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A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. | PSNet

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February 15, 2011 - Study A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. Citation Text: Swiderski SM, Pedersen CA, Schneider PJ, et al. A Study of the Frequency and Rationale for Overriding Allergy Warnings in a Computerized Prescrib…

Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. | PSNet

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March 18, 2020 - Study Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery. Citation Text: Anderson DE, Watts B. Application of an engineering problem-solving methodology to address persistent…

Disposal of paper records containing personal information in hospitals. | PSNet

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March 13, 2024 - Study Disposal of paper records containing personal information in hospitals. Citation Text: Ramjist JK, Coburn N, Urbach DR, et al. Disposal of Paper Records Containing Personal Information in Hospitals. JAMA. 2018;319(11):1162-1163. doi:10.1001/jama.2017.21533. Copy Citation Form…

Improving alarm performance in the medical intensive care unit using delays and clinical context. | PSNet

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December 31, 2014 - Study Improving alarm performance in the medical intensive care unit using delays and clinical context. Citation Text: Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit using delays and clinical context. Anesth Analg. 2009;108(5):1546…

Safety culture: an integration of existing models and a framework for understanding its development. | PSNet

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December 21, 2017 - Review Classic Safety culture: an integration of existing models and a framework for understanding its development. Citation Text: Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a framework for understanding its …

Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. | PSNet

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October 14, 2011 - Study Human factors and quality improvement in the emergency department: reducing potential errors in blood collection. Citation Text: Bashkin O, Caspi S, Swissa A, et al. Human Factors and Quality Improvement in the Emergency Department: Reducing Potential Errors in Blood Collection. J …

Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. | PSNet

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July 19, 2023 - Study Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. Citation Text: Jacobson T, Belcher E, Sarr B, et al. Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. J Contin Educ Nurs. 2010;41(8):347-53; quiz 354-5. doi:10.3928/0…

Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. | PSNet

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September 10, 2014 - Study Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. Citation Text: Hansen LO, Greenwald JL, Budnitz T, et al. Project BOOST: effectiveness of a multihospital effort to reduce rehospitalization. J Hosp Med. 2013;8(8):421-7. doi:10.1002/jhm.2054. Co…

Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. | PSNet

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February 23, 2022 - Commentary Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. Citation Text: O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…

Risk of adverse drug events by patient destination after hospital discharge. | PSNet

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March 04, 2020 - Study Risk of adverse drug events by patient destination after hospital discharge. Citation Text: Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9. Copy Citation Format: …

Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. | PSNet

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April 15, 2020 - Study Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from large inpatient database. Citation Text: Poudel DR, Acharya P, Ghimire S, et al. Burden of hospitalizations related to adverse drug events in the USA: a retrospective analysis from l…

Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. | PSNet

psnet.ahrq.gov/issue/timely-follow-abnormal-outpatient-test-results-perceived-barriers-and-impact-patient-safety

August 02, 2010 - Study Timely follow-up of abnormal outpatient test results: perceived barriers and impact on patient safety. Citation Text: Moore C, Saigh O, Trikha A, et al. Timely Follow-Up of Abnormal Outpatient Test Results. J Patient Saf. 2008;4(4):241-244. doi:10.1097/pts.0b013e31818d1ca4. Cop…

Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? | PSNet

psnet.ahrq.gov/issue/rating-recommendations-consumers-about-patient-safety-sense-common-sense-or-nonsense

January 06, 2017 - Study Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Citation Text: Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4…

Safety culture and care: a program to prevent surgical errors. | PSNet

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March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

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December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

"Health courts" and accountability for patient safety. | PSNet

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February 17, 2011 - Commentary "Health courts" and accountability for patient safety. Citation Text: Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q. 2006;84(3):459-92. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

The computerized rounding report: implementation of a model system to support transitions of care. | PSNet

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October 19, 2022 - Study The computerized rounding report: implementation of a model system to support transitions of care. Citation Text: Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7.…

Creating a culture of caregiver support. | PSNet

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May 18, 2022 - Newspaper/Magazine Article Creating a culture of caregiver support. Citation Text: Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…

Optimising the delivery of remediation programmes for doctors: a realist review. | PSNet

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June 02, 2021 - Review Optimising the delivery of remediation programmes for doctors: a realist review. Citation Text: Price T, Wong G, Withers L, et al. Optimising the delivery of remediation programmes for doctors: a realist review. Med Educ. 2021;55(9):995-1010. doi:10.1111/medu.14528. Copy Citatio…

Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios. | PSNet

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October 12, 2016 - Study Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios. Citation Text: Jones A, Johnstone M-J. Inattentional blindness and failures to rescue the deteriorating patient in critical care, em…

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