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Barriers to staff adoption of a surgical safety checklist. | PSNet

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February 25, 2015 - Study Barriers to staff adoption of a surgical safety checklist. Citation Text: Fourcade A, Blache J-L, Grenier C, et al. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2012;21(3):191-7. doi:10.1136/bmjqs-2011-000094. Copy Citation Format: DOI Go…

Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. | PSNet

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December 31, 2018 - Commentary Surgical patient safety officers in the United States: negotiating contradictions between compliance and workplace transformation. Citation Text: van de Ruit C, Bosk CL. Surgical patient safety officers in the United States: negotiating contradictions between compliance and wo…

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. | PSNet

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June 15, 2011 - Study Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. Citation Text: Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based o…

The Institute of Medicine report on medical errors—could it do harm? | PSNet

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February 18, 2011 - Commentary Classic The Institute of Medicine report on medical errors—could it do harm? Citation Text: Brennan TA. The Institute of Medicine report on medical errors--could it do harm? N Engl J Med. 2002;342(15):1123-1125. doi:10.1056/nejm200004133421510. Co…

Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. | PSNet

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September 10, 2014 - Commentary Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Citation Text: Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …

What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. | PSNet

psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences

July 27, 2011 - Study What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. Citation Text: Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended…

Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. | PSNet

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April 15, 2020 - Study Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. Citation Text: Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from l…

'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet

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November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…

Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. | PSNet

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December 21, 2017 - Commentary Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care. Citation Text: Sabin J, Subbe CP, Vaughan L, et al. Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical…

Unintended consequences of the electronic health record and cognitive load in emergency department nurses. | PSNet

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June 22, 2011 - Study Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Citation Text: Harmon CS, Adams SA, Davis JE, et al. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. …

Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center. | PSNet

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January 06, 2017 - Study Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center. Citation Text: Hunt EA, Zimmer KP, Rinke ML, et al. Transition from a traditional code team to a medical emergency team and categorization of …

Supporting recovery after adverse events: an essential component of surgeon well-being. | PSNet

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February 15, 2023 - Study Supporting recovery after adverse events: an essential component of surgeon well-being. Citation Text: Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.j…

Building an ambulatory safety program at an academic health system. | PSNet

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April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. | PSNet

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September 24, 2016 - Study Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. Citation Text: Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification…

Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings. | PSNet

psnet.ahrq.gov/issue/cognitive-biases-and-moral-characteristics-healthcare-workers-and-their-treatment-approach

March 28, 2018 - Study Cognitive biases and moral characteristics of healthcare workers and their treatment approach for persons with advanced dementia in acute care settings. Citation Text: Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers and their tr…

Making care better in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit

September 02, 2020 - Review Making care better in the pediatric intensive care unit. Citation Text: Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267-274. doi:10.21037/tp.2018.09.10. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Evidence summary and recommendations for improved communication during care transitions. | PSNet

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October 19, 2022 - Review Evidence summary and recommendations for improved communication during care transitions. Citation Text: Jackson PD, Biggins MS, Cowan L, et al. Evidence Summary and Recommendations for Improved Communication during Care Transitions. Rehabil Nurs. 2016;41(3):135-48. doi:10.1002/rnj…

Raising the awareness of inpatient nursing staff about medication errors. | PSNet

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February 15, 2011 - Study Raising the awareness of inpatient nursing staff about medication errors. Citation Text: Elnour AA, Ellahham NH, Qassas HIA. Raising the awareness of inpatient nursing staff about medication errors. Pharm World Sci. 2008;30(2):182-90. Copy Citation Format: Google Sc…

Defining and measuring patient safety. | PSNet

psnet.ahrq.gov/issue/defining-and-measuring-patient-safety

June 16, 2011 - Review Classic Defining and measuring patient safety. Citation Text: Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii. Copy Citation Format: Google Scholar PubMed BibTeX …

Patient safety features of clinical computer systems: questionnaire survey of GP views. | PSNet

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May 31, 2011 - Study Patient safety features of clinical computer systems: questionnaire survey of GP views. Citation Text: Morris CJ, Savelyich BSP, Avery A, et al. Patient safety features of clinical computer systems: questionnaire survey of GP views. Qual Saf Health Care. 2005;14(3):164-8. Copy …

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