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Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. | PSNet

psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model

November 24, 2021 - Study Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. Citation Text: Klasen JM, Teunissen PW, Driessen E, et al. Trainees' perceptions of being allowed to fail in clinical training: a sense‐making model. Med Educ. 2023;57(5):430-439. doi:10.1111…

Problem doctors: is there a system-level solution? | PSNet

psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution

October 31, 2014 - Commentary Classic Problem doctors: is there a system-level solution? Citation Text: Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. Copy Citation Format: Google Scholar PubMed BibTeX End…

Reducing diagnostic error through medical home-based primary care reform. | PSNet

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July 15, 2015 - Commentary Reducing diagnostic error through medical home-based primary care reform. Citation Text: Singh H, Graber ML. Reducing diagnostic error through medical home-based primary care reform. JAMA. 2010;304(4):463-4. doi:10.1001/jama.2010.1035. Copy Citation Format: DOI G…

Clinical reasoning as a core competency. | PSNet

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August 20, 2018 - Commentary Clinical reasoning as a core competency. Citation Text: Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

Why don't nurses consistently take patient respiratory rates? | PSNet

psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates

October 10, 2012 - Study Why don't nurses consistently take patient respiratory rates? Citation Text: Ansell H, Meyer A, Thompson S. Why don't nurses consistently take patient respiratory rates? Br J Nurs. 2014;23(8):414-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

What is accountability in health care? | PSNet

psnet.ahrq.gov/issue/what-accountability-health-care

April 19, 2013 - Commentary Classic What is accountability in health care? Citation Text: Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet

psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement

August 01, 2012 - Commentary Omissions of care in nursing homes: a uniform definition for research and quality improvement. Citation Text: Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet

psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes

March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…

Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet

psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events

February 20, 2019 - Study Using Safety-II and resilient healthcare principles to learn from Never Events. Citation Text: Anderson JE, Watt AJ. Using Safety-II and resilient healthcare principles to learn from Never Events. Int J Qual Health Care. 2020;32(3):196-203. doi:10.1093/intqhc/mzaa009. Copy Citati…

Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. | PSNet

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December 16, 2020 - Study Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Citation Text: Lombardo FL, Salvi E, Lacorte E, et al. Adverse events in Italian nursing homes during the COVID-19 epidemic: a national survey. Front Psychiatry. 2020;11:578465. Copy Citation…

The impact of patient–physician alliance on trust following an adverse event. | PSNet

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May 31, 2023 - Study The impact of patient–physician alliance on trust following an adverse event. Citation Text: Shoemaker K, Smith CP. The impact of patient-physician alliance on trust following an adverse event. Patient Educ Couns. 2019;102(7):1342-1349. doi:10.1016/j.pec.2019.02.015. Copy Citatio…

Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. | PSNet

psnet.ahrq.gov/issue/learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety

May 20, 2020 - Study Emerging Classic Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. Citation Text: Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essent…

Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. | PSNet

psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient

August 24, 2022 - Study Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Citation Text: Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. …

What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. | PSNet

psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency

June 08, 2022 - Study What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. Citation Text: Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resul…

Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. | PSNet

psnet.ahrq.gov/issue/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness

December 21, 2018 - Study Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. Citation Text: Djukic M, Stimpfel AW, Kovner C. Bachelor's Degree Nurse Graduates Report Better Quality and Safety Educational Preparedness than Associate De…

An estimate of missed pediatric sepsis in the emergency department. | PSNet

psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-emergency-department

December 08, 2021 - Study An estimate of missed pediatric sepsis in the emergency department. Citation Text: Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. Copy Citation Format:…

Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. | PSNet

psnet.ahrq.gov/issue/inviting-patients-identify-diagnostic-concerns-through-structured-evaluation-their-online

March 03, 2021 - Study Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. Citation Text: Giardina TD, Choi DT, Upadhyay DK, et al. Inviting patients to identify diagnostic concerns through structured evaluation of their online visit notes. J Am Me…

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. | PSNet

psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving

March 03, 2021 - Review Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. Citation Text: Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…

Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. | PSNet

psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning

December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…

Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. | PSNet

psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand

March 13, 2013 - Commentary Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. Citation Text: Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…

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