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Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

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June 29, 2011 - Commentary Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Citation Text: Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br …

Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet

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October 25, 2023 - Study Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. Citation Text: Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysi…

Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. | PSNet

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November 11, 2020 - Study Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. Citation Text: Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;…

Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. | PSNet

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December 13, 2023 - Review Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. Citation Text: Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic re…

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education. | PSNet

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November 26, 2014 - Review Classic Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education. Citation Text: Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sl…

Impact of repeated reimbursement penalties on hospital total quality scores. | PSNet

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November 16, 2022 - Study Impact of repeated reimbursement penalties on hospital total quality scores. Citation Text: Brewer A, Hughes MC, Patel KN. Impact of repeated reimbursement penalties on hospital total quality scores. J Patient Saf. 2024;20(3):198-201. doi:10.1097/pts.0000000000001199. Copy Citati…

Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet

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May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…

Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. | PSNet

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December 07, 2022 - Study Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. Citation Text: Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational…

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. | PSNet

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September 09, 2020 - Study Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. Citation Text: Chew MM, Rivas S, Chesser M, et al. Improving administration and documen…

High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. | PSNet

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December 02, 2020 - Study High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Citation Text: Hensgens RL, El Moumni M, IJpma FFA, et al. High delayed and missed injury rate after inter-hospital transfer of severely injured trauma patients. Eur J Trauma Emer…

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. | PSNet

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April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…

Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". | PSNet

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March 15, 2016 - Study Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". Citation Text: Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementati…

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. | PSNet

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September 25, 2019 - Study Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. Citation Text: Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…

Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. | PSNet

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September 30, 2020 - Commentary Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Citation Text: DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10…

Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. | PSNet

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April 22, 2011 - Study Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospective study. Citation Text: Samoy LJ, Zed PJ, Wilbur K, et al. Drug-related hospitalizations in a tertiary care internal medicine service of a Canadian hospital: a prospecti…

The association between patient safety culture and adverse events - a scoping review. | PSNet

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November 03, 2015 - Review The association between patient safety culture and adverse events - a scoping review. Citation Text: Vikan M, Haugen AS, Bjørnnes AK, et al. The association between patient safety culture and adverse events – a scoping review. BMC Health Serv Res. 2023;23(1):300. doi:10.1186/s1291…

Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. | PSNet

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February 15, 2023 - Study Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement. Citation Text: Engel JR, Lindsay M, O'Brien S, et al. Health system redesign of cardiac monitoring oversight to optimize alarm management, safety, and staff engagement…

A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. | PSNet

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November 16, 2022 - Study A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. Citation Text: Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died i…

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

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December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. | PSNet

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January 27, 2016 - Study Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. Citation Text: Pronovost P, Demski R, Callender T, et al. Demonstrating high reliability on accountability measures at the Johns Hopkins Hospital. Jt Comm J Qual Patient Saf. 2013;39(12):531…

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