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Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. | PSNet

psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years

August 04, 2021 - Review Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. Citation Text: Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida mo…

Time out—charting a path for improving performance measurement. | PSNet

psnet.ahrq.gov/issue/time-out-charting-path-improving-performance-measurement

March 06, 2005 - Commentary Classic Time out—charting a path for improving performance measurement. Citation Text: MacLean CH, Kerr EA, Qaseem A. Time Out - Charting a Path for Improving Performance Measurement. N Engl J Med. 2018;378(19):1757-1761. doi:10.1056/NEJMp1802595. C…

Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. | PSNet

psnet.ahrq.gov/issue/tell-me-how-pleased-you-are-your-workplace-and-i-will-tell-you-how-often-you-wash-your-hands

July 26, 2023 - Study Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Citation Text: Sholomovich L, Magnezi R. Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Am J Infect Control. 2017;45(6):677-681. …

Patient identification errors: the detective in the laboratory. | PSNet

psnet.ahrq.gov/issue/patient-identification-errors-detective-laboratory

March 09, 2022 - Study Patient identification errors: the detective in the laboratory. Citation Text: Salinas M, López-Garrigós M, Lillo R, et al. Patient identification errors: the detective in the laboratory. Clin Biochem. 2013;46(16-17):1767-9. doi:10.1016/j.clinbiochem.2013.08.005. Copy Citation …

Work hours regulations for house staff in psychiatry: bad or good for residency training? | PSNet

psnet.ahrq.gov/issue/work-hours-regulations-house-staff-psychiatry-bad-or-good-residency-training

August 04, 2021 - Review Work hours regulations for house staff in psychiatry: bad or good for residency training? Citation Text: Rasminsky S, Lomonaco A, Auchincloss E. Work Hours Regulations for House Staff in Psychiatry: Bad or Good for Residency Training? Academic Psychiatry. 2008;32(1). doi:10.1176/a…

Improving team performance during the preprocedure time-out in pediatric interventional radiology. | PSNet

psnet.ahrq.gov/issue/improving-team-performance-during-preprocedure-time-out-pediatric-interventional-radiology

August 04, 2021 - Study Improving team performance during the preprocedure time-out in pediatric interventional radiology. Citation Text: Gottumukkala R, Street M, Fitzpatrick M, et al. Improving team performance during the preprocedure time-out in pediatric interventional radiology. Jt Comm J Qual Patien…

Reducing delay in diagnosis: multistage recommendation tracking. | PSNet

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June 19, 2012 - Study Reducing delay in diagnosis: multistage recommendation tracking. Citation Text: Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332. Copy Citation Format: DOI Googl…

Beyond the prescription: medication monitoring and adverse drug events in older adults. | PSNet

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August 04, 2021 - Commentary Beyond the prescription: medication monitoring and adverse drug events in older adults. Citation Text: Steinman MA, Handler S, Gurwitz JH, et al. Beyond the prescription: medication monitoring and adverse drug events in older adults. J Am Geriatr Soc. 2011;59(8):1513-1520. d…

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. | PSNet

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April 03, 2009 - Book/Report Classic The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Citation Text: The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalS…

Implementing a warm handoff between hospital and skilled nursing facility clinicians. | PSNet

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March 04, 2020 - Study Implementing a warm handoff between hospital and skilled nursing facility clinicians. Citation Text: Britton MC, Hodshon B, Chaudhry SI. Implementing a Warm Handoff Between Hospital and Skilled Nursing Facility Clinicians. J Patient Saf. 2019;15(3):198-204. doi:10.1097/PTS.00000000…

Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. | PSNet

psnet.ahrq.gov/issue/impact-proactive-rounding-rapid-response-team-patient-outcomes-academic-medical-center

January 19, 2012 - Study Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. Citation Text: Butcher BW, Vittinghoff E, Maselli J, et al. Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center. J Hosp Med…

Communicating with patients about medical errors: a review of the literature. | PSNet

psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature

December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…

Adverse event reporting: harnessing residents to improve patient safety. | PSNet

psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety

July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…

Organizational costs of preventable medical errors. | PSNet

psnet.ahrq.gov/issue/organizational-costs-preventable-medical-errors

April 01, 2010 - Study Organizational costs of preventable medical errors. Citation Text: Weeks WB, Waldron J, Foster T, et al. The organizational costs of preventable medical errors. Jt Comm J Qual Improv. 2001;27(10):533-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Cognitive testing of older clinicians prior to recredentialing. | PSNet

psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing

January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. | PSNet

psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography

November 16, 2022 - Study Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Citation Text: Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…

Impact of intensive care unit discharge time on patient outcome. | PSNet

psnet.ahrq.gov/issue/impact-intensive-care-unit-discharge-time-patient-outcome

December 14, 2022 - Study Impact of intensive care unit discharge time on patient outcome. Citation Text: Priestap FA, Martin CM. Impact of intensive care unit discharge time on patient outcome. Crit Care Med. 2006;34(12):2946-2951. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

The role of checklists and human factors for improved patient safety in plastic surgery. | PSNet

psnet.ahrq.gov/issue/role-checklists-and-human-factors-improved-patient-safety-plastic-surgery

November 02, 2016 - Commentary The role of checklists and human factors for improved patient safety in plastic surgery. Citation Text: Oppikofer C, Schwappach DLB. The Role of Checklists and Human Factors for Improved Patient Safety in Plastic Surgery. Plast Reconstr Surg. 2017;140(6):812e-817e. doi:10.1097…

Physician understanding and ability to communicate harms and benefits of common medical treatments. | PSNet

psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments

September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…

Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive

January 24, 2024 - Commentary Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. Citation Text: Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive…

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