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"Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

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April 23, 2014 - Study "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. Citation Text: Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…

Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet

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November 21, 2021 - Commentary Adopting high reliability organization principles to lead a large scale clinical transformation. Citation Text: Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large scale clinical transformation. Healthc Manage Forum. 2023;…

Unintended consequences of patient online access to health records: a qualitative study in UK primary care. | PSNet

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February 02, 2022 - Study Unintended consequences of patient online access to health records: a qualitative study in UK primary care. Citation Text: Turner A, Morris R, McDonagh L, et al. Unintended consequences of patient online access to health records: a qualitative study in UK primary care. Br J Gen Pra…

Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. | PSNet

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July 27, 2022 - Study Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Citation Text: Kennedy GAL, Pedram S, Sanzone S. Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. Safety Sci. 2…

Intensive care medicine in 2050: preventing harm. | PSNet

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November 25, 2020 - Commentary Intensive care medicine in 2050: preventing harm. Citation Text: Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z. Copy Citation Format: DOI Google Scholar PubMed Bib…

DEEP SCOPE: a framework for safe healthcare design. | PSNet

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August 18, 2021 - Commentary DEEP SCOPE: a framework for safe healthcare design. Citation Text: Taylor E, Hignett S. DEEP SCOPE: a framework for safe healthcare design. Int J Environ Res Public Health. 2021;18(15):7780. doi:10.3390/ijerph18157780. Copy Citation Format: DOI Google Scholar Bib…

Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet

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May 05, 2021 - Commentary Why and how to approach user experience in safety-critical domains: the example of health care. Citation Text: Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…

Are temporary staff associated with more severe emergency department medication errors? | PSNet

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June 29, 2011 - Study Are temporary staff associated with more severe emergency department medication errors? Citation Text: Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945…

Attitudes and opinions of doctors of chiropractic specializing in pediatric care toward patient safety: a cross-sectional survey. | PSNet

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March 15, 2016 - Study Attitudes and opinions of doctors of chiropractic specializing in pediatric care toward patient safety: a cross-sectional survey. Citation Text: Pohlman KA, Carroll L, Hartling L, et al. Attitudes and Opinions of Doctors of Chiropractic Specializing in Pediatric Care Toward Patient…

Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet

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July 28, 2021 - Study Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. Citation Text: Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian community pharmacy incident…

EHR-related medication errors in two ICUs. | PSNet

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March 15, 2017 - Study EHR-related medication errors in two ICUs. Citation Text: Carayon P, Du S, Brown RL, et al. EHR-related medication errors in two ICUs. J Healthc Risk Manag. 2017;36(3):6-15. doi:10.1002/jhrm.21259. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing. | PSNet

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November 16, 2022 - Study Emerging Classic Assessment of opioid prescribing practices before and after implementation of a health system intervention to reduce opioid overprescribing. Citation Text: Meisenberg BR, Grover J, Campbell C, et al. Assessment of Opioid Prescribing Practi…

Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. | PSNet

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December 05, 2012 - Study Emerging Classic Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety. Citation Text: Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Access…

Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients. | PSNet

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August 11, 2021 - Review Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients. Citation Text: Gillespie BM, Harbeck EL, Rattray M, et al. Worldwide incidence of surgical site infections in general surgical patients: a syste…

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. | PSNet

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December 08, 2021 - Study Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study. Citation Text: Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series stu…

Information transfer in multidisciplinary operating room teams: a simulation-based observational study. | PSNet

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November 17, 2014 - Study Information transfer in multidisciplinary operating room teams: a simulation-based observational study. Citation Text: Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-based observational study. BMJ Qual Saf. 2017;26(3):209-…

Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. | PSNet

psnet.ahrq.gov/issue/reviewing-deaths-british-and-us-hospitals-study-two-scales-assessing-preventability

April 03, 2019 - Study Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. Citation Text: Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;2…

Huddling for high reliability and situation awareness. | PSNet

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January 29, 2014 - Study Huddling for high reliability and situation awareness. Citation Text: Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. Copy Citation Format: DOI Google …

Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. | PSNet

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March 17, 2021 - Study Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. Citation Text: Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. …

Factors related to serious safety events in a children's hospital patient safety collaborative. | PSNet

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February 16, 2022 - Study Factors related to serious safety events in a children's hospital patient safety collaborative. Citation Text: Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi…

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