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Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

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May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

Medical errors in orthopaedics. Results of an AAOS member survey. | PSNet

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August 04, 2021 - Study Medical errors in orthopaedics. Results of an AAOS member survey. Citation Text: Wong DA, Herndon JH, Canale T, et al. Medical errors in orthopaedics. Results of an AAOS member survey. J Bone Joint Surg Am. 2009;91(3):547-57. doi:10.2106/JBJS.G.01439. Copy Citation Format: …

A review of medical error taxonomies: a human factors perspective. | PSNet

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July 25, 2012 - Review A review of medical error taxonomies: a human factors perspective. Citation Text: Taib IA, McIntosh AS, Caponecchia C, et al. A review of medical error taxonomies: A human factors perspective. Saf Sci. 2011;49(5):607-615. doi:10.1016/j.ssci.2010.12.014. Copy Citation Forma…

Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. | PSNet

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March 02, 2011 - Study Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Citation Text: Wheeler DW, Degnan BA, Sehmi JS, et al. Variability in the concentrations of intravenous drug infusions prepared in a critical care unit. Intensive Care Med. 2008;34(8…

Mistreatment in health care among women in Appalachia. | PSNet

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October 04, 2023 - Study Mistreatment in health care among women in Appalachia. Citation Text: Alspaugh A, Swan LET, Auerbach SL, et al. Mistreatment in health care among women in Appalachia. Cult Health Sex. 2023;25(12):1690-1706. doi:10.1080/13691058.2023.2176547. Copy Citation Format: DOI …

Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. | PSNet

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August 03, 2017 - Study Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. Citation Text: Tyynismaa L, Honkala A, Airaksinen M, et al. Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Erro…

Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. | PSNet

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July 23, 2008 - Study Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. Citation Text: Brand C, Ibrahim JE, Bain C, et al. Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. Intern Med J. 2007;37(5):295-…

Characterising 'near miss' events in complex laparoscopic surgery through video analysis. | PSNet

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October 09, 2013 - Study Characterising 'near miss' events in complex laparoscopic surgery through video analysis. Citation Text: Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…

Safety of using a computerized rounding and sign-out system to reduce resident duty hours. | PSNet

psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours

June 23, 2009 - Study Safety of using a computerized rounding and sign-out system to reduce resident duty hours. Citation Text: Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…

Dynamics of dignity and safety: a discussion. | PSNet

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September 07, 2022 - Commentary Dynamics of dignity and safety: a discussion. Citation Text: Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. Copy Citation Format: DOI Google Scholar PubMed BibT…

Making infection prevention and control everyone's business? Hospital staff views on patient involvement. | PSNet

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April 29, 2015 - Study Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Citation Text: Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…

The future of safety and quality in radiation oncology. | PSNet

psnet.ahrq.gov/issue/future-safety-and-quality-radiation-oncology

May 17, 2023 - Commentary The future of safety and quality in radiation oncology. Citation Text: Talcott W, Covington E, Bazan J, et al. The future of safety and quality in radiation oncology. Semin Radiat Oncol. 2024;34(4):433-440. doi:10.1016/j.semradonc.2024.07.008. Copy Citation Format: …

Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. | PSNet

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August 03, 2022 - Study Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. Citation Text: Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt…

Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege? | PSNet

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November 06, 2019 - Commentary Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege? Citation Text: de Wit ME, Marks CM, Natterman JP, et al. Supporting second victims of patient safety events: shouldn't these communications be covered by legal pri…

Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. | PSNet

psnet.ahrq.gov/issue/human-factors-and-ergonomics-and-quality-improvement-science-integrating-approaches-safety

December 06, 2013 - Commentary Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. Citation Text: Hignett S, Jones EL, Miller D, et al. Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare. BM…

Child-specific risk factors and patient safety. | PSNet

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February 02, 2022 - Study Child-specific risk factors and patient safety. Citation Text: Child-specific risk factors and patient safety. Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. Copy Citation Save Save to your library Print Download PDF …

Please reconcile, not wait a while. | PSNet

psnet.ahrq.gov/issue/please-reconcile-not-wait-while

April 19, 2023 - Commentary Please reconcile, not wait a while. Citation Text: Trivedi A, Sharma S, Ajitsaria R, et al. Please reconcile, not wait a while. Arch Dis Child Educ Pract Ed. 2019;105(2):122-126. doi:10.1136/archdischild-2018-316356. Copy Citation Format: DOI Google Scholar BibTe…

Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

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August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric

September 28, 2010 - Study Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. Citation Text: Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …

Anatomy of a patient safety event: a pediatric patient safety taxonomy. | PSNet

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May 18, 2022 - Study Anatomy of a patient safety event: a pediatric patient safety taxonomy. Citation Text: Woods DM, Johnson JK, Holl JL, et al. Anatomy of a patient safety event: a pediatric patient safety taxonomy. Qual Saf Health Care. 2005;14(6):422-7. Copy Citation Format: Google …

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