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Reducing diagnostic errors—why now? | PSNet

psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now

July 28, 2014 - Commentary Classic Reducing diagnostic errors—why now? Citation Text: Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491-2493. doi:10.1056/NEJMp1508044. Copy Citation Format: DOI Google Scholar PubMed B…

Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/perioperative-team-based-morbidity-and-mortality-conferences-systematic-review-literature

November 29, 2023 - Review Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Citation Text: Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. …

Resident work hour limits and patient safety. | PSNet

psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety

July 03, 2014 - Study Classic Resident work hour limits and patient safety. Citation Text: Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. Copy Citation Format: Google Scholar…

Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. | PSNet

psnet.ahrq.gov/issue/engaging-frontline-staff-performance-improvement-american-organization-nurse-executives

February 13, 2008 - Study Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative. Citation Text: Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The A…

Detection and prevention of medication misadventures in general practice. | PSNet

psnet.ahrq.gov/issue/detection-and-prevention-medication-misadventures-general-practice

May 13, 2020 - Study Detection and prevention of medication misadventures in general practice. Citation Text: Tam KWT, Kwok KH, Fan YMC, et al. Detection and prevention of medication misadventures in general practice. Int J Qual Health Care. 2008;20(3):192-9. doi:10.1093/intqhc/mzn002. Copy Citatio…

Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. | PSNet

psnet.ahrq.gov/issue/realist-synthesis-intentional-rounding-hospital-wards-exploring-evidence-what-works-whom-what

March 01, 2023 - Review Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. Citation Text: Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what …

Rates of safety incident reporting in MRI in a large academic medical center. | PSNet

psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center

May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center. Citation Text: Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055. Copy…

Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. | PSNet

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May 21, 2019 - Commentary Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Citation Text: Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(…

Improvement of medication event interventions through use of an electronic database. | PSNet

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December 19, 2014 - Study Improvement of medication event interventions through use of an electronic database. Citation Text: Merandi J, Morvay S, Lewe D, et al. Improvement of medication event interventions through use of an electronic database. Am J Health Syst Pharm. 2013;70(19):1708-14. doi:10.2146/ajh…

Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting. | PSNet

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March 29, 2017 - Study Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting. Citation Text: Farag AA, Anthony MK. Examining the Relationship Among Ambulatory Surgical Settings Work Environment, Nurses' Characteristics, an…

A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet

psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient

April 03, 2005 - Commentary A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. Citation Text: Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…

What this computer needs is a physician: humanism and artificial intelligence. | PSNet

psnet.ahrq.gov/issue/what-computer-needs-physician-humanism-and-artificial-intelligence

June 21, 2016 - Commentary What this computer needs is a physician: humanism and artificial intelligence. Citation Text: Verghese A, Shah NH, Harrington RA. What This Computer Needs Is a Physician: Humanism and Artificial Intelligence. JAMA. 2018;319(1):19-20. doi:10.1001/jama.2017.19198. Copy Citatio…

Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. | PSNet

psnet.ahrq.gov/issue/introducing-new-junior-doctor-electronic-weekend-handover-orthopaedic-ward

May 31, 2017 - Commentary Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. Citation Text: Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. Copy C…

Characterising 'near miss' events in complex laparoscopic surgery through video analysis. | PSNet

psnet.ahrq.gov/issue/characterising-near-miss-events-complex-laparoscopic-surgery-through-video-analysis

October 09, 2013 - Study Characterising 'near miss' events in complex laparoscopic surgery through video analysis. Citation Text: Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjq…

Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. | PSNet

psnet.ahrq.gov/issue/using-situ-simulation-identify-latent-safety-threats-emergency-medicine-systematic-review

November 03, 2015 - Review Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Citation Text: Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi…

Resident hesitation in the operating room: does uncertainty equal incompetence? | PSNet

psnet.ahrq.gov/issue/resident-hesitation-operating-room-does-uncertainty-equal-incompetence

September 24, 2016 - Study Resident hesitation in the operating room: does uncertainty equal incompetence? Citation Text: Ott M, Schwartz A, Goldszmidt M, et al. Resident hesitation in the operating room: does uncertainty equal incompetence? Med Educ. 2018;52(8):851-860. doi:10.1111/medu.13530. Copy Citati…

Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). | PSNet

psnet.ahrq.gov/issue/measuring-patient-safety-medicare-patient-safety-monitoring-system-past-present-and-future

December 18, 2014 - Review Measuring patient safety: the Medicare Patient Safety Monitoring System (past, present, and future). Citation Text: Classen D, Munier W, Verzier N, et al. Measuring Patient Safety: The Medicare Patient Safety Monitoring System (Past, Present, and Future). J Patient Saf. 2021;17(3)…

Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. | PSNet

psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals

July 12, 2010 - Study Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Citation Text: Bishop MJ, Souders JE, Peterson CM, et al. Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals. Anesth Analg…

A model for the departmental quality management infrastructure within an academic health system. | PSNet

psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system

August 08, 2018 - Commentary A model for the departmental quality management infrastructure within an academic health system. Citation Text: Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…

Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. | PSNet

psnet.ahrq.gov/issue/patient-safety-error-reduction-and-pediatric-nurses-perceptions-smart-pump-technology

February 28, 2024 - Study Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. Citation Text: Mason JJ, Roberts-Turner R, Amendola V, et al. Patient safety, error reduction, and pediatric nurses' perceptions of smart pump technology. J Pediatr Nurs. 2014;29(2):143-51.…

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