AHRQ Search | Home Page

Insensible losses: when the medical community forgets the family. | PSNet

psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-family

January 17, 2024 - Commentary Insensible losses: when the medical community forgets the family. Citation Text: Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. Copy Citation Format: DOI Google …

Building a Patient Safety Toolkit for use in general practice. | PSNet

psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice

April 25, 2018 - Commentary Building a Patient Safety Toolkit for use in general practice. Citation Text: Bell BG, Spencer R, Marsden K, et al. Building a Patient Safety Toolkit for use in general practice. InnovAiT. 2016;9(9):557-562. doi:10.1177/1755738016650468. Copy Citation Format: DOI…

Contextual errors in medical decision making: overlooked and understudied. | PSNet

psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied

May 01, 2020 - Commentary Contextual errors in medical decision making: overlooked and understudied. Citation Text: Weiner SJ, Schwartz A. Contextual Errors in Medical Decision Making: Overlooked and Understudied. Acad Med. 2016;91(5):657-62. doi:10.1097/ACM.0000000000001017. Copy Citation Format…

Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. | PSNet

psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet

December 22, 2018 - Study Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. Citation Text: Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misre…

Lessons learned: basic evidence-based advice for preventing medication errors in children. | PSNet

psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children

December 22, 2008 - Commentary Lessons learned: basic evidence-based advice for preventing medication errors in children. Citation Text: Thomas DO. Lessons learned: basic evidence-based advice for preventing medication errors in children. Journal of emergency nursing: JEN : official publication of the Eme…

Evolution of a rapid response system from voluntary to mandatory activation. | PSNet

psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation

June 07, 2023 - Commentary Evolution of a rapid response system from voluntary to mandatory activation. Citation Text: Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241. Copy Citation Forma…

Medicine for the wandering mind: mind wandering in medical practice. | PSNet

psnet.ahrq.gov/issue/medicine-wandering-mind-mind-wandering-medical-practice

August 28, 2017 - Review Medicine for the wandering mind: mind wandering in medical practice. Citation Text: Smallwood J, Mrazek MD, Schooler JW. Medicine for the wandering mind: mind wandering in medical practice. Med Educ. 2011;45(11):1072-80. doi:10.1111/j.1365-2923.2011.04074.x. Copy Citation …

The sensitivity of adverse event cost estimates to diagnostic coding error. | PSNet

psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error

March 03, 2011 - Study The sensitivity of adverse event cost estimates to diagnostic coding error. Citation Text: Wardle G, Wodchis WP, Laporte A, et al. The sensitivity of adverse event cost estimates to diagnostic coding error. Health Serv Res. 2012;47(3 Pt 1):984-1007. doi:10.1111/j.1475-6773.2011.0…

Implementation of computerized prescriber order entry in four academic medical centers. | PSNet

psnet.ahrq.gov/issue/implementation-computerized-prescriber-order-entry-four-academic-medical-centers

May 18, 2022 - Commentary Implementation of computerized prescriber order entry in four academic medical centers. Citation Text: Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:1…

Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. | PSNet

psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution

May 13, 2020 - Study Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. Citation Text: Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attributio…

Using pharmacists to optimize patient outcomes and costs in the ED. | PSNet

psnet.ahrq.gov/issue/using-pharmacists-optimize-patient-outcomes-and-costs-ed

October 13, 2015 - Review Using pharmacists to optimize patient outcomes and costs in the ED. Citation Text: Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031. Copy Citation For…

Computer physician order entry: benefits, costs, and issues. | PSNet

psnet.ahrq.gov/issue/computer-physician-order-entry-benefits-costs-and-issues

May 27, 2011 - Study Computer physician order entry: benefits, costs, and issues. Citation Text: Kuperman GJ, Gibson RF. Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003;139(1):31-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

Decision support and patient safety: the time has come. | PSNet

psnet.ahrq.gov/issue/decision-support-and-patient-safety-time-has-come

December 04, 2024 - Review Decision support and patient safety: the time has come. Citation Text: Hasley SK. Decision support and patient safety: the time has come. Am J Obstet Gynecol. 2011;204(6):461-5. doi:10.1016/j.ajog.2010.10.901. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. | PSNet

psnet.ahrq.gov/issue/socio-technical-systems-approach-studying-interruptions-understanding-interrupters

October 03, 2013 - Study A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Citation Text: Rivera J. A socio-technical systems approach to studying interruptions: understanding the interrupter's perspective. Appl Ergon. 2014;45(3):747-56. doi:10.1016/…

Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-and-abnormal-diagnostic-tests-lost-follow-source-needless-waste-and-delay

December 22, 2008 - Commentary Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. Citation Text: Wahls TL. Diagnostic errors and abnormal diagnostic tests lost to follow-up: a source of needless waste and delay to treatment. J Ambul Care M…

There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on illicit drugs. | PSNet

psnet.ahrq.gov/issue/there-vulnerable-group-we-must-not-leave-behind-our-response-covid-19-people-who-are

October 05, 2022 - Newspaper/Magazine Article There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on illicit drugs. Citation Text: Guirguis A. There is a vulnerable group we must not leave behind in our response to COVID-19: people who are dependent on…

Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. | PSNet

psnet.ahrq.gov/issue/medical-malpractice-reflected-forensic-evaluation-4450-autopsies

September 02, 2009 - Study Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Citation Text: Madea B, Preuss J. Medical malpractice as reflected by the forensic evaluation of 4450 autopsies. Forensic Sci Int. 2009;190(1-3):58-66. doi:10.1016/j.forsciint.2009.05.013. Copy Citati…

Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis

October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

Patient safety problems in adolescent medical care. | PSNet

psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care

April 11, 2011 - Study Patient safety problems in adolescent medical care. Citation Text: Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. | PSNet

psnet.ahrq.gov/issue/really-stupid-mistake-it-does-feel-cop-out-blame-my-error-human-frailty-im-afraid-thats

August 16, 2023 - Commentary A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly what it was. Citation Text: Maskell G. A really stupid mistake: it does feel like a cop out to blame my error on human frailty, but I'm afraid that's exactly …

Search AHRQ

Results