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National Reporting and Learning System Research and Development. | PSNet

psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development

April 06, 2016 - Book/Report National Reporting and Learning System Research and Development. Citation Text: National Reporting and Learning System Research and Development. Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citatio…

Oversight Hearing on Recent Patient Safety Issues. | PSNet

psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues

November 06, 2019 - Congressional Testimony Oversight Hearing on Recent Patient Safety Issues. Citation Text: Oversight Hearing on Recent Patient Safety Issues. U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and…

Patient safety in North America: beyond "operate through your initials" and "sign your site." | PSNet

psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site

March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…

You can't understand something you hide: transparency as a path to improve patient safety. | PSNet

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October 04, 2006 - Newspaper/Magazine Article You can't understand something you hide: transparency as a path to improve patient safety. Citation Text: You can't understand something you hide: transparency as a path to improve patient safety. Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June…

Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. | PSNet

psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective

November 11, 2020 - Commentary Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Citation Text: Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bj…

The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. | PSNet

psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies

July 14, 2010 - Study The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. Citation Text: McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…

Frontline hospital workers and the worker safety/patient safety nexus. | PSNet

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July 05, 2017 - Commentary Frontline hospital workers and the worker safety/patient safety nexus. Citation Text: Sokas R, Braun B, Chenven L, et al. Frontline hospital workers and the worker safety/patient safety nexus. Jt Comm J Qual Patient Saf. 2013;39(4):185-192. Copy Citation Format: …

Is WHO's surgical safety checklist being hyped? | PSNet

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February 07, 2018 - Commentary Is WHO's surgical safety checklist being hyped? Citation Text: Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

Reporting trends in a regional medication error data-sharing system. | PSNet

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September 29, 2010 - Study Reporting trends in a regional medication error data-sharing system. Citation Text: Anderson J, Ramanujam R, Hensel DJ, et al. Reporting trends in a regional medication error data-sharing system. Health Care Manag Sci. 2010;13(1):74-83. Copy Citation Format: Google S…

What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

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February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

Medication errors: an overview for clinicians. | PSNet

psnet.ahrq.gov/issue/medication-errors-overview-clinicians

September 20, 2011 - Review Medication errors: an overview for clinicians. Citation Text: Wittich CM, Burkle CM, Lanier WL. Medication errors: an overview for clinicians. Mayo Clin Proc. 2014;89(8):1116-25. doi:10.1016/j.mayocp.2014.05.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Why do hundreds of US women die annually in childbirth? | PSNet

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June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

Improved obstetric safety through programmatic collaboration. | PSNet

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September 23, 2020 - Commentary Improved obstetric safety through programmatic collaboration. Citation Text: Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration. J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131. Copy Citation Format: …

Missed diagnoses by urologists resulting in malpractice payment. | PSNet

psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment

November 21, 2021 - Study Missed diagnoses by urologists resulting in malpractice payment. Citation Text: Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9. Copy Citation Format: Google Scholar PubMed BibTeX End…

Tamiflu (oseltamivir) for oral suspension: potential medication errors. | PSNet

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November 07, 2012 - Government Resource Tamiflu (oseltamivir) for oral suspension: potential medication errors. Citation Text: Tamiflu (oseltamivir) for oral suspension: potential medication errors. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 25, 2009. …

Review of the Australian Incident Monitoring System. | PSNet

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July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. | PSNet

psnet.ahrq.gov/issue/navigating-care-transitions-process-model-how-doctors-overcome-organizational-barriers-and

February 20, 2016 - Study Navigating care transitions: a process model of how doctors overcome organizational barriers and create awareness. Citation Text: Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1). doi:10.1177/1077558714563170. Copy Citation Form…

Sentinel events. In memory of Ben—a case study. | PSNet

psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study

July 01, 2016 - Study Sentinel events. In memory of Ben—a case study. Citation Text: Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Medical malpractice liability in the age of electronic health records. | PSNet

psnet.ahrq.gov/issue/medical-malpractice-liability-age-electronic-health-records

April 05, 2013 - Commentary Medical malpractice liability in the age of electronic health records. Citation Text: Mangalmurti SS, Murtagh L, Mello MM. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010;363(21):2060-7. doi:10.1056/NEJMhle1005210. Copy Citation …

Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet

psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff

August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

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