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psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
July 01, 2017 - Commentary
The limits of checklists: handoff and narrative thinking.
Citation Text:
Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705.
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psnet.ahrq.gov/issue/what-accountability-health-care
April 19, 2013 - Commentary
Classic
What is accountability in health care?
Citation Text:
Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239.
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psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons
January 23, 2017 - Study
Safety considerations in learning new procedures: a survey of surgeons.
Citation Text:
Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058.
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psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
March 09, 2022 - Review
Technical mistakes during the acquisition of the electrocardiogram.
Citation Text:
García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…
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psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2022-user-database-report
June 01, 2022 - Book/Report
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report.
Citation Text:
Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare R…
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psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
July 12, 2023 - Commentary
Improving diagnosis: adding context to cognition.
Citation Text:
Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058.
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psnet.ahrq.gov/issue/handoff-communication-between-hospital-and-outpatient-dialysis-units-patient-discharge
August 20, 2018 - Study
Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.
Citation Text:
Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study. …
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psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
March 10, 2021 - Newspaper/Magazine Article
Prevent errors during emergency use of hypertonic sodium chloride solutions.
Citation Text:
Prevent errors during emergency use of hypertonic sodium chloride solutions. ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4.
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psnet.ahrq.gov/issue/patient-safety-challenges-low-income-and-middle-income-countries
May 23, 2018 - Review
Patient safety challenges in low-income and middle-income countries.
Citation Text:
Steffner KR, McQueen KAK, Gelb AW. Patient safety challenges in low-income and middle-income countries. Curr Opin Anaesthesiol. 2014;27(6):623-9. doi:10.1097/ACO.0000000000000121.
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psnet.ahrq.gov/issue/pursuit-endpoint-diagnoses-cognitive-forcing-strategy-avoid-premature-diagnostic-closure
November 02, 2022 - Commentary
Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.
Citation Text:
Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2…
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psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
June 28, 2023 - Book/Report
Leadership To Improve Diagnosis: A Call to Action.
Citation Text:
Leadership To Improve Diagnosis: A Call to Action. Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF.
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psnet.ahrq.gov/issue/diagnostic-safety-across-transitions-care-throughout-healthcare-system-current-state-and-call
September 13, 2023 - Book/Report
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action.
Citation Text:
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action. Santhosh L, Cornell E, Rojas JC…
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psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
March 25, 2020 - Study
Risk factors of missed colorectal lesions after colonoscopy.
Citation Text:
Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468.
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psnet.ahrq.gov/issue/evaluation-inpatient-computerized-medication-reconciliation-system
February 15, 2011 - Study
Evaluation of an inpatient computerized medication reconciliation system.
Citation Text:
Turchin A, Hamann C, Schnipper JL, et al. Evaluation of an inpatient computerized medication reconciliation system. J Am Med Inform Assoc. 2008;15(4):449-52. doi:10.1197/jamia.M2561.
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psnet.ahrq.gov/issue/patient-safety-and-professional-discourses-implications-interprofessionalism
March 08, 2023 - Study
Patient safety and professional discourses: implications for interprofessionalism.
Citation Text:
Rowland P, Kitto S. Patient safety and professional discourses: implications for interprofessionalism. J Interprof Care. 2014;28(4):331-8. doi:10.3109/13561820.2014.891574.
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psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
January 18, 2023 - Review
How effective are incident-reporting systems for improving patient safety? A systematic literature review.
Citation Text:
How effective are incident-reporting systems for improving patient safety? A systematic literature review. Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;…
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psnet.ahrq.gov/issue/medical-trainees-formal-and-informal-incident-reporting-across-five-hospital-academic-medical
May 10, 2016 - Study
Medical trainees' formal and informal incident reporting across a five-hospital academic medical center.
Citation Text:
Logio LS, Ramanujam R. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Jt Comm J Qual Patient Saf. 2010;3…
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psnet.ahrq.gov/issue/problem-5-whys
July 19, 2023 - Commentary
The problem with the '5 whys.'
Citation Text:
Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849.
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psnet.ahrq.gov/issue/interdisciplinary-team-training-identifies-discrepancies-institutional-policies-and-practices
November 26, 2012 - Study
Interdisciplinary team training identifies discrepancies in institutional policies and practices.
Citation Text:
Andreatta P, Frankel J, Smith SB, et al. Interdisciplinary team training identifies discrepancies in institutional policies and practices. Am J Obstet Gynecol. 2011;20…
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psnet.ahrq.gov/issue/content-analysis-team-communication-obstetric-emergency-scenario
July 13, 2009 - Study
Content analysis of team communication in an obstetric emergency scenario.
Citation Text:
Siassakos D, Draycott TJ, Montague I, et al. Content analysis of team communication in an obstetric emergency scenario. J Obstet Gynaecol. 2009;29(6):499-503. doi:10.1080/01443610903039153. …