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Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. | PSNet

psnet.ahrq.gov/issue/peer-support-and-second-victim-programs-anesthesia-professionals-involved-stressful-or

October 26, 2022 - Study Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Citation Text: Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …

"That was a close call": endorsing a broad definition of near misses in health care. | PSNet

psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care

August 31, 2016 - Commentary "That was a close call": endorsing a broad definition of near misses in health care. Citation Text: Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. Cop…

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. | PSNet

psnet.ahrq.gov/issue/nurses-responses-medication-errors-suggestions-development-organizational-strategies-improve

December 16, 2020 - Study Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting. Citation Text: Covell CL, Ritchie JA. Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporti…

Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. | PSNet

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March 02, 2011 - Study Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Citation Text: Wheeler DW, Degnan BA, Sehmi JS, et al. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med. 2008;34(8…

Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. | PSNet

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November 01, 2017 - Commentary Emerging Classic Development of a conceptual map of negative consequences for patients of overuse of medical tests and treatments. Citation Text: Korenstein D, Chimonas S, Barrow B, et al. Development of a Conceptual Map of Negative Consequences for P…

Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. | PSNet

psnet.ahrq.gov/issue/creating-culture-safety-around-bar-code-medication-administration-evidence-based-evaluation

July 14, 2010 - Commentary Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. Citation Text: Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework.…

Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. | PSNet

psnet.ahrq.gov/issue/key-performance-outcomes-patient-safety-curricula-root-cause-analysis-failure-mode-and

July 23, 2010 - Commentary Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. Citation Text: Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects …

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. | PSNet

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April 22, 2011 - Study Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department. Citation Text: Kozer E, Seto W, Verjee Z, et al. Prospective observational study on the incidence of medication errors during simulated resus…

Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. | PSNet

psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational-analysis-findings

July 29, 2020 - Study Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. Citation Text: Jepson ZK, Darling CE, Kotkowski KA, et al. Emergency department patient safety incident characterization: an observational…

Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. | PSNet

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August 06, 2014 - Study Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Citation Text: Donohue LA, Endacott R. Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Intensive Crit Care Nurs. 2010;26(1):10-7. doi:…

Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. | PSNet

psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment

June 15, 2012 - Study Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. Citation Text: Raemer DB, Kolbe M, Minehart RD, et al. Improving Anesthesiologists’ Abil…

Development of a pragmatic measure for evaluating and optimizing rapid response systems. | PSNet

psnet.ahrq.gov/issue/development-pragmatic-measure-evaluating-and-optimizing-rapid-response-systems

August 20, 2014 - Study Development of a pragmatic measure for evaluating and optimizing rapid response systems. Citation Text: Bonafide CP, Roberts KE, Priestley MA, et al. Development of a pragmatic measure for evaluating and optimizing rapid response systems. Pediatrics. 2012;129(4):e874-81. doi:10.1…

Monitoring during sedation given by non-anaesthetic doctors. | PSNet

psnet.ahrq.gov/issue/monitoring-during-sedation-given-non-anaesthetic-doctors

August 30, 2023 - Study Monitoring during sedation given by non-anaesthetic doctors. Citation Text: Fanning RM. Monitoring during sedation given by non-anaesthetic doctors. Anaesthesia. 2008;63(4):370-374. doi:10.1111/j.1365-2044.2007.05378.x. Copy Citation Format: DOI Google Scholar PubMe…

Using simulation-based training to improve patient safety: what does it take? | PSNet

psnet.ahrq.gov/issue/using-simulation-based-training-improve-patient-safety-what-does-it-take

August 30, 2006 - Commentary Using simulation-based training to improve patient safety: what does it take? Citation Text: Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71. Copy Citation Form…

Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. | PSNet

psnet.ahrq.gov/issue/developing-appreciation-patient-safety-analysis-interprofessional-student-experiences-health

July 24, 2024 - Study Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Citation Text: Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 20…

Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet

psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital

March 27, 2024 - Study Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. Citation Text: Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…

How organisations contribute to improving the quality of healthcare. | PSNet

psnet.ahrq.gov/issue/how-organisations-contribute-improving-quality-healthcare

June 25, 2014 - Commentary How organisations contribute to improving the quality of healthcare. Citation Text: Fulop NJ, Ramsay AIG. How organisations contribute to improving the quality of healthcare. BMJ. 2019;365:l1773. doi:10.1136/bmj.l1773. Copy Citation Format: DOI Google Scholar Pub…

Maximizing the ability of health IT and AI to improve patient safety. | PSNet

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May 22, 2015 - Commentary Maximizing the ability of health IT and AI to improve patient safety. Citation Text: Singh H, Sittig DF, Classen DC. Maximizing the ability of health IT and AI to improve patient safety. JAMA Intern Med. 2025;185(1):10-12. doi:10.1001/jamainternmed.2024.4343. Copy Citation …

Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. | PSNet

psnet.ahrq.gov/issue/understanding-factors-influencing-safety-and-team-functionality-operative-vaginal-birth

September 01, 2016 - Study Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. Citation Text: Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operat…

Preventing medication errors in pediatric anesthesia: a systematic scoping review. | PSNet

psnet.ahrq.gov/issue/preventing-medication-errors-pediatric-anesthesia-systematic-scoping-review

January 26, 2022 - Review Preventing medication errors in pediatric anesthesia: a systematic scoping review. Citation Text: Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.00000000…

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