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  1. The impact of incident disclosure behaviors on medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims
    September 27, 2023 - Study The impact of incident disclosure behaviors on medical malpractice claims. Citation Text: Giraldo P, Sato L, Castells X. The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. J Patient Saf. 2020;16(4):e-225-e229. doi:10.1097/PTS.0000000000000342. Copy Citatio…

  2. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
    November 16, 2022 - Study Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Citation Text: Kitterman JA, Kantanie S, Rocke DM, et al. Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva. Pediatrics. 2005;116(5):e654-61. Copy Citation …

  3. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. | PSNet

    psnet.ahrq.gov/issue/speaking-factors-and-issues-nurses-advocating-patients-when-patients-are-jeopardy
    April 28, 2021 - Commentary Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. Citation Text: Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.000000…

  4. Missed diagnoses by urologists resulting in malpractice payment. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
    November 21, 2021 - Study Missed diagnoses by urologists resulting in malpractice payment. Citation Text: Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9. Copy Citation Format: Google Scholar PubMed BibTeX End…

  5. The global burden of diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
    May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

  6. Medication governance: preventing errors and promoting patient safety. | PSNet

    psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting-patient-safety
    November 08, 2023 - Commentary Medication governance: preventing errors and promoting patient safety. Citation Text: Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. Copy Citation Format: DOI Goog…

  7. Placing Diagnosis Errors on the Policy Agenda. | PSNet

    psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
    October 31, 2014 - Book/Report Placing Diagnosis Errors on the Policy Agenda. Citation Text: Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014. Copy Citation Save Save…

  8. Improving patient safety by understanding past experiences in day surgery and PACU. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-understanding-past-experiences-day-surgery-and-pacu
    September 28, 2017 - Study Improving patient safety by understanding past experiences in day surgery and PACU. Citation Text: Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001. Copy Ci…

  9. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. | PSNet

    psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology-past-present-and-future
    January 14, 2014 - Commentary The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. Citation Text: Mellin-Olsen J, Staender S. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. Curr Opin Anaesthesiol. 2014;27(6):630-634. doi:…

  10. 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. | PSNet

    psnet.ahrq.gov/issue/skating-thin-ice-consultant-surgeons-contemporary-experience-adverse-surgical-events
    April 17, 2024 - Study 'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events. Citation Text: Skevington SM, Langdon JE, Giddins G. ‘Skating on thin ice?’ Consultant surgeon's contemporary experience of adverse surgical events. Psychol Health Med. 2011;17(1). doi…

  11. Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. | PSNet

    psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
    June 17, 2015 - Study Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. Citation Text: Hassen Y, Singh P, Pucher PH, et al. Identifying quality markers of a safe surgical ward: An interview study of patients, clinical staff, and admi…

  12. Escape Fire: Lessons for the Future of Health Care. | PSNet

    psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care
    July 05, 2008 - Book/Report Classic Escape Fire: Lessons for the Future of Health Care. Citation Text: Escape Fire: Lessons for the Future of Health Care. Berwick DM. Washington DC: Commonwealth Fund; 2002. Copy Citation Save Save to your library P…

  13. The contribution of nurses to incident disclosure: a narrative review. | PSNet

    psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review
    March 15, 2016 - Review The contribution of nurses to incident disclosure: a narrative review. Citation Text: Harrison R, Birks Y, Hall J, et al. The contribution of nurses to incident disclosure: a narrative review. Int J Nurs Stud. 2014;51(2):334-45. doi:10.1016/j.ijnurstu.2013.07.001. Copy Citatio…

  14. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  15. Pediatric emergency nurses self-reported medication safety practices. | PSNet

    psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
    March 03, 2019 - Study Pediatric emergency nurses self-reported medication safety practices. Citation Text: Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005. Copy Citation Format: …

  16. New technology for transfusion safety. | PSNet

    psnet.ahrq.gov/issue/new-technology-transfusion-safety
    September 09, 2020 - Commentary New technology for transfusion safety. Citation Text: Dzik WH. New technology for transfusion safety. Br J Haematol. 2006;136(2). doi:10.1111/j.1365-2141.2006.06373.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  17. Cardiac surgical ICU care: eliminating "preventable" complications. | PSNet

    psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
    August 04, 2021 - Review Cardiac surgical ICU care: eliminating "preventable" complications. Citation Text: Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124. Copy Citation Format: D…

  18. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. | PSNet

    psnet.ahrq.gov/issue/trigger-tool-fails-identify-serious-errors-and-adverse-events-pediatric-otolaryngology
    May 06, 2009 - Study A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Citation Text: Lander L, Roberson DW, Plummer KM, et al. A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology. Otolaryngol Head Neck Surg. 201…

  19. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. | PSNet

    psnet.ahrq.gov/issue/latency-ecg-displays-hospital-telemetry-systems-science-advisory-american-heart-association
    March 14, 2018 - Commentary Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association. Citation Text: Turakhia MP, Estes NAM, Drew BJ, et al. Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.…

  20. Information needs in operating room teams: what is right, what is wrong, and what is needed? | PSNet

    psnet.ahrq.gov/issue/information-needs-operating-room-teams-what-right-what-wrong-and-what-needed
    August 18, 2017 - Study Information needs in operating room teams: what is right, what is wrong, and what is needed? Citation Text: Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:1…
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