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Measuring mobile patient safety information system success: an empirical study. | PSNet

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September 27, 2017 - Study Measuring mobile patient safety information system success: an empirical study. Citation Text: Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. Copy Cit…

Diagnostic error in stroke — reasons and proposed solutions. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-stroke-reasons-and-proposed-solutions

March 01, 2023 - Review Diagnostic error in stroke — reasons and proposed solutions. Citation Text: Bakradze E, Liberman AL. Diagnostic Error in Stroke-Reasons and Proposed Solutions. Curr Atheroscler Rep. 2018;20(2):11. doi:10.1007/s11883-018-0712-3. Copy Citation Format: DOI Google Schola…

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. | PSNet

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October 21, 2020 - Study Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. Citation Text: Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 202…

Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. | PSNet

psnet.ahrq.gov/issue/quiet-please-drug-round-tabards-are-they-effective-and-accepted-mixed-method-study

May 19, 2018 - Study Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. Citation Text: Verweij L, Smeulers M, Maaskant JM, et al. Quiet please! Drug round tabards: are they effective and accepted? A mixed method study. J Nurs Scholarsh. 2014;46(5):340-8. doi:10.111…

Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. | PSNet

psnet.ahrq.gov/issue/potential-errors-and-their-prevention-operating-room-teamwork-experienced-finnish-british-and

February 07, 2024 - Study Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. Citation Text: Silén-Lipponen M, Tossavainen K, Turunen H, et al. Potential errors and their prevention in operating room teamwork as experienced by Finnish, B…

Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. | PSNet

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December 06, 2017 - Book/Report Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Citation Text: Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Washington, DC: United States Government Accountability Office; October 201…

If only...: failed, missed and absent error recovery opportunities in medication errors. | PSNet

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July 15, 2009 - Study If only...: failed, missed and absent error recovery opportunities in medication errors. Citation Text: Habraken MMP, van der Schaaf TW. If only..: failed, missed and absent error recovery opportunities in medication errors. Qual Saf Health Care. 2010;19(1):37-41. doi:10.1136/qsh…

Medication assessments by care managers reveal potential safety issues in homebound older adults. | PSNet

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August 18, 2021 - Study Medication assessments by care managers reveal potential safety issues in homebound older adults. Citation Text: Golden AG, Qiu D, Roos BA. Medication assessments by care managers reveal potential safety issues in homebound older adults. Ann Pharmacother. 2011;45(4):492-8. doi:10…

Variation in the rates of adverse events between hospitals and hospital departments. | PSNet

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July 26, 2011 - Study Variation in the rates of adverse events between hospitals and hospital departments. Citation Text: Zegers M, de Bruijne M, Spreeuwenberg P, et al. Variation in the rates of adverse events between hospitals and hospital departments. Int J Qual Health Care. 2011;23(2):126-33. doi:10…

A framework for patient safety: a defense nuclear industry-based high-reliability model. | PSNet

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June 14, 2017 - Commentary A framework for patient safety: a defense nuclear industry-based high-reliability model. Citation Text: Birnbach DJ, Rosen LF, Williams L, et al. A framework for patient safety: a defense nuclear industry--based high-reliability model. Jt Comm J Qual Patient Saf. 2013;39(5):…

Dissemination of Lean methods to improve Pap testing quality and patient safety. | PSNet

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June 14, 2011 - Study Dissemination of Lean methods to improve Pap testing quality and patient safety. Citation Text: Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0…

IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. | PSNet

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January 31, 2024 - Journal Article IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. Citation Text: Kuehn BM. IOM: Shorten residents' work shifts to reduce fatigue, improve patient safety. JAMA. 2009;301(3):259-61. doi:10.1001/jama.2008.940. Copy Citation Format: …

The role of error in organizing behaviour. | PSNet

psnet.ahrq.gov/issue/role-error-organizing-behaviour

April 21, 2011 - Study Classic The role of error in organizing behaviour. Citation Text: Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. Copy Citation Format: DOI Google Scholar BibTeX End…

National Action Plan for Adverse Drug Event Prevention. | PSNet

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October 16, 2013 - Book/Report National Action Plan for Adverse Drug Event Prevention. Citation Text: National Action Plan for Adverse Drug Event Prevention. Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014. Copy Cita…

SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. | PSNet

psnet.ahrq.gov/issue/sbar-mm-feasible-reliable-and-valid-tool-assess-quality-surgical-morbidity-and-mortality

July 02, 2014 - Study SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations. Citation Text: Mitchell EL, Lee DY, Arora S, et al. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and …

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

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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…

Creating a just culture in the perioperative setting. | PSNet

psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting

July 13, 2009 - Commentary Creating a just culture in the perioperative setting. Citation Text: Hooven K, Altmiller G. Creating a just culture in the perioperative setting. AORN J. 2024;119(2):152-160. doi:10.1002/aorn.14074. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. | PSNet

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July 10, 2019 - Study Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. Citation Text: Cheng CM, Salazar A, Amato MG, et al. Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. J Am Med Inform Assoc. 2018;25(7):872-884. doi:10…

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. | PSNet

psnet.ahrq.gov/issue/prospective-hazard-and-improvement-analytic-approach-predicting-effectiveness-medication

December 04, 2013 - Study A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions. Citation Text: Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to predicting the effectiveness of medication erro…

Crisis preparedness: a systems-based framework for avoiding harm in surgery. | PSNet

psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery

September 14, 2022 - Study Crisis preparedness: a systems-based framework for avoiding harm in surgery. Citation Text: Gogalniceanu P, Karydis N, Costan V-V, et al. Crisis preparedness: a systems-based framework for avoiding harm in surgery. J Am Coll Surg. 2022;235(4):612-623. doi:10.1097/xcs.00000000000003…

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