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Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. | PSNet

psnet.ahrq.gov/issue/simulation-based-assessment-identifies-longitudinal-changes-cognitive-skills-anesthesiology

August 11, 2021 - Study Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. Citation Text: Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesth…

Patient harm events and associated cost outcomes reported to a patient safety organization. | PSNet

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July 18, 2017 - Study Patient harm events and associated cost outcomes reported to a patient safety organization. Citation Text: Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.00000000…

Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. | PSNet

psnet.ahrq.gov/issue/quantitative-analysis-content-ems-handoff-critically-ill-and-injured-patients-emergency

August 04, 2021 - Study Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. Citation Text: Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergen…

A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. | PSNet

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May 12, 2021 - Study A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. Citation Text: Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community Hospita…

Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. | PSNet

psnet.ahrq.gov/issue/use-design-thinking-and-human-factors-approach-improve-situation-awareness-pediatric

January 19, 2022 - Study Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit. Citation Text: Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive c…

Improving the quality of drug error reporting. | PSNet

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December 21, 2016 - Study Improving the quality of drug error reporting. Citation Text: Armitage G, Newell R, Wright J. Improving the quality of drug error reporting. J Eval Clin Pract. 2010;16(6):1189-97. doi:10.1111/j.1365-2753.2009.01293.x. Copy Citation Format: DOI Google Scholar PubMed …

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay. | PSNet

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June 02, 2021 - Study Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay. Citation Text: McCarthy BC, Tuiskula KA, Driscoll TP, et al. Medication errors resulting in harm: Using chargemaster data to determine association …

Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. | PSNet

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August 14, 2017 - Commentary Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/147…

Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. | PSNet

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August 18, 2021 - Study Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. Citation Text: Jackson EJ, Moreton A. Safety during night shifts: a cross-sectional survey of junior doctors' preparation and practice. BMJ Open. 2013;3(9):e003567. doi:10.1136/bmjope…

Pathologists' perspectives on disclosing harmful pathology error. | PSNet

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January 22, 2020 - Study Pathologists' perspectives on disclosing harmful pathology error. Citation Text: Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. Copy Citation …

Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. | PSNet

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May 31, 2023 - Study Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. Citation Text: Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative study at Truman VA medical center. J Healthc Risk Manag. 2…

A human right-based approach to dealing with adverse events in residential care facilities. | PSNet

psnet.ahrq.gov/issue/human-right-based-approach-dealing-adverse-events-residential-care-facilities

May 27, 2011 - Study A human right-based approach to dealing with adverse events in residential care facilities. Citation Text: McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128. Copy Citatio…

Human error, not communication and systems, underlies surgical complications. | PSNet

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November 18, 2020 - Study Human error, not communication and systems, underlies surgical complications. Citation Text: Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. C…

The evolving literature on safety WalkRounds: emerging themes and practical messages. | PSNet

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February 25, 2015 - Commentary The evolving literature on safety WalkRounds: emerging themes and practical messages. Citation Text: Singer SJ, Tucker AL. The evolving literature on safety WalkRounds: emerging themes and practical messages: Table 1. BMJ Qual Saf. 2014;23(10). doi:10.1136/bmjqs-2014-003416. …

Development of a trigger tool to identify adverse events and harm in emergency medical services. | PSNet

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August 07, 2024 - Study Development of a trigger tool to identify adverse events and harm in emergency medical services. Citation Text: Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…

Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers. | PSNet

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October 12, 2022 - Study Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers. Citation Text: Tariq MB, Ali I, Salazar‐Marioni S, et al. Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stro…

Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes. | PSNet

psnet.ahrq.gov/issue/cracking-code-quality-interrelationships-culture-nurse-demographics-advocacy-and-patient

December 01, 2011 - Study Cracking the code for quality: the interrelationships of culture, nurse demographics, advocacy, and patient outcomes. Citation Text: DiCuccio MH, Colbert AM, Triolo PK, et al. Cracking the Code for Quality. J Nurs Admin. 2020;50(3):152-158. doi:10.1097/nna.0000000000000859. Copy …

A national patient safety curriculum in pediatric emergency medicine. | PSNet

psnet.ahrq.gov/issue/national-patient-safety-curriculum-pediatric-emergency-medicine

January 12, 2022 - Study A national patient safety curriculum in pediatric emergency medicine. Citation Text: Stankovic C, Wolff M, Chang TP, et al. A National Patient Safety Curriculum in Pediatric Emergency Medicine. Pediatr Emerg Care. 2019;35(8):519-521. doi:10.1097/PEC.0000000000001533. Copy Citatio…

A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. | PSNet

psnet.ahrq.gov/issue/systems-approach-evaluating-ionizing-radiation-six-focus-areas-improve-quality-efficiency-and

March 14, 2016 - Commentary A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety. Citation Text: Perlin JB, Mower L, Bushe C. A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient…

Adolescents identifying errors and omissions in their electronic health records: a national survey. | PSNet

psnet.ahrq.gov/issue/adolescents-identifying-errors-and-omissions-their-electronic-health-records-national-survey

December 08, 2021 - Study Adolescents identifying errors and omissions in their electronic health records: a national survey. Citation Text: Hagström J, Blease CR, Kharko A, et al. Adolescents identifying errors and omissions in their electronic health records: a national survey. Stud Health Technol Inform.…

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