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Adverse drug events in surgical patients: an observational multicentre study. | PSNet

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January 18, 2013 - Government Resource Adverse drug events in surgical patients: an observational multicentre study. Citation Text: de Boer M, Boeker EB, Ramrattan MA, et al. Adverse drug events in surgical patients: an observational multicentre study. Int J Clin Pharm. 2013;35(5):744-52. doi:10.1007/s110…

Perceptions of time spent on safety tasks in surgical operations: a focus group study. | PSNet

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November 03, 2015 - Study Perceptions of time spent on safety tasks in surgical operations: a focus group study. Citation Text: Høyland S, Haugen AS, Thomassen Ø. Perceptions of time spent on safety tasks in surgical operations: A focus group study. Saf Sci. 2014;70. doi:10.1016/j.ssci.2014.05.009. Copy C…

Feedback from incident reporting: information and action to improve patient safety. | PSNet

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August 26, 2009 - Study Feedback from incident reporting: information and action to improve patient safety. Citation Text: Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2…

Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. | PSNet

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March 20, 2024 - Commentary Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. Citation Text: Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report o…

Morbidity and mortality: delays in my patient’s cancer care. | PSNet

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July 15, 2020 - Commentary Morbidity and mortality: delays in my patient’s cancer care. Citation Text: Rahman AS. Morbidity and mortality: delays in my patient’s cancer care. Health Aff (Millwood). 2024;43(11):1605-1608. doi:10.1377/hlthaff.2024.00513. Copy Citation Format: DOI Google Scho…

Impact of miscommunication in medical dispute cases in Japan. | PSNet

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September 25, 2019 - Study Impact of miscommunication in medical dispute cases in Japan. Citation Text: Aoki N, Uda K, Ohta S, et al. Impact of miscommunication in medical dispute cases in Japan. Int J Qual Health Care. 2008;20(5):358-62. doi:10.1093/intqhc/mzn028. Copy Citation Format: DOI G…

Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. | PSNet

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March 27, 2024 - Study Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Citation Text: Marshall HS, Milikowski C. Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Arch Pathol Lab Med. 2017;141(9):1262-1266. doi:10.5858/arpa.2016-0488…

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach. | PSNet

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December 16, 2011 - Study Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach. Citation Text: Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …

Algorithmic prediction of failure modes in healthcare. | PSNet

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September 06, 2023 - Study Algorithmic prediction of failure modes in healthcare. Citation Text: Kobo-Greenhut A, Sharlin O, Adler Y, et al. Algorithmic prediction of failure modes in healthcare. Int J Qual Health Care. 2021;33(1):mzaa151. doi:10.1093/intqhc/mzaa151. Copy Citation Format: DOI G…

Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. | PSNet

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November 16, 2022 - Study Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Citation Text: Latimer K, Pendleton C, Olivi A, et al. Harvey Cushing's open and thorough documentation of surgical mishaps at the dawn of neurologic surgery. Arch Surg. 2011;1…

Implementation of a colour-coded universal protocol safety initiative in Guatemala. | PSNet

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October 31, 2017 - Study Implementation of a colour-coded universal protocol safety initiative in Guatemala. Citation Text: Taicher BM, Tew S, Figueroa L, et al. Implementation of a colour-coded universal protocol safety initiative in Guatemala. BMJ Qual Saf. 2018;27(8). doi:10.1136/bmjqs-2017-007217. Co…

Medicaid, hospital financial stress, and the incidence of adverse medical events for children. | PSNet

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December 21, 2022 - Study Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Citation Text: Smith RB, Dynan L, Fairbrother G, et al. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Health Serv Res. 2012;47(4):1621-4…

Participation in a system-thinking simulation experience changes adverse event reporting. | PSNet

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July 30, 2014 - Study Participation in a system-thinking simulation experience changes adverse event reporting. Citation Text: Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…

Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. | PSNet

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September 23, 2020 - Commentary Leveraging the Partnership for Patients' initiative to improve patient safety and quality within the Military Health System. Citation Text: King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient Safety and Quality Within the M…

Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. | PSNet

psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports

December 29, 2014 - Study Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. Citation Text: Chang CA, Strahan R, Jolley D. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. J Digit Imaging. …

Adverse drug event reporting in intensive care units: a survey of current practices. | PSNet

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December 16, 2020 - Study Adverse drug event reporting in intensive care units: a survey of current practices. Citation Text: Kane-Gill SL, Devlin JW. Adverse drug event reporting in intensive care units: a survey of current practices. Ann Pharmacother. 2006;40(7-8):1267-73. Copy Citation Format: …

Patient safety attitudes and behaviors of graduating medical students. | PSNet

psnet.ahrq.gov/issue/patient-safety-attitudes-and-behaviors-graduating-medical-students

June 01, 2016 - Study Patient safety attitudes and behaviors of graduating medical students. Citation Text: Wetzel AP, Dow AW, Mazmanian PE. Patient safety attitudes and behaviors of graduating medical students. Eval Health Prof. 2012;35(2):221-38. doi:10.1177/0163278711414560. Copy Citation For…

Iatrogenesis in the context of residential dementia care: a concept analysis. | PSNet

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August 17, 2022 - Commentary Iatrogenesis in the context of residential dementia care: a concept analysis. Citation Text: Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028. Copy Citati…

Implementation of checklists in health care; learning from high-reliability organisations. | PSNet

psnet.ahrq.gov/issue/implementation-checklists-health-care-learning-high-reliability-organisations

May 04, 2010 - Study Implementation of checklists in health care; learning from high-reliability organisations. Citation Text: Thomassen Ø, Espeland A, Søfteland E, et al. Implementation of checklists in health care; learning from high-reliability organisations. Scand J Trauma Resusc Emerg Med. 2011;…

Quality and strength of patient safety climate on medical–surgical units. | PSNet

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February 15, 2011 - Study Quality and strength of patient safety climate on medical–surgical units. Citation Text: Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. Copy…

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