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Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. | PSNet

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May 18, 2016 - Study Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. Citation Text: Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. BMJ Qual Saf. 2015;24(5):303-10.…

A narrative review of strategies to increase patient safety event reporting by residents. | PSNet

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December 02, 2020 - Review A narrative review of strategies to increase patient safety event reporting by residents. Citation Text: Aaron M, Webb A, Luhanga U. A narrative review of strategies to increase patient safety event reporting by residents. J Grad Med Educ. 2020;12(4):415-424. doi:10.4300/jgme-d-19…

Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. | PSNet

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May 06, 2020 - Study Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. Citation Text: Zhang LM, Ellis RJ, Ma M, et al. Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. JAMA. 2020;323(20):2093-2095. doi:10.1001/jama.2…

Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. | PSNet

psnet.ahrq.gov/issue/surgical-safety-checklist-audits-may-be-misleading-improving-implementation-and-adherence

November 24, 2021 - Study Surgical safety checklist audits may be misleading! Improving the implementation and adherence of the surgical safety checklist: a quality improvement project. Citation Text: Brown B, Bermingham S, Vermeulen M, et al. Surgical safety checklist audits may be misleading! Improving th…

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. | PSNet

psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients

March 23, 2022 - Study The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. Citation Text: Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…

Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis

April 20, 2022 - Study Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Citation Text: Parsons C, Johnston S, Mathie E, et al. Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. Drugs Ag…

The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. | PSNet

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July 18, 2016 - Study The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. Citation Text: Panesar SS, Netuveli G, Carson-Stevens A, et al. The orthopaedic error index: development and…

From reporting to improving: how root cause analysis in teams shape patient safety culture. | PSNet

psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture

July 31, 2024 - Study From reporting to improving: how root cause analysis in teams shape patient safety culture. Citation Text: Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-18…

Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments. | PSNet

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December 15, 2021 - Study Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments. Citation Text: Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: asso…

Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. | PSNet

psnet.ahrq.gov/issue/scientific-view-global-literature-medical-error-reporting-and-reporting-systems-1977-2021

October 19, 2022 - Review Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 2021: a bibliometric analysis. Citation Text: Ünal A, Seren Intepeler Ş. Scientific view of the global literature on medical error reporting and reporting systems from 1977 to 20…

Maintaining maternal-newborn safety during the COVID-19 pandemic. | PSNet

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November 16, 2022 - Commentary Maintaining maternal-newborn safety during the COVID-19 pandemic. Citation Text: Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003. Copy Citation Format: …

Abusive supervision: a systematic review and fundamental rethink. | PSNet

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May 18, 2022 - Review Abusive supervision: a systematic review and fundamental rethink. Citation Text: Fischer T, Tian AW, Lee A, et al. Abusive supervision: a systematic review and fundamental rethink. The Leadership Q. 2021;32(6):101540. doi:10.1016/j.leaqua.2021.101540. Copy Citation Format: …

Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. | PSNet

psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events

July 24, 2017 - Study Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. Citation Text: Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system to a global trigger tool for identifying ad…

The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. | PSNet

psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers

April 24, 2018 - Study The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. Citation Text: Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 20…

Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. | PSNet

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August 12, 2020 - Study Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia. Citation Text: Uffman JC, Kim SS, Quan LN, et al. Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring …

The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. | PSNet

psnet.ahrq.gov/issue/relationship-organizational-culture-stress-satisfaction-and-burnout-physician-reported-error

October 12, 2011 - Study The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study. Citation Text: Williams E, Manwell LB, Konrad TR, et al. The relationship of organizational culture, stress, satis…

Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. | PSNet

psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study

May 19, 2021 - Review Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. Citation Text: Blume KS, Dietermann K, Kirchner‐Heklau U, et al. Staffing levels and nursing‐sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5…

Improving resident handoffs for children transitioning from the intensive care unit. | PSNet

psnet.ahrq.gov/issue/improving-resident-handoffs-children-transitioning-intensive-care-unit

January 12, 2022 - Study Improving resident handoffs for children transitioning from the intensive care unit. Citation Text: Warrick D, Gonzalez-del-Rey J, Hall D, et al. Improving resident handoffs for children transitioning from the intensive care unit. Hosp Pediatr. 2015;5(3):127-33. doi:10.1542/hpeds.2…

Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. | PSNet

psnet.ahrq.gov/issue/readiness-report-medical-treatment-errors-effects-safety-procedures-safety-information-and

July 11, 2007 - Study Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Citation Text: Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and prior…

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet

psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges

July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. Citation Text: Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…

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