copy Citation Format: DOI Goo…

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