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The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. | PSNet

psnet.ahrq.gov/issue/etiology-diagnostic-errors-controlled-trial-system-1-versus-system-2-reasoning

July 02, 2014 - Study The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. Citation Text: Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. | PSNet

psnet.ahrq.gov/issue/influence-organizational-context-quality-improvement-and-patient-safety-efforts-infection

May 08, 2017 - Study The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. Citation Text: Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and pat…

TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. | PSNet

psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient

November 18, 2009 - Review TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. Citation Text: Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatie…

Hospital workload and adverse events. | PSNet

psnet.ahrq.gov/issue/hospital-workload-and-adverse-events

August 31, 2011 - Study Classic Hospital workload and adverse events. Citation Text: Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. | PSNet

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July 07, 2021 - Review Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. Citation Text: Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. Copy Ci…

The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. | PSNet

psnet.ahrq.gov/issue/influence-context-effectiveness-hospital-quality-improvement-strategies-review-systematic

May 26, 2014 - Review The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. Citation Text: Kringos DS, Suñol R, Wagner C, et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of syst…

Interventions to improve hand hygiene compliance in the ICU: a systematic review. | PSNet

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January 23, 2019 - Review Interventions to improve hand hygiene compliance in the ICU: a systematic review. Citation Text: Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691. Copy Citation Form…

Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. | PSNet

psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient

January 26, 2022 - Commentary Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. Citation Text: John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…

Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet

psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias

November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…

Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. | PSNet

psnet.ahrq.gov/issue/video-analysis-factors-associated-response-time-physiologic-monitor-alarms-childrens-hospital

November 06, 2015 - Study Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. Citation Text: Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. J…

Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet

psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff

May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients and staff. Citation Text: Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. Copy…

Active-shooter response at a health care facility. | PSNet

psnet.ahrq.gov/issue/active-shooter-response-health-care-facility

January 18, 2012 - Commentary Active-shooter response at a health care facility. Citation Text: Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582. Copy Citation Format: DOI Google Scholar PubM…

Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. | PSNet

psnet.ahrq.gov/issue/delayed-flow-risk-patient-safety-mixed-method-analysis-emergency-department-patient-flow

May 13, 2009 - Study Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. Citation Text: Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54…

Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. | PSNet

psnet.ahrq.gov/issue/copy-paste-and-cloned-notes-electronic-health-records-prevalence-benefits-risks-and-best

October 19, 2022 - Review Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. Citation Text: Weis JM, Levy PC. Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations. …

Healthcare personnel attire in non–operating-room settings. | PSNet

psnet.ahrq.gov/issue/healthcare-personnel-attire-non-operating-room-settings

January 04, 2019 - Commentary Healthcare personnel attire in non–operating-room settings. Citation Text: Bearman G, Bryant K, Leekha S, et al. Healthcare personnel attire in non-operating-room settings. Infect Control Hosp Epidemiol. 2014;35(2):107-21. doi:10.1086/675066. Copy Citation Format: …

Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-orthopaedics-learning-and-teaching-same-time-aoa-critical-issues

July 16, 2015 - Review Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. Citation Text: Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(…

Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? | PSNet

psnet.ahrq.gov/issue/surgical-adverse-outcomes-and-patients-evaluation-quality-care-inherent-risk-or-reduced

March 22, 2011 - Study Surgical adverse outcomes and patients’ evaluation of quality of care: inherent risk or reduced quality of care? Citation Text: van de Mheen PJM-, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality…

Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. | PSNet

psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical

March 16, 2016 - Study Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. Citation Text: Mitchell RJ, Williamson A, Molesworth B. Use of a human factors classification framework to identify causal factors for me…

Lessons learned from medical malpractice claims involving critical care nurses. | PSNet

psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses

July 15, 2020 - Study Lessons learned from medical malpractice claims involving critical care nurses. Citation Text: Myers LC, Heard L, Mort E. Lessons learned from medical malpractice claims involving critical care nurses. Am J Crit Care. 2020;29(3):174-181. doi:10.4037/ajcc2020341. Copy Citation …

Attitudes and practices related to clinical alarms: a follow-up survey. | PSNet

psnet.ahrq.gov/issue/attitudes-and-practices-related-clinical-alarms-follow-survey

June 11, 2014 - Study Attitudes and practices related to clinical alarms: a follow-up survey. Citation Text: Ruppel H, Funk M, Clark T, et al. Attitudes and Practices Related to Clinical Alarms: A Follow-up Survey. Am J Crit Care. 2018;27(2):114-123. doi:10.4037/ajcc2018185. Copy Citation Format: …

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