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Cleaning up the discharge process: a number of components—and personnel—are crucial to success. | PSNet

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October 20, 2021 - Commentary Cleaning up the discharge process: a number of components—and personnel—are crucial to success. Citation Text: Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…

A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. | PSNet

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February 13, 2014 - Review A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and patient safety. Citation Text: Xie A, Carayon P. A systematic review of human factors and ergonomics (HFE)-based healthcare system redesign for quality of care and pa…

Improving patient safety using interactive, evidence-based decision support tools. | PSNet

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September 14, 2022 - Commentary Improving patient safety using interactive, evidence-based decision support tools. Citation Text: Quinn MM, Mannion J. Improving patient safety using interactive, evidence-based decision support tools. Jt Comm J Qual Patient Saf. 2005;31(12):678-683. Copy Citation Form…

Obstetric safety and quality. | PSNet

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October 20, 2014 - Commentary Obstetric safety and quality. Citation Text: Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

Information gaps in newborn care and their potential for harm. | PSNet

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September 14, 2022 - Study Information gaps in newborn care and their potential for harm. Citation Text: Kumar P, Biswas A, Iyengar H, et al. Information gaps in newborn care and their potential for harm. Jt Comm J Qual Patient Saf. 2015;41(5):228-233. Copy Citation Format: Google Scholar PubMe…

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…

Managing medication errors—a qualitative study. | PSNet

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December 06, 2023 - Study Managing medication errors—a qualitative study. Citation Text: Stetina P, Groves M, Pafford L. Managing medication errors--a qualitative study. Medsurg Nurs. 2005;14(3):174-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

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

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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.…

Mitigating error vulnerability at the transition of care through the use of health IT applications. | PSNet

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January 23, 2019 - Commentary Mitigating error vulnerability at the transition of care through the use of health IT applications. Citation Text: Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the Use of Health IT Applications. J Med Syst. 2012;36(6). d…

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

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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.…

Incorporating quality and safety values into a CLABSI simulation experience. | PSNet

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February 14, 2017 - Commentary Incorporating quality and safety values into a CLABSI simulation experience. Citation Text: Liebrecht CM, Lieb MC. Incorporating Quality and Safety Values into a CLABSI Simulation Experience. Nurs Forum. 2017;52(2):118-123. doi:10.1111/nuf.12175. Copy Citation Format: …

Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. | PSNet

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August 31, 2016 - Review Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review. Citation Text: Werner N, Holden RJ. Interruptions in the wild: Development of a sociotechnical systems model of interruptions in the e…

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

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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…

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

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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…

How can the criminal law support the provision of quality in healthcare? | PSNet

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December 19, 2018 - Review How can the criminal law support the provision of quality in healthcare? Citation Text: Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf. 2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688. Copy Citation Format: D…

Measuring safety climate in elderly homes. | PSNet

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March 29, 2023 - Study Measuring safety climate in elderly homes. Citation Text: Yeung K-C, Chan CC. Measuring safety climate in elderly homes. J Safety Res. 2012;43(1):9-20. doi:10.1016/j.jsr.2011.10.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. | PSNet

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December 19, 2017 - Study The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. Citation Text: Darker IT, Gerret D, Filik R, et al. The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. Ergono…

Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet

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February 04, 2015 - Commentary Using morbidity and mortality conferences to drive quality improvement and reduce errors. Citation Text: Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. Copy Cit…

Implementing patient safety and quality improvement in dermatology. | PSNet

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September 30, 2015 - Commentary Implementing patient safety and quality improvement in dermatology. Citation Text: Implementing patient safety and quality improvement in dermatology. Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67. Copy Citation Save …

Medical error and human factors engineering: where are we now? | PSNet

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August 04, 2021 - Review Medical error and human factors engineering: where are we now? Citation Text: Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67. Copy Citation Format: Google Scholar PubMed BibTe…

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