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Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet

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December 14, 2022 - Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools

Burnout | PSNet

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November 20, 2024 - society and culture, learning/practice environment, and health care responsibilities) using systems approaches

Failure to Rescue | PSNet

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September 15, 2024 - settings and systems. 5 Studies are also investigating the impact of patient-activated RRT s and other approaches

Artificial Intelligence: System-Level Considerations | PSNet

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March 27, 2024 - The authors discuss risk management approaches that clinicians and organizations can use to manage AI-related

The Other Side | PSNet

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May 01, 2007 - adoption of this and other campaigns is unknown, and no studies have attempted to compare the various approaches

Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery. | PSNet

psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery

January 29, 2021 - Approaches to Improving Patient Safety Employ regional anesthesia Corneal surgery is often performed

The Worst Headache | PSNet

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July 01, 2016 - During the first 12 hours after onset of the headache, CT sensitivity approaches 98%.

What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? | PSNet

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September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? Ashish K. Jha, MD, MPH | September 1, 2006 Also Read a Conversation View more articles from the same authors. Citation Text: Jha AK. What Can the Rest of the Heal…

When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. | PSNet

psnet.ahrq.gov/issue/when-doctors-share-visit-notes-patients-study-patient-and-doctor-perceptions-documentation

October 27, 2021 - Study When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship. Citation Text: Bell SK, Mejilla R, Anselmo M, et al. When doctors share visit notes with patients: a study of p…

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…

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. | PSNet

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March 15, 2017 - Study 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. Citation Text: Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…

Missed diagnosis of cancer in primary care: insights from malpractice claims data. | PSNet

psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data

March 15, 2017 - Study Missed diagnosis of cancer in primary care: insights from malpractice claims data. Citation Text: Aaronson E, Quinn GR, Wong CI, et al. Missed diagnosis of cancer in primary care: Insights from malpractice claims data. J Healthc Risk Manag. 2019;39(2):19-29. doi:10.1002/jhrm.21385.…

Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. | PSNet

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January 23, 2019 - Study Vital signs: trends in emergency department visits for suspected opioid overdoses- United States, July 2016- September 2017. Citation Text: Vivolo-Kantor AM, Seth P, Gladden M, et al. Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses - United States,…

Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. | PSNet

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November 13, 2019 - Study Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. Citation Text: Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note …

Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. | PSNet

psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient

October 13, 2021 - Study Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. Citation Text: Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…

Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. | PSNet

psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate

December 21, 2014 - Study Classic Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. Citation Text: Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determin…

Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet

psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain

June 09, 2010 - Review Classic Human factor in cardiac surgery: errors and near misses in a high technology medical domain. Citation Text: Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Tho…

Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. | PSNet

psnet.ahrq.gov/issue/electronic-medical-record-based-interventions-encourage-opioid-prescribing-best-practices

September 01, 2021 - Study Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department. Citation Text: Smalley CM, Willner MA, Muir MKR, et al. Electronic medical record-based interventions to encourage opioid prescribing best practices in the emer…

Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/computerized-dose-range-checking-using-hard-and-soft-stop-alerts-reduces-prescribing-errors

June 16, 2010 - Study Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. Citation Text: Balasuriya L, Vyles D, Bakerman P, et al. Computerized Dose Range Checking Using Hard and Soft Stop Alerts Reduces Prescribing Errors in a …

Are parents who feel the need to watch over their children's care better patient safety partners? | PSNet

psnet.ahrq.gov/issue/are-parents-who-feel-need-watch-over-their-childrens-care-better-patient-safety-partners

July 22, 2013 - Study Are parents who feel the need to watch over their children's care better patient safety partners? Citation Text: Cox E, Hansen K, Rajamanickam VP, et al. Are Parents Who Feel the Need to Watch Over Their Children's Care Better Patient Safety Partners? Hosp Pediatr. 2017;7(12):716-7…

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