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Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. | PSNet

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September 04, 2013 - Study Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution. Citation Text: Lankshear AJ, Sheldon TA, Lowson K, et al. Evaluation of the implementation of the alert issued by th…

Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet

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October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Citation Text: Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8. …

Patient safety outcomes in small urban and small rural hospitals. | PSNet

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July 23, 2010 - Study Patient safety outcomes in small urban and small rural hospitals. Citation Text: Vartak S, Ward MM, Vaughn TE. Patient safety outcomes in small urban and small rural hospitals. J Rural Health. 2010;26(1):58-66. doi:10.1111/j.1748-0361.2009.00266.x. Copy Citation Format: …

Prevention of wrong-site tooth extraction: clinical guidelines. | PSNet

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August 04, 2021 - Commentary Prevention of wrong-site tooth extraction: clinical guidelines. Citation Text: Lee JS, Curley AW, Smith RA, et al. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral Maxillofac Surg. 2007;65(9):1793-9. Copy Citation Format: Google Scholar Pu…

Reasons for after-hours calls by hospital floor nurses to on-call physicians. | PSNet

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March 21, 2017 - Study Reasons for after-hours calls by hospital floor nurses to on-call physicians. Citation Text: Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on-call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. Copy Citation F…

Patient monitoring alarms in the ICU and in the operating room. | PSNet

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May 26, 2021 - Review Patient monitoring alarms in the ICU and in the operating room. Citation Text: Schmid F, Goepfert MS, Reuter DA. Patient monitoring alarms in the ICU and in the operating room. Crit Care. 2013;17(2):216. doi:10.1186/cc12525. Copy Citation Format: DOI Google Scholar…

Patient safety and quality improvement: terminology. | PSNet

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August 18, 2021 - Review Patient safety and quality improvement: terminology. Citation Text: Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. Copy Citation Format: DOI Google Scholar PubM…

Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. | PSNet

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June 24, 2009 - Study Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. Citation Text: Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. J Nurs …

How well do health professionals interpret diagnostic information? A systematic review. | PSNet

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August 03, 2022 - Review How well do health professionals interpret diagnostic information? A systematic review. Citation Text: Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjope…

A leadership initiative to improve communication and enhance safety. | PSNet

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March 11, 2009 - Commentary A leadership initiative to improve communication and enhance safety. Citation Text: Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410. Copy…

Apology for errors: whose responsibility? | PSNet

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September 27, 2016 - Commentary Apology for errors: whose responsibility? Citation Text: Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Disclosing medical mistakes: a communication management plan for physicians. | PSNet

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November 16, 2022 - Commentary Disclosing medical mistakes: a communication management plan for physicians. Citation Text: Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106. Copy Citation …

The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. | PSNet

psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general-practice

March 05, 2008 - Study The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Citation Text: Makeham MAB, Kidd MR, Saltman DC, et al. The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice. Med J Aust. 20…

Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. | PSNet

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June 30, 2021 - Review Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. Citation Text: Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…

Systems approaches to surgical quality and safety: from concept to measurement. | PSNet

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January 19, 2016 - Review Systems approaches to surgical quality and safety: from concept to measurement. Citation Text: Vincent CA, Moorthy K, Sarker SK, et al. Systems approaches to surgical quality and safety: from concept to measurement. Ann Surg. 2004;239(4):475-82. Copy Citation Format: …

Cleaning up the discharge process: a number of components—and personnel—are crucial to success. | PSNet

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October 20, 2021 - Commentary Cleaning up the discharge process: a number of components—and personnel—are crucial to success. Citation Text: Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…

Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures. | PSNet

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June 14, 2017 - Study Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures. Citation Text: Hannawa AF. Shedding light on the dark side of doctor-patient interactions: verbal and nonverbal messages physicians commu…

Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. | PSNet

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September 16, 2020 - Study Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. Citation Text: Williams TA, Leslie GD, Elliott N, et al. Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU. J Nurs Care Qual. 2010;25…

Cultivating a culture of medication safety in prelicensure nursing students. | PSNet

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July 25, 2018 - Commentary Cultivating a culture of medication safety in prelicensure nursing students. Citation Text: Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. C…

Patient safety events reported in general practice: a taxonomy. | PSNet

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April 03, 2012 - Study Patient safety events reported in general practice: a taxonomy. Citation Text: Makeham MAB, Stromer S, Bridges-Webb C, et al. Patient safety events reported in general practice: a taxonomy. Qual Saf Health Care. 2008;17(1):53-7. doi:10.1136/qshc.2007.022491. Copy Citation F…

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