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National Surgical Quality Improvement Program. | PSNet

psnet.ahrq.gov/issue/national-surgical-quality-improvement-program

October 15, 2018 - Multi-use Website Classic National Surgical Quality Improvement Program. Citation Text: National Surgical Quality Improvement Program. American College of Surgeons. Copy Citation Save Save to your library Print Download PDF …

What can safety cases offer for patient safety? A multisite case study. | PSNet

psnet.ahrq.gov/issue/what-can-safety-cases-offer-patient-safety-multisite-case-study

February 07, 2024 - Study What can safety cases offer for patient safety? A multisite case study. Citation Text: Liberati EG, Martin GP, Lamé G, et al. What can Safety Cases offer for patient safety? A multisite case study. BMJ Qual Saf. 2024;33(3):156-165. doi:10.1136/bmjqs-2023-016042. Copy Citation …

The lost art of the history and physical. | PSNet

psnet.ahrq.gov/issue/lost-art-history-and-physical

May 08, 2013 - Commentary The lost art of the history and physical. Citation Text: Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5. doi:10.1097/MAJ.0000000000000326. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

Driving improvement in patient care: lessons from Toyota. | PSNet

psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota

September 24, 2016 - Study Classic Driving improvement in patient care: lessons from Toyota. Citation Text: Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm. 2003;33(11):585-595. Copy Citation Format: Google Scholar …

Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. | PSNet

psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety

March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…

Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. | PSNet

psnet.ahrq.gov/issue/speaking-and-taking-action-psychological-safety-and-joint-problem-solving-orientation-safety

October 21, 2020 - Study Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement. Citation Text: Bahadurzada H, Kerrissey M, Edmondson AC. Speaking up and taking action: psychological safety and joint problem-solving orientation in safety improvement.…

Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/effect-using-safety-checklist-patient-complications-after-surgery-systematic-review-and-meta

December 08, 2021 - Review Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis. Citation Text: Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analy…

Patient identification and tube labelling—a call for harmonisation. | PSNet

psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation

April 29, 2020 - Commentary Patient identification and tube labelling—a call for harmonisation. Citation Text: van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.15…

Factors predictive of intravenous fluid administration errors in Australian surgical care wards. | PSNet

psnet.ahrq.gov/issue/factors-predictive-intravenous-fluid-administration-errors-australian-surgical-care-wards

September 23, 2020 - Study Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Citation Text: Han PY, Coombes ID, Green B. Factors predictive of intravenous fluid administration errors in Australian surgical care wards. Qual Saf Health Care. 2005;14(3):179-84. …

Understanding complaints made about surgical departments in a UK district general hospital. | PSNet

psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital

September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…

Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. | PSNet

psnet.ahrq.gov/issue/reconceptualizing-patient-safety-beyond-harm-insights-mixed-methods-qualitative-inquiry

April 19, 2023 - Study Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. Citation Text: Jeffs L, Kuluski K, Flintoft V, et al. Reconceptualizing patient safety beyond harm: insights from a mixed-methods qualitative inquiry. J Nurs Care Qual. 2024;39(3):226-2…

Causes for medical errors in obstetrics and gynaecology. | PSNet

psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology

May 01, 2019 - Review Causes for medical errors in obstetrics and gynaecology. Citation Text: Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. Copy Citation Format: DOI Go…

The use of a standard design medication room to promote medication safety: organizational implications. | PSNet

psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications

July 27, 2022 - Study The use of a standard design medication room to promote medication safety: organizational implications. Citation Text: Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…

Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks | PSNet

psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks

September 01, 2017 - Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks Citation Text: Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. …

Delayed Diagnosis of Mesenteric Ischemia | PSNet

psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia

March 31, 2021 - SPOTLIGHT CASE Delayed Diagnosis of Mesenteric Ischemia Citation Text: Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. | PSNet

psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment

January 29, 2021 - Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm. Citation Text: Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.. PSNet [internet]. Rockville (MD): Agency for He…

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. | PSNet

psnet.ahrq.gov/issue/analysis-prehospital-pediatric-medication-dosing-errors-after-implementation-state-wide-ems

August 25, 2021 - Study An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference. Citation Text: Kazi R, Hoyle JD, Huffman C, et al. An analysis of prehospital pediatric medication dosing errors after implementation of a state-w…

Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/prevalence-and-characterisation-diagnostic-error-among-7-day-all-cause-hospital-medicine

April 12, 2023 - Study Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. Citation Text: Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine …

Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet

psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive

November 10, 2021 - Study Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. Citation Text: Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient safety incidents: a descriptive…

Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. | PSNet

psnet.ahrq.gov/issue/patients-willingness-and-ability-identify-and-respond-errors-their-personal-health-records

March 10, 2021 - Study Patients' willingness and ability to identify and respond to errors in their personal health records: mixed methods analysis of cross-sectional survey data. Citation Text: Lear R, Freise L, Kybert M, et al. Patients' willingness and ability to identify and respond to errors in thei…

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