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  1. Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
    September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

  2. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. | PSNet

    psnet.ahrq.gov/issue/fool-me-twice-delayed-diagnoses-radiology-emphasis-perpetuated-errors
    July 08, 2020 - Study Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. Citation Text: Kim YW, Mansfield LT. Fool me twice: delayed diagnoses in radiology with emphasis on perpetuated errors. AJR Am J Roentgenol. 2014;202(3):465-70. doi:10.2214/AJR.13.11493. Copy Citat…

  3. Social aspects of clinical errors: a discussion paper. | PSNet

    psnet.ahrq.gov/issue/social-aspects-clinical-errors-discussion-paper
    September 12, 2018 - Commentary Social aspects of clinical errors: a discussion paper. Citation Text: Richman J, Mason T, Mason-Whitehead E, et al. Social aspects of clinical errors. Int J Nurs Stud. 2009;46(8). doi:10.1016/j.ijnurstu.2009.01.006. Copy Citation Format: DOI Google Scholar BibT…

  4. Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. | PSNet

    psnet.ahrq.gov/issue/testing-and-labeling-medical-devices-safety-magnetic-resonance-mr-environment
    March 12, 2019 - Book/Report Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Citation Text: Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. Silver Spring, MD: US Department of Health and Human Services, Food and Drug …

  5. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
    October 08, 2014 - Study Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. Citation Text: Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002: the importance of reporting suspected reactions. Arch Intern Med. 2005…

  6. Maintaining safety in the dialysis facility. | PSNet

    psnet.ahrq.gov/issue/maintaining-safety-dialysis-facility
    May 25, 2011 - Commentary Maintaining safety in the dialysis facility. Citation Text: Kliger AS. Maintaining safety in the dialysis facility. Clin J Am Soc Nephrol. 2015;10(4):688-95. doi:10.2215/CJN.08960914. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  7. The concept of error and malpractice in radiology. | PSNet

    psnet.ahrq.gov/issue/concept-error-and-malpractice-radiology
    January 24, 2018 - Commentary The concept of error and malpractice in radiology. Citation Text: Pinto A, Brunese L, Pinto F, et al. The concept of error and malpractice in radiology. Semin Ultrasound CT MR. 2012;33(4):275-9. doi:10.1053/j.sult.2012.01.009. Copy Citation Format: DOI Google S…

  8. Effect of surgical safety checklists on pediatric surgical complications in Ontario. | PSNet

    psnet.ahrq.gov/issue/effect-surgical-safety-checklists-pediatric-surgical-complications-ontario
    December 07, 2016 - Study Effect of surgical safety checklists on pediatric surgical complications in Ontario. Citation Text: O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45769/psn-pdf
    December 21, 2016 - National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer. December 21, 2016 Rockville, MD: Agency for Healthcare Research and Quality; December 2016. https://psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010…

  10. Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. | PSNet

    psnet.ahrq.gov/issue/critical-care-checklists-keystone-project-and-office-human-research-protections-case
    May 04, 2014 - Commentary Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research. Citation Text: Savel RH, Goldstein EB, Gropper MA. Critical care checklists, the Keystone Project, an…

  11. Intensive care units, communication between nurses and physicians, and patients' outcomes. | PSNet

    psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
    May 28, 2008 - Study Intensive care units, communication between nurses and physicians, and patients' outcomes. Citation Text: Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…

  12. Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. | PSNet

    psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014
    July 02, 2009 - Special or Theme Issue Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. Citation Text: Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801. Copy Citation …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47559/psn-pdf
    November 14, 2018 - Changes in prevalence of health care-associated infections in U.S. hospitals. November 14, 2018 Magill SS, O'Leary E, Janelle SJ, et al. Changes in Prevalence of Health Care-Associated Infections in U.S. Hospitals. N Engl J Med. 2018;379(18):1732-1744. doi:10.1056/NEJMoa1801550. https://psnet.ahrq.gov/issue/change…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49635/psn-pdf
    September 01, 2011 - Central, not Epidural September 1, 2011 Simmons D. Central, not Epidural. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/central-not-epidural The Case A 55-year-old man with lung cancer recently had the lower lobe of his left lung removed. Post-operatively, he was awake, alert, and oriented to time, place,…

  15. Not-So-Therapeutic Tap | PSNet

    psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
    December 01, 2014 - SPOTLIGHT CASE Not-So-Therapeutic Tap Citation Text: Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45533/psn-pdf
    November 02, 2016 - Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. November 2, 2016 Power M, Brewster L, Parry G, et al. Multimethod study of a large-scale programme to improve patient safety using a harm-free care approach. BMJ Open. 2016;6(9):e011886. doi:10.1136/bmjopen-2016-…

  17. Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. | PSNet

    psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer
    May 23, 2013 - Study Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. Citation Text: Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…

  18. A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

    psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
    November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …

  19. Improving patient safety in intensive care units in Michigan. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
    February 17, 2011 - Study Classic Improving patient safety in intensive care units in Michigan. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09…

  20. The wisdom and justice of not paying for "preventable complications." | PSNet

    psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-preventable-complications
    January 22, 2014 - Commentary Classic The wisdom and justice of not paying for "preventable complications." Citation Text: Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.1…
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