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Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? | PSNet

psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical

February 23, 2011 - Study Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Citation Text: Maaløe R, la Cour M, Hansen A, et al. Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? Acta Anaesthesiol Scand. 2006;50(8):1005-13. …

Driving surgical quality using operative video. | PSNet

psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video

July 29, 2020 - Commentary Driving surgical quality using operative video. Citation Text: O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616. Copy Citation Format: DOI Google Scholar PubMed Bib…

Training situational awareness to reduce surgical errors in the operating room. | PSNet

psnet.ahrq.gov/issue/training-situational-awareness-reduce-surgical-errors-operating-room

November 21, 2012 - Review Training situational awareness to reduce surgical errors in the operating room. Citation Text: Graafland M, Schraagen JMC, Boermeester MA, et al. Training situational awareness to reduce surgical errors in the operating room. Br J Surg. 2015;102(1):16-23. doi:10.1002/bjs.9643. C…

Medical errors in neurosurgery. | PSNet

psnet.ahrq.gov/issue/medical-errors-neurosurgery

February 14, 2018 - Review Medical errors in neurosurgery. Citation Text: Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

Defensive medicine: it is time to finally slow down an epidemic. | PSNet

psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic

November 18, 2016 - Commentary Emerging Classic Defensive medicine: it is time to finally slow down an epidemic. Citation Text: Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…

Changing operating room culture: implementation of a postoperative debrief and improved safety culture. | PSNet

psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety

December 03, 2014 - Study Changing operating room culture: implementation of a postoperative debrief and improved safety culture. Citation Text: Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…

John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. | PSNet

psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-safety-effectiveness-and-efficiency-web-based-virtual

September 13, 2023 - Commentary John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtual anticoagulation clinic. Citation Text: Kelly JJ, Sweigard KW, Shields K, et al. John M. Eisenberg Patient Safety Awards. Safety, effectiveness, and efficiency: a Web-based virtu…

Measure twice, cut once. | PSNet

psnet.ahrq.gov/issue/measure-twice-cut-once

June 14, 2023 - Commentary Measure twice, cut once. Citation Text: Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

An observational study of laterality errors in a sample of clinical records. | PSNet

psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records

April 19, 2011 - Study An observational study of laterality errors in a sample of clinical records. Citation Text: Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3. Copy Citation Format: Google Scholar PubMed…

A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. | PSNet

psnet.ahrq.gov/issue/new-professionalism-surgical-residents-duty-hours-restrictions-and-shift-transitions

October 19, 2022 - Study A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Citation Text: Coverdill JE, Carbonell AM, Fryer J, et al. A new professionalism? Surgical residents, duty hours restrictions, and shift transitions. Acad Med. 2010;85(10 Suppl):S72-5. doi:1…

The problem with checklists. | PSNet

psnet.ahrq.gov/issue/problem-checklists

March 29, 2023 - Commentary The problem with checklists. Citation Text: Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

Safety culture as a patient safety practice for alarm fatigue. | PSNet

psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue

July 07, 2021 - Commentary Safety culture as a patient safety practice for alarm fatigue. Citation Text: Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. Copy Citation Format: DOI Go…

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

psnet.ahrq.gov/issue/systems-approaches-surgical-quality-and-safety-concept-measurement

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: …

Improving the communication between teams managing boarded patients on a surgical specialty ward. | PSNet

psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward

September 29, 2017 - Commentary Improving the communication between teams managing boarded patients on a surgical specialty ward. Citation Text: Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:1…

"Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients. | PSNet

psnet.ahrq.gov/issue/team-time-out-and-surgical-safety-experiences-12390-neurosurgical-patients

November 21, 2018 - Study "Team time-out" and surgical safety—experiences in 12,390 neurosurgical patients. Citation Text: Oszvald Á, Vatter H, Byhahn C, et al. “Team time-out” and surgical safety—experiences in 12,390 neurosurgical patients. Neurosurg Focus. 2012;33(5). doi:10.3171/2012.8.focus12261. C…

Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-never-events

July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …

The human face of simulation: patient-focused simulation training. | PSNet

psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training

January 13, 2010 - Study The human face of simulation: patient-focused simulation training. Citation Text: Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training. Acad Med. 2006;81(10):919-24. Copy Citation Format: Google Scholar PubMed BibT…

Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. | PSNet

psnet.ahrq.gov/issue/adverse-events-anaesthetic-practice-qualitative-study-definition-discussion-and-reporting

April 18, 2011 - Study Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Citation Text: Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21…

Preventing unintended retained foreign objects. | PSNet

psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects

January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. Citation Text: Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. | PSNet

psnet.ahrq.gov/issue/quality-improvement-and-patient-care-checklists-intrahospital-transfers-involving-pediatric

September 23, 2020 - Study Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients. Citation Text: Nakayama DK, Lester SS, Rich DR, et al. Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.…

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