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Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. | PSNet

psnet.ahrq.gov/issue/crisis-management-during-anaesthesia-development-anaesthetic-crisis-management-manual

June 23, 2015 - Commentary Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Citation Text: Runciman WB, Kluger MT, Morris RW, et al. Crisis management during anaesthesia: the development of an anaesthetic crisis management manual. Qual Saf Health Care. …

"Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. | PSNet

psnet.ahrq.gov/issue/sorry-never-enough-how-state-apology-laws-fail-reduce-medical-malpractice-liability-risk

January 07, 2022 - Study "Sorry" is never enough: how state apology laws fail to reduce medical malpractice liability risk. Citation Text: McMichael BJ, Van Horn L, Viscusi K. "Sorry” Is Never Enough: How State Apology Laws Fail to Reduce Medical Malpractice Liability Risk. Stanford Law Rev. 2019;71(2):341…

Errors in adult trauma resuscitation: a systematic review. | PSNet

psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review

December 01, 2021 - Review Errors in adult trauma resuscitation: a systematic review. Citation Text: Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. Copy Citation Format: DOI Google Schola…

FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. | PSNet

psnet.ahrq.gov/issue/fda-safety-communication-caution-when-using-robotically-assisted-surgical-devices-womens

September 01, 2021 - Press Release/Announcement FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. Citation Text: FDA Safety Communication: update--robotically-assisted surgical devices in mastectomy. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administratio…

Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. | PSNet

psnet.ahrq.gov/issue/effects-night-surgery-postoperative-mortality-and-morbidity-multicentre-cohort-study

July 19, 2019 - Study Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. Citation Text: Althoff FC, Wachtendorf LJ, Rostin P, et al. Effects of night surgery on postoperative mortality and morbidity: a multicentre cohort study. BMJ Qual Saf. 2020;30(8):678-688…

Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. | PSNet

psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach

November 03, 2015 - Study Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Citation Text: Harvey B, Dhalla IA, O'Neill C, et al. Building a resilient patient safety culture: a large healthcare organization's approach to …

Interpersonal and organizational dynamics are key drivers of failure to rescue. | PSNet

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June 18, 2019 - Study Interpersonal and organizational dynamics are key drivers of failure to rescue. Citation Text: Smith ME, Wells EE, Friese CR, et al. Interpersonal And Organizational Dynamics Are Key Drivers Of Failure To Rescue. Health Aff (Millwood). 2018;37(11):1870-1876. doi:10.1377/hlthaff.201…

Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. | PSNet

psnet.ahrq.gov/issue/mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada

September 23, 2020 - Study Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a population-based study. Citation Text: Ohle R, Savage DW, Caswell J, et al. Mortality and risk factors associated with misdiagnosis of acute aortic syndrome in Ontario, Canada: a …

Delays in care during the COVID-19 pandemic in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/delays-care-during-covid-19-pandemic-veterans-health-administration

May 17, 2023 - Study Delays in care during the COVID-19 pandemic in the Veterans Health Administration. Citation Text: Mills PD, Louis RP, Yackel E. Delays in care during the COVID-19 pandemic in the Veterans Health Administration. J Healthc Qual. 2023;45(4):242-253. doi:10.1097/jhq.0000000000000383. …

Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. | PSNet

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July 10, 2024 - Review Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. Citation Text: Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. J Hosp Palli…

Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. | PSNet

psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012

June 30, 2021 - Study Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. Citation Text: Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7…

Accuracy in patient understanding of common medical phrases. | PSNet

psnet.ahrq.gov/issue/accuracy-patient-understanding-common-medical-phrases

November 30, 2022 - Study Accuracy in patient understanding of common medical phrases. Citation Text: Gotlieb R, Praska C, Hendrickson MA, et al. Accuracy in patient understanding of common medical phrases. JAMA Netw Open. 2022;5(11):e2242972. doi:10.1001/jamanetworkopen.2022.42972. Copy Citation Form…

Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. | PSNet

psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-long-term-care-and-its-relationship-probable-delirium

September 23, 2020 - Study Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. Citation Text: Webber C, Milani C, Bjerre LM, et al. Potentially inappropriate prescribing in long-term care and its relationship with probable delirium. J Am Med Dir Assoc. 2024;25…

Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. | PSNet

psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico

April 16, 2019 - Study Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. Citation Text: Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed …

Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims

September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

Interpreting and coding causal relationships for quality and safety using ICD-11. | PSNet

psnet.ahrq.gov/issue/interpreting-and-coding-causal-relationships-quality-and-safety-using-icd-11

November 15, 2017 - Commentary Interpreting and coding causal relationships for quality and safety using ICD-11. Citation Text: Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12…

Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020. | PSNet

psnet.ahrq.gov/issue/delay-or-avoidance-medical-care-because-covid-19-related-concerns-united-states-june-2020

September 23, 2020 - Study Classic Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020. Citation Text: Czeisler MÉ, Marynak K, Clarke KEN, et al. Delay or avoidance of medical care because of COVID-19-related concerns - United States, Ju…

What methods are used to apply positive deviance within healthcare organisations? A systematic review. | PSNet

psnet.ahrq.gov/issue/what-methods-are-used-apply-positive-deviance-within-healthcare-organisations-systematic

July 19, 2019 - Review What methods are used to apply positive deviance within healthcare organisations? A systematic review. Citation Text: Baxter R, Taylor N, Kellar I, et al. What methods are used to apply positive deviance within healthcare organisations? A systematic review. BMJ Qual Saf. 2016;25(3…

Errors of diagnosis in pediatric practice: a multisite survey. | PSNet

psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey

November 13, 2024 - Study Errors of diagnosis in pediatric practice: a multisite survey. Citation Text: Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. Copy Citation Format: DOI Goog…

Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. | PSNet

psnet.ahrq.gov/issue/incident-learning-pursuit-high-reliability-implementing-comprehensive-low-threshold-reporting

September 27, 2017 - Study Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. Citation Text: Gabriel PE, Volz E, Bergendahl HW, et al. Incident learning in pursuit of high reliability: implementi…

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