-
psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients
March 23, 2022 - Study
The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record.
Citation Text:
Baimas-George M, Ross SW, Hetherington T, et al. The physiology of failure: identifying risk f…
-
psnet.ahrq.gov/issue/morbidity-and-mortality-conference-pediatric-intensive-care-means-improving-patient-safety
December 16, 2009 - Study
The morbidity and mortality conference in pediatric intensive care as a means for improving patient safety.
Citation Text:
Frey B, Doell C, Klauwer D, et al. The Morbidity and Mortality Conference in Pediatric Intensive Care as a Means for Improving Patient Safety. Pediatr Crit Car…
-
psnet.ahrq.gov/issue/systematic-review-physiologic-monitor-alarm-characteristics-and-pragmatic-interventions
August 03, 2017 - Review
Classic
Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency.
Citation Text:
Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Inter…
-
psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
March 10, 2010 - Study
Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care.
Citation Text:
Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…
-
psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying-adverse-events
July 24, 2017 - Study
Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.
Citation Text:
Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system to a global trigger tool for identifying ad…
-
psnet.ahrq.gov/issue/exploring-nurses-attitudes-skills-and-beliefs-medication-safety-practices
October 21, 2020 - Study
Exploring nurses' attitudes, skills, and beliefs of medication safety practices.
Citation Text:
Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000…
-
psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based
March 16, 2022 - Study
Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study.
Citation Text:
Khaja KAJA, Ansari TMA, Damanhori AHH, et al. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Healt…
-
psnet.ahrq.gov/issue/ambulatory-care-adverse-events-and-preventable-adverse-events-leading-hospital-admission
April 11, 2011 - Study
Ambulatory care adverse events and preventable adverse events leading to a hospital admission.
Citation Text:
Woods D, Thomas EJ, Holl JL, et al. Ambulatory care adverse events and preventable adverse events leading to a hospital admission. Qual Saf Health Care. 2007;16(2):127-13…
-
psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
February 24, 2011 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
-
psnet.ahrq.gov/issue/importance-failing-forward-all-us-will-fail-and-make-mistakes-how-can-they-benefit-us-and-our
July 27, 2016 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
-
psnet.ahrq.gov/issue/blink-or-think-can-further-reflection-improve-initial-diagnostic-impressions
November 28, 2012 - View More
Related Resources
Use of a novel, modified fishbone diagram to analyze
-
psnet.ahrq.gov/issue/using-computerized-virtual-cases-explore-diagnostic-error-practicing-physicians
August 20, 2018 - August 20, 2018
Use of a novel, modified fishbone diagram to analyze diagnostic errors
-
psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
July 02, 2014 - July 2, 2014
Use of a novel, modified fishbone diagram to analyze diagnostic errors.
-
psnet.ahrq.gov/issue/development-and-validation-johns-hopkins-disruptive-clinician-behavior-survey
April 24, 2013 - January 20, 2021
Use of a novel, modified fishbone diagram to analyze diagnostic errors
-
psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
October 07, 2015 - October 13, 2018
Use of a novel, modified fishbone diagram to analyze diagnostic errors
-
psnet.ahrq.gov/issue/physicians-diagnostic-accuracy-confidence-and-resource-requests-vignette-study
May 29, 2015 - March 20, 2019
Use of a novel, modified fishbone diagram to analyze diagnostic errors
-
psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
March 13, 2019 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze
-
psnet.ahrq.gov/issue/complexity-and-safety
February 01, 2012 - July 21, 2021
Use of a novel, modified fishbone diagram to analyze diagnostic errors.
-
psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
April 14, 2011 - January 15, 2025
Using the Generic Analysis Method to analyze sentinel event reports
-
psnet.ahrq.gov/issue/meta-analysis-medication-administration-errors-african-hospitals
July 10, 2008 - qualitative study of a hospital-wide clinical event debriefing program and a novel qualitative model to analyze