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Measuring errors and adverse events in health care. | PSNet

psnet.ahrq.gov/issue/measuring-errors-and-adverse-events-health-care

December 30, 2014 - Study Classic Measuring errors and adverse events in health care. Citation Text: Thomas EJ, Petersen LA. Measuring errors and adverse events in health care. J Gen Intern Med. 2003;18(1). doi:10.1046/j.1525-1497.2003.20147.x. Copy Citation Format: …

Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. | PSNet

psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients

April 13, 2011 - Study Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. Citation Text: Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. Copy…

The Lung Nodule That Refused To Grow | PSNet

psnet.ahrq.gov/web-mm/lung-nodule-refused-grow

March 01, 2004 - The risk of a fatal complication from VATS wedge resection is low ( In the case under discussion, the

Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. | PSNet

psnet.ahrq.gov/issue/impact-warning-cpoe-system-inappropriate-pill-splitting-prescribed-medications-outpatients

July 16, 2015 - Study Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. Citation Text: Hsu C-C, Chou C-Y, Chou C-L, et al. Impact of a warning CPOE system on the inappropriate pill splitting of prescribed medications in outpatients. PLoS One. 2…

Types of unintended consequences related to computerized provider order entry. | PSNet

psnet.ahrq.gov/issue/types-unintended-consequences-related-computerized-provider-order-entry

February 18, 2011 - Study Classic Types of unintended consequences related to computerized provider order entry. Citation Text: Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):…

Adverse drug events in U.S. adult ambulatory medical care. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care

June 21, 2010 - Study Classic Adverse drug events in U.S. adult ambulatory medical care. Citation Text: Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…

Effective implementation of work-hour limits and systemic improvements. | PSNet

psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements

September 28, 2010 - Study Classic Effective implementation of work-hour limits and systemic improvements. Citation Text: Landrigan CP, Czeisler CA, Barger LK, et al. Effective implementation of work-hour limits and systemic improvements. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl…

Principles of conservative prescribing. | PSNet

psnet.ahrq.gov/issue/principles-conservative-prescribing

April 22, 2017 - Review Classic Principles of conservative prescribing. Citation Text: Schiff G, Galanter W, Duhig J, et al. Principles of conservative prescribing. Arch Intern Med. 2011;171(16):1433-1440. doi:10.1001/archinternmed.2011.256. Copy Citation Format: …

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. | PSNet

psnet.ahrq.gov/issue/association-pediatric-resident-physician-depression-and-burnout-harmful-medical-errors

April 24, 2018 - Study Emerging Classic Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Citation Text: Brunsberg KA, Landrigan CP, Garcia BM, et al. Association of Pediatric Resident Physician Depression and B…

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

psnet.ahrq.gov/issue/empirical-model-estimate-potential-impact-medication-safety-alerts-patient-safety-health-care

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

psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2014-user-comparative-database-report

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

psnet.ahrq.gov/issue/implementing-2009-institute-medicine-recommendations-resident-physician-work-hours

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

psnet.ahrq.gov/issue/association-between-prolonged-stay-emergency-department-and-adverse-events-older-patients

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

psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates

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…

Adolescent Diabetes: A Routine Visit? | PSNet

psnet.ahrq.gov/web-mm/adolescent-diabetes-routine-visit

November 18, 2016 - The following principles can help guide discussion of sexuality with an adolescent patient: confidentiality

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