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A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. | PSNet

psnet.ahrq.gov/issue/qualitative-analysis-physician-perspectives-missed-and-delayed-outpatient-diagnosis-focus

October 19, 2012 - Study A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. Citation Text: Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: Th…

Diagnostic error in medicine: analysis of 583 physician-reported errors. | PSNet

psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors

June 24, 2009 - Study Classic Diagnostic error in medicine: analysis of 583 physician-reported errors. Citation Text: Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/a…

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care. | PSNet

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September 01, 2016 - Study An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care. Citation Text: Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of medication sa…

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. | PSNet

psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban

February 22, 2011 - Study What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Citation Text: Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambu…

AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. | PSNet

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May 11, 2016 - Book/Report AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. Citation Text: AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report. Sorra J, Famolaro T, Yount N, Burns W, Liu H, Shyy M. Rockville, MD: Agency for…

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. | PSNet

psnet.ahrq.gov/issue/tempos-management-primary-care-key-factor-classifying-adverse-events-and-improving-quality

March 15, 2017 - Study 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. Citation Text: Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf.…

More than words: patients' views on apology and disclosure when things go wrong in cancer care. | PSNet

psnet.ahrq.gov/issue/more-words-patients-views-apology-and-disclosure-when-things-go-wrong-cancer-care

May 29, 2012 - Study More than words: patients' views on apology and disclosure when things go wrong in cancer care. Citation Text: Mazor KM, Greene SM, Roblin DW, et al. More than words: patients' views on apology and disclosure when things go wrong in cancer care. Patient Educ Couns. 2013;90(3):341…

Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. | PSNet

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September 28, 2010 - Commentary Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety. Citation Text: Blum AB, Shea AS, Czeisler CA, et al. Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervisi…

The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. | PSNet

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March 13, 2015 - Study The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. Citation Text: Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the emergen…

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. | PSNet

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April 05, 2016 - Study Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance. Citation Text: Classen D, Jaser L, Budnitz DS. Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new…

In Conversation with...Allan Frankel, MD | PSNet

psnet.ahrq.gov/perspective/conversation-withallan-frankel-md

July 01, 2006 - officer requires the ability to negotiate and influence, because cultural changes require a great deal of discussion … staff to grow in their understanding of safety, there must be a structure that will allow the open discussion

In Conversation with…Donald M. Berwick, MD, MPP | PSNet

psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp

November 01, 2005 - Can you talk about Rapid Response Teams specifically, and then broaden the discussion to the tension … In the months since the IHI recommended nationwide adoption of RRTs, there has been considerable discussion

In Conversation with...Dean Schillinger, MD | PSNet

psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md

March 01, 2009 - Individuals with limited health literacy are more likely to leave an informed consent discussion not … In general, health care encounters should promote discussion between the provider and patient, and patients

In Conversation with...Eric Coleman, MD, MPH | PSNet

psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph

December 01, 2007 - health care professional community and the family caregiver advocacy community would benefit from a discussion … the hospital's desire to clear the bed than by the availability of caregivers to participate in the discussion

Key Issues in Developing a Successful Hospital Safety Program | PSNet

psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program

July 01, 2006 - staff to grow in their understanding of safety, there must be a structure that will allow the open discussion … officer requires the ability to negotiate and influence, because cultural changes require a great deal of discussion

Rapid Response Teams: Lessons from the Early Experience | PSNet

psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience

November 01, 2005 - In the months since the IHI recommended nationwide adoption of RRTs, there has been considerable discussion … Can you talk about Rapid Response Teams specifically, and then broaden the discussion to the tension

Care Transitions | PSNet

psnet.ahrq.gov/perspective/care-transitions

December 01, 2007 - the hospital's desire to clear the bed than by the availability of caregivers to participate in the discussion … health care professional community and the family caregiver advocacy community would benefit from a discussion

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