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Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. | PSNet

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October 19, 2022 - Study Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean deliveries: a system redesign using improvement science. Citation Text: Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication and …

Detection and prevention of medication misadventures in general practice. | PSNet

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May 13, 2020 - Study Detection and prevention of medication misadventures in general practice. Citation Text: Tam KWT, Kwok KH, Fan YMC, et al. Detection and prevention of medication misadventures in general practice. Int J Qual Health Care. 2008;20(3):192-9. doi:10.1093/intqhc/mzn002. Copy Citatio…

Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet

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October 19, 2022 - Study Clinical clerkship students' perceptions of (un)safe transitions for every patient. Citation Text: Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.…

Understanding complaints made about surgical departments in a UK district general hospital. | PSNet

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September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

The intersection of traumatic childbirth and obstetric racism: a qualitative study. | PSNet

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June 14, 2023 - Study The intersection of traumatic childbirth and obstetric racism: a qualitative study. Citation Text: Dmowska A, Fielding‐Singh P, Halpern J, et al. The intersection of traumatic childbirth and obstetric racism: a qualitative study. Birth. 2024;51(1):209-217. doi:10.1111/birt.12774. …

Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. | PSNet

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February 04, 2015 - Study Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series. Citation Text: Morgan L, New S, Robertson ER, et al. Effectiveness of facilitated introduction of a standard operating …

Physicians' practice of dispensing medicines: a qualitative study. | PSNet

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November 16, 2022 - Study Physicians' practice of dispensing medicines: a qualitative study. Citation Text: Darbyshire D, Gordon M, Baker P, et al. Physicians' Practice of Dispensing Medicines: A Qualitative Study. J Patient Saf. 2016;12(2):82-8. doi:10.1097/PTS.0000000000000122. Copy Citation Format:…

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error. | PSNet

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June 24, 2020 - Commentary Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error. Citation Text: Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error. Ame J Health-syst …

Time motion study in a pediatric emergency department before and after computer physician order entry. | PSNet

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October 19, 2022 - Study Time motion study in a pediatric emergency department before and after computer physician order entry. Citation Text: Yen K, Shane EL, Pawar SS, et al. Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med. 2009;53(4)…

Types and patterns of safety concerns in home care: client and family caregiver perspectives. | PSNet

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December 29, 2014 - Study Types and patterns of safety concerns in home care: client and family caregiver perspectives. Citation Text: Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):21…

Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet

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July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Citation Text: Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg…

Market-based control mechanisms for patient safety. | PSNet

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June 30, 2010 - Commentary Market-based control mechanisms for patient safety. Citation Text: Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care. 2009;18(2):99-103. doi:10.1136/qshc.2007.025833. Copy Citation Format: DOI Google Scholar PubMe…

Hospitalized patients' attitudes about and participation in error prevention. | PSNet

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December 22, 2008 - Study Hospitalized patients' attitudes about and participation in error prevention. Citation Text: Waterman AD, Gallagher TH, Garbutt J, et al. Brief report: Hospitalized patients' attitudes about and participation in error prevention. J Gen Intern Med. 2006;21(4):367-70. Copy Citati…

Validation of a mobile app for reducing errors of administration of medications in an emergency. | PSNet

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September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…

Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. | PSNet

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February 28, 2024 - Study Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. Citation Text: Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51.…

Clinical progress note: situation awareness for clinical deterioration in hospitalized children. | PSNet

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January 19, 2022 - Commentary Clinical progress note: situation awareness for clinical deterioration in hospitalized children. Citation Text: Sosa T, Galligan MM, Brady PW. Clinical progress note: situation awareness for clinical deterioration in hospitalized children. J Hosp Med. 2022;17(3):199-202. doi:1…

Research to improve diagnosis: time to study the real world. | PSNet

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February 12, 2020 - Commentary Research to improve diagnosis: time to study the real world. Citation Text: Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. Copy Citation Format: DOI Google Scholar…

Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

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January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

Measurement as a performance driver: the case for a national measurement system to improve patient safety. | PSNet

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September 01, 2018 - Review Measurement as a performance driver: the case for a national measurement system to improve patient safety. Citation Text: Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Sa…

A model for the departmental quality management infrastructure within an academic health system. | PSNet

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August 08, 2018 - Commentary A model for the departmental quality management infrastructure within an academic health system. Citation Text: Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…

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