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Abdominal pain in the emergency department: missed diagnoses. | PSNet

psnet.ahrq.gov/issue/abdominal-pain-emergency-department-missed-diagnoses

September 16, 2020 - Commentary Abdominal pain in the emergency department: missed diagnoses. Citation Text: Halsey-Nichols M, McCoin N. Abdominal pain in the emergency department: missed diagnoses. Emerg Med Clin North Am. 2021;39(4):703-717. doi:10.1016/j.emc.2021.07.005. Copy Citation Format: …

Patient safety in the operating room—part 1 and part 2. | PSNet

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October 19, 2022 - Review Patient safety in the operating room—part 1 and part 2. Citation Text: Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531. Copy Citation …

Increasing vigilance on the medical/surgical floor to improve patient safety. | PSNet

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January 18, 2011 - Study Increasing vigilance on the medical/surgical floor to improve patient safety. Citation Text: Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x. Copy Citation …

Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? | PSNet

psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna

March 12, 2025 - Study Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? Citation Text: Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …

Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. | PSNet

psnet.ahrq.gov/issue/perceived-factors-associated-sustained-improvement-following-participation-multicenter

November 20, 2019 - Study Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. Citation Text: Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Im…

A case of mistaken identity: staff input on patient ID errors. | PSNet

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March 27, 2024 - Study A case of mistaken identity: staff input on patient ID errors. Citation Text: Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d. Copy Citation Format: DOI Google …

Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital. | PSNet

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March 02, 2011 - Study Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital. Citation Text: Thomas AZ, Giri SK, Meagher D, et al. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training i…

Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet

psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit

September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. Citation Text: Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…

Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. | PSNet

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March 03, 2011 - Study Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large…

Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. | PSNet

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August 04, 2021 - Study Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Citation Text: Mcandrew RM, Grabowski DC, Dangi A, et al. Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting. Int J Qual Health Care. …

High-alert medications in the pediatric intensive care unit. | PSNet

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December 16, 2015 - Study High-alert medications in the pediatric intensive care unit. Citation Text: Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8. Copy Citation Format: DOI…

JAMA professionalism: disclosure of medical error. | PSNet

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December 19, 2018 - Commentary JAMA professionalism: disclosure of medical error. Citation Text: Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

Management of anesthesia equipment failure: a simulation-based resident skill assessment. | PSNet

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December 20, 2017 - Study Management of anesthesia equipment failure: a simulation-based resident skill assessment. Citation Text: Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2). doi:10.…

Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. | PSNet

psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and

February 27, 2019 - Study Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. Citation Text: Schwartzberg JG, Cowett A, VanGeest J, et al. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharma…

Incidence of medication errors and adverse drug events in the ICU: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-medication-errors-and-adverse-drug-events-icu-systematic-review

October 16, 2019 - Review Incidence of medication errors and adverse drug events in the ICU: a systematic review. Citation Text: Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc…

Identifying and reducing distractions and interruptions in a pharmacy department. | PSNet

psnet.ahrq.gov/issue/identifying-and-reducing-distractions-and-interruptions-pharmacy-department

August 22, 2015 - Study Identifying and reducing distractions and interruptions in a pharmacy department. Citation Text: Raimbault M, Guérin A, Caron E, et al. Identifying and reducing distractions and interruptions in a pharmacy department. Am J Health Syst Pharm. 2013;70(3):186, 188, 190. doi:10.2146/aj…

Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. | PSNet

psnet.ahrq.gov/issue/tell-me-how-pleased-you-are-your-workplace-and-i-will-tell-you-how-often-you-wash-your-hands

July 26, 2023 - Study Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Citation Text: Sholomovich L, Magnezi R. Tell me how pleased you are with your workplace, and I will tell you how often you wash your hands. Am J Infect Control. 2017;45(6):677-681. …

Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. | PSNet

psnet.ahrq.gov/issue/vaccination-errors-general-practice-creation-preventive-checklist-based-multimodal-analysis

July 08, 2020 - Study Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analysis of declared errors. Citation Text: Charles R, Vallée J, Tissot C, et al. Vaccination errors in general practice: creation of a preventive checklist based on a multimodal analys…

Physician understanding and ability to communicate harms and benefits of common medical treatments. | PSNet

psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments

September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…

The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. | PSNet

psnet.ahrq.gov/issue/patient-safety-leadership-academy-university-pennsylvania-first-cohorts-learning-experience

October 04, 2011 - Study The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. Citation Text: Wurster AB, Pearson K, Sonnad SS, et al. The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience…

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