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Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. | PSNet

psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy-based-intervention

March 23, 2022 - Study Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based intervention to improve patient safety. Citation Text: Gilson AM, Chladek JS, Stone JA, et al. Older adult misuse of over-the-counter medications: effectiveness of a novel pharmacy-based int…

Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/diagnostic-discordance-uncertainty-and-treatment-ambiguity-community-acquired-pneumonia

June 07, 2023 - Study Diagnostic discordance, uncertainty, and treatment ambiguity in community-acquired pneumonia: a national cohort study of 115 U.S. Veterans Affairs hospitals. Citation Text: Jones BE, Chapman AB, Ying J, et al. Diagnostic discordance, uncertainty, and treatment ambiguity in communit…

Effectiveness and efficiency of root cause analysis in medicine. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine

July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. | PSNet

psnet.ahrq.gov/issue/physicians-perceptions-preparedness-reporting-and-experiences-related-impaired-and

February 10, 2015 - Study Classic Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. Citation Text: DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences relat…

Medical team training: applying crew resource management in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration

April 30, 2014 - Study Classic Medical team training: applying crew resource management in the Veterans Health Administration. Citation Text: Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…

A systematic review of patient-report safety climate measures in health care. | PSNet

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September 15, 2021 - Review A systematic review of patient-report safety climate measures in health care. Citation Text: Madden C, Lydon S, O’Dowd E, et al. A systematic review of patient-report safety climate measures in health care. J Patient Saf. 2022;18(1):e51-e60. doi:10.1097/pts.0000000000000705. Cop…

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. | PSNet

psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness

January 12, 2022 - Review Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. Citation Text: Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid sc…

The influence of organizational culture, climate and commitment on speaking up about medical errors. | PSNet

psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors

December 31, 2018 - Study Emerging Classic The influence of organizational culture, climate and commitment on speaking up about medical errors. Citation Text: Levine KJ, Carmody M, Silk KJ. The influence of organizational culture, climate and commitment on speaking up about medical…

Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals. | PSNet

psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient

January 12, 2022 - Study Creating highly reliable health care: how reliability-enhancing work practices affect patient safety in hospitals. Citation Text: Vogus TJ, Iacobucci D. Creating Highly Reliable Health Care. ILR Review. 2016;69(4). doi:10.1177/0019793916642759. Copy Citation Format: D…

Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. | PSNet

psnet.ahrq.gov/issue/patient-reasoning-patients-and-care-partners-perceptions-diagnostic-accuracy-emergency-care

October 23, 2024 - Study Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Citation Text: Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Med Decis Making. 2…

Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? | PSNet

psnet.ahrq.gov/issue/interprofessional-collaboration-among-care-professionals-obstetrical-care-are-perceptions

May 28, 2014 - Study Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? Citation Text: Romijn A, Teunissen PW, de Bruijne M, et al. Interprofessional collaboration among care professionals in obstetrical care: are perceptions aligned? BMJ Qual Saf. 20…

The potential for improved teamwork to reduce medical errors in the emergency department. | PSNet

psnet.ahrq.gov/issue/potential-improved-teamwork-reduce-medical-errors-emergency-department

July 07, 2021 - Review Classic The potential for improved teamwork to reduce medical errors in the emergency department. Citation Text: Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg M…

To care is human—collectively confronting the clinician-burnout crisis. | PSNet

psnet.ahrq.gov/issue/care-human-collectively-confronting-clinician-burnout-crisis

June 10, 2020 - Commentary Classic To care is human—collectively confronting the clinician-burnout crisis. Citation Text: Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejm…

The value of learning from near misses to improve patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review

April 27, 2022 - Review The value of learning from near misses to improve patient safety: a scoping review. Citation Text: Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…

Classification of patient-safety incidents in primary care. | PSNet

psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care

October 12, 2016 - Review Emerging Classic Classification of patient-safety incidents in primary care. Citation Text: Cooper J, Williams H, Hibbert P, et al. Classification of patient-safety incidents in primary care. Bull World Health Organ. 2018;96(7):498-505. doi:10.2471/BLT.17…

Omissions of care in nursing home settings: a narrative review. | PSNet

psnet.ahrq.gov/issue/omissions-care-nursing-home-settings-narrative-review

November 18, 2020 - Review Omissions of care in nursing home settings: a narrative review. Citation Text: Ogletree AM, Mangrum R, Harris Y, et al. Omissions of care in nursing home settings: a narrative review. J Am Med Dir Assoc. 2020;21(5):604-614.e6. doi:10.1016/j.jamda.2020.02.016. Copy Citation F…

The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation

October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

Developing electronic clinical quality measures to assess the cancer diagnostic process. | PSNet

psnet.ahrq.gov/issue/developing-electronic-clinical-quality-measures-assess-cancer-diagnostic-process

December 18, 2024 - Study Developing electronic clinical quality measures to assess the cancer diagnostic process. Citation Text: Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. …

Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. | PSNet

psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents

December 16, 2020 - Study Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. Citation Text: Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous infusion safety inciden…

Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. | PSNet

psnet.ahrq.gov/issue/infusional-chemotherapy-and-medication-errors-tertiary-care-pediatric-cancer-unit-resource

October 29, 2012 - Study Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. Citation Text: Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. …

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