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Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. | PSNet

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November 27, 2017 - Study Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Citation Text: Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4)…

Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. | PSNet

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December 02, 2014 - Study Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. Citation Text: Dynan L, Goudie A, Brady PW. Pediatric Adverse Event Rates Associated With Inexperience in Teaching Hospitals: A Multilevel Analysis. J Healthc Qual. 2018;40(2):6…

Capturing essential information to achieve safe interoperability. | PSNet

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February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

Improving patient safety—five years after the IOM report. | PSNet

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February 18, 2011 - Commentary Classic Improving patient safety—five years after the IOM report. Citation Text: Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243. Copy Ci…

Health care work environments, employee satisfaction, and patient safety: care provider perspectives. | PSNet

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October 12, 2011 - Study Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Citation Text: Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Health Care Manage Rev. 2007;32(1):2-11. …

Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. | PSNet

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March 11, 2015 - Government Resource Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. Citation Text: Design of endoscopic retrograde cholangiopancreatography (ERCP) duodenoscopes may impede effective cleaning. FDA Safety Communication. Silver Sp…

Improving prescription drug warnings to promote patient comprehension. | PSNet

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December 21, 2014 - Study Improving prescription drug warnings to promote patient comprehension. Citation Text: Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. Copy Citation …

Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. | PSNet

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April 12, 2011 - Study Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. Citation Text: Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoff…

Perspective: a culture of respect—part 1 and part 2. | PSNet

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October 04, 2006 - Commentary Perspective: a culture of respect—part 1 and part 2. Citation Text: Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858. Copy Citation Save Save to your library Print Down…

Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

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May 01, 2016 - this patient-specific change often takes significant coordination between clinicians and, sometimes, discussion … Discussion of alarm settings and changes to those settings should allow for patient feedback and include

The role of theory in research to develop and evaluate the implementation of patient safety practices. | PSNet

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September 20, 2011 - Commentary The role of theory in research to develop and evaluate the implementation of patient safety practices. Citation Text: Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. | PSNet

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May 31, 2011 - Review Classic Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Citation Text: Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…

Choosing your words carefully: how physicians would disclose harmful medical errors to patients. | PSNet

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February 16, 2011 - Study Classic Choosing your words carefully: how physicians would disclose harmful medical errors to patients. Citation Text: Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to pa…

Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. | PSNet

psnet.ahrq.gov/issue/ethical-considerations-development-flexibility-duty-hour-requirements-surgical-trainees-trial

June 21, 2017 - Commentary Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. Citation Text: Minami CA, Odell DD, Bilimoria KY. Ethical Considerations in the Development of the Flexibility in Duty Hour Requirements for Surgical Trainees Tr…

Establishing a global learning community for incident-reporting systems. | PSNet

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May 24, 2012 - Commentary Establishing a global learning community for incident-reporting systems. Citation Text: Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739. Copy…

Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. | PSNet

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December 19, 2012 - Study Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Citation Text: Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and …

A piece of my mind. From shame to guilt to love. | PSNet

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January 02, 2017 - Commentary A piece of my mind. From shame to guilt to love. Citation Text: Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-2508. doi:10.1001/jama.2015.11521. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

Lost opportunities: how physicians communicate about medical errors. | PSNet

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July 10, 2008 - Study Lost opportunities: how physicians communicate about medical errors. Citation Text: Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246. Copy Citati…

Measuring errors and adverse events in health care. | PSNet

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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

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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…

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