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One-stop diagnostic breast clinics: how often are breast cancers missed? | PSNet

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August 04, 2021 - Study One-stop diagnostic breast clinics: how often are breast cancers missed? Citation Text: Britton P, Duffy SW, Sinnatamby R, et al. One-stop diagnostic breast clinics: how often are breast cancers missed? Br J Cancer. 2009;100(12). doi:10.1038/sj.bjc.6605082. Copy Citation Fo…

Incident reporting behaviours following the Francis report: a cross-sectional survey. | PSNet

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October 12, 2016 - Study Incident reporting behaviours following the Francis report: a cross-sectional survey. Citation Text: Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849. Copy Citation …

Using Lean to improve medication administration safety: in search of the "perfect dose." | PSNet

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September 16, 2015 - Study Using Lean to improve medication administration safety: in search of the "perfect dose." Citation Text: Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. C…

Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. | PSNet

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June 23, 2021 - Review Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Citation Text: Morrow KJ, Gustavson AM, Jones J. Speaking up behaviours (safety voices) of healthcare workers: a metasynthesis of qualitative research studies. Int J Nurs…

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. | PSNet

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May 24, 2012 - Study Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. Citation Text: Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Co…

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? | PSNet

psnet.ahrq.gov/issue/quality-improvement-primary-approach-change-healthcare-precarious-self-limiting-choice

June 08, 2022 - Commentary Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? Citation Text: Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…

Inappropriate prescribing of opioids for patients undergoing surgery. | PSNet

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June 30, 2021 - Study Inappropriate prescribing of opioids for patients undergoing surgery. Citation Text: Varady NH, Worsham CM, Chen AF, et al. Inappropriate prescribing of opioids for patients undergoing surgery. Proc Natl Acad Sci USA. 2022;119(49):e2210226119. doi:10.1073/pnas.2210226119. Copy Ci…

Trust and medical AI: the challenges we face and the expertise needed to overcome them. | PSNet

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July 22, 2020 - Commentary Emerging Classic Trust and medical AI: the challenges we face and the expertise needed to overcome them. Citation Text: Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J A…

A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment. | PSNet

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October 29, 2008 - Study A qualitative study of why general practitioners may participate in significant event analysis and educational peer assessment. Citation Text: Bowie P, McKay J, Dalgetty E, et al. A qualitative study of why general practitioners may participate in significant event analysis and e…

Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet

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May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Citation Text: Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care…

Radiology errors: are we learning from our mistakes? | PSNet

psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes

May 26, 2011 - Study Radiology errors: are we learning from our mistakes? Citation Text: Mankad K, Hoey ETD, Jones JB, et al. Radiology errors: are we learning from our mistakes? Clin Radiol. 2009;64(10):988-93. doi:10.1016/j.crad.2009.06.002. Copy Citation Format: DOI Google Scholar Pu…

Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. | PSNet

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April 06, 2011 - Study Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. Citation Text: McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practit…

Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. | PSNet

psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated

March 30, 2011 - Study Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. Citation Text: Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…

Internal reporting system to improve a pharmacy's medication distribution process. | PSNet

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October 31, 2017 - Study Internal reporting system to improve a pharmacy's medication distribution process. Citation Text: Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. Cop…

Active surveillance using electronic triggers to detect adverse events in hospitalized patients. | PSNet

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October 03, 2017 - Study Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Citation Text: Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3…

Understanding diagnostic errors in medicine: a lesson from aviation. | PSNet

psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation

December 30, 2014 - Study Understanding diagnostic errors in medicine: a lesson from aviation. Citation Text: Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. Copy Citation Format: Google Scholar Pu…

Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review. | PSNet

psnet.ahrq.gov/issue/views-nurses-and-other-health-and-social-care-workers-use-assistive-humanoid-and-animal

July 27, 2022 - Review Emerging Classic Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review. Citation Text: Papadopoulos I, Koulouglioti C, Ali S. Views of nurses and other …

Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. | PSNet

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September 07, 2022 - Study Post-discharge adverse events among urban and rural patients of an urban community hospital: a prospective cohort study. Citation Text: Tsilimingras D, Schnipper JL, Duke A, et al. Post-Discharge Adverse Events Among Urban and Rural Patients of an Urban Community Hospital: A Prospe…

Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. | PSNet

psnet.ahrq.gov/issue/components-hospital-perioperative-infrastructure-can-overcome-weekend-effect-urgent-general

July 05, 2017 - Study Components of hospital perioperative infrastructure can overcome the weekend effect in urgent general surgery procedures. Citation Text: Kothari A, Zapf MAC, Blackwell RH, et al. Components of Hospital Perioperative Infrastructure Can Overcome the Weekend Effect in Urgent General S…

The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. | PSNet

psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience

February 09, 2022 - Study The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. Citation Text: Heideveld-Chevalking AJ, Calsbeek H, Damen J, et al. The impact of a standardized incident reporting system in t…

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