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Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

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September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. | PSNet

psnet.ahrq.gov/issue/human-ai-teaming-critical-care-comparative-analysis-data-scientists-and-clinicians

July 10, 2013 - Study Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians' perspectives on AI augmentation and automation. Citation Text: Bienefeld N, Keller E, Grote G. Human-AI teaming in critical care: a comparative analysis of data scientists' and clinicians'…

Association of clinical nursing work environment with quality and safety in maternity care in the United States. | PSNet

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January 11, 2023 - Study Association of clinical nursing work environment with quality and safety in maternity care in the United States. Citation Text: Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN: Am J Maternal Ch…

When do supervising physicians decide to entrust residents with unsupervised tasks? | PSNet

psnet.ahrq.gov/issue/when-do-supervising-physicians-decide-entrust-residents-unsupervised-tasks

October 03, 2012 - Study When do supervising physicians decide to entrust residents with unsupervised tasks? Citation Text: Sterkenburg A, Barach P, Kalkman CJ, et al. When do supervising physicians decide to entrust residents with unsupervised tasks? Acad Med. 2010;85(9):1408-1417. doi:10.1097/ACM.0b013…

How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. | PSNet

psnet.ahrq.gov/issue/how-can-regulatory-authorities-improve-safety-organizations-influencing-safety-culture

July 07, 2021 - Commentary How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. Citation Text: Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in…

Electronic tools to support medication reconciliation—a systematic review. | PSNet

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August 18, 2021 - Review Electronic tools to support medication reconciliation—a systematic review. Citation Text: Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068. Copy Citation…

Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. | PSNet

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May 27, 2020 - Study Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. Citation Text: Gray BM, Vandergrift JL, McCoy R…

Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. | PSNet

psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving

September 14, 2022 - Study Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…

Medication errors in paediatric outpatients. | PSNet

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December 15, 2011 - Study Medication errors in paediatric outpatients. Citation Text: Kaushal R, Goldmann DA, Keohane CA, et al. Medication errors in paediatric outpatients. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.031179. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML…

What happens when healthcare innovations collide? | PSNet

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December 06, 2017 - Commentary What happens when healthcare innovations collide? Citation Text: Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. Copy Citation Format: DOI Google S…

Accuracy of infection reporting in US nursing home ratings. | PSNet

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August 24, 2022 - Study Accuracy of infection reporting in US nursing home ratings. Citation Text: Chen Z, Gleason LJ, Konetzka RT, et al. Accuracy of infection reporting in US nursing home ratings. Health Serv Res. 2023;58(5):1109-1118. doi:10.1111/1475-6773.14195. Copy Citation Format: DOI…

Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. | PSNet

psnet.ahrq.gov/issue/multicenter-development-implementation-and-patient-safety-impacts-simulation-based-module

June 03, 2013 - Study Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents. Citation Text: Johnson DP, Zimmerman K, Staples B, et al. Multicenter development, implementation, and patient safety impacts of a simulation-…

The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities

March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

Patients use an internet technology to report when things go wrong. | PSNet

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July 21, 2009 - Study Patients use an internet technology to report when things go wrong. Citation Text: Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. Copy Citation Format: Google Scholar PubMe…

Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet

psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals

June 15, 2011 - Study Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Citation Text: Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…

Leading causes of anesthesia-related liability claims in ambulatory surgery centers. | PSNet

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December 16, 2020 - Study Leading causes of anesthesia-related liability claims in ambulatory surgery centers. Citation Text: Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000…

Rooting an error review process in just culture: lessons learned. | PSNet

psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned

April 20, 2022 - Commentary Rooting an error review process in just culture: lessons learned. Citation Text: Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5. Copy Citati…

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet

psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff

April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…

Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. | PSNet

psnet.ahrq.gov/issue/reducing-failures-daily-medical-practice-healthcare-failure-mode-and-effect-analysis-combined

August 10, 2022 - Study Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Citation Text: Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined wit…

Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

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October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …

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