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Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. | PSNet

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January 23, 2017 - Study Encouraging employees to speak up to prevent infections: opportunities to leverage quality improvement and care management processes. Citation Text: Robbins J, McAlearney AS. Encouraging employees to speak up to prevent infections: Opportunities to leverage quality improvement and …

Physical Diagnosis: A Lost Art? | PSNet

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January 17, 2018 - December 23, 2020 WebM&M Cases Unseen Perils of Urinary … Catheters June 1, 2015 Multi-team shared expectations tool (MT-SET): an exercise

Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. | PSNet

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March 21, 2018 - Study Critical care nurses’ physical and mental health, worksite wellness support, and medical errors. Citation Text: Melnyk BM, Tan A, Hsieh AP, et al. Critical Care Nurses’ Physical and Mental Health, Worksite Wellness Support, and Medical Errors. Am J Crit Care. 2021;30(3):176-184. do…

Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. | PSNet

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February 15, 2011 - Study Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beli…

Balancing "no blame" with accountability in patient safety. | PSNet

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March 13, 2013 - Commentary Classic Balancing "no blame" with accountability in patient safety. Citation Text: Wachter R, Pronovost P. Balancing "no blame" with accountability in patient safety. New Engl J Med. 2009;361(14):1401-1406. doi:10.1056/NEJMsb0903885. Copy Citation…

Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. | PSNet

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November 10, 2015 - Review Emerging Classic Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Citation Text: Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…

Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. | PSNet

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August 09, 2017 - Study Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. Citation Text: Forrester SH, Hepp Z, Roth JA, et al. Cost-Effectiveness of a Computerized Provider Order Entry System in Improving Medication Safety Ambulatory Care. Val…

Managing the prevention of retained surgical instruments: what is the value of counting? | PSNet

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September 25, 2008 - Study Classic Managing the prevention of retained surgical instruments: what is the value of counting? Citation Text: Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. …

Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. | PSNet

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January 27, 2016 - Study Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. Citation Text: Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…

Situational Awareness and Patient Safety | PSNet

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May 01, 2012 - Situational Awareness and Patient Safety Citation Text: Farnan JE. Situational Awareness and Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network. | PSNet

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February 07, 2022 - Study The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network. Citation Text: Weiner-Lastinger LM, Pattabiraman V, Konnor RY, et al. The impact of coronavirus disease 2019 (COVID-1…

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. | PSNet

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April 20, 2022 - Study Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit. Citation Text: Li Q, Hu P, Kang H, et al. Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis…

Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. | PSNet

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February 07, 2022 - Review Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. Citation Text: Abbas M, Robalo Nunes T, Martischang R, et al. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both pa…

Missed Compartment Syndrome after Steep Lithotomy Position for Laparoscopic Gynecological Surgery | PSNet

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January 29, 2021 - Hyperkalemia needs to be treated urgently. 19 A urinary catheter should be inserted to monitor for the

How Does Infection Prevention Fit Into a Safety Program? | PSNet

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March 01, 2014 - equipment; instituting surveillance and prevention of device-associated infections (e.g., central lines, urinary … catheters, ventilators, surgical implants, hemodialysis) and surgical site infections; implementing

Diagnostic Errors Case Studies | PSNet

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April 17, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Errors Case Studies Download Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Maria Mirica, PRIDE Group …

Delayed Diagnosis of Kidney Transplant Complications | PSNet

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January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications Citation Text: Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Goo…

Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks | PSNet

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September 01, 2017 - August 20, 2018 WebM&M Cases Unseen Perils of Urinary … Catheters June 1, 2015 An objective methodology for task analysis and workload

In Conversation With… Alison Holmes, MD, MPH | PSNet

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