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As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet

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December 19, 2012 - Commentary As she lay dying: how I fought to stop medical errors from killing my mom. Citation Text: Welch JR. As she lay dying: how I fought to stop medical errors from killing my mom. Health Aff (Millwood). 2012;31(12):2817-2820. doi:10.1377/hlthaff.2012.0833. Copy Citation For…

Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. | PSNet

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June 28, 2017 - Commentary Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites. Citation Text: Cook J, D'Amato C, Garrett G, et al. Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, a…

Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. | PSNet

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October 26, 2022 - Study Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Citation Text: Finney RE, Jacob AK. Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events. Adv …

"Everybody makes mistakes": children's views on medical errors and disclosure. | PSNet

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March 20, 2019 - Study "Everybody makes mistakes": children's views on medical errors and disclosure. Citation Text: Koller D, Binder MJ, Alexander S, et al. "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure. J Ped Nurs. 2019;49:1-9. doi:10.1016/j.pedn.2019.07.014. Copy Cita…

Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. | PSNet

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February 04, 2016 - Study Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. Citation Text: McVeigh TP, Waters PS, Murphy R, et al. Increasing reporting of adverse events to improve the educational value of the morbidity and mortality confere…

Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. | PSNet

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October 26, 2016 - Book/Report Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final Report. Citation Text: Developing and Testing the Health Care Safety Hotline: A Prototype Consumer Reporting System for Patient Safety Events. Final R…

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. | PSNet

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November 18, 2020 - Study Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Citation Text: Synan LT, Eid MA, Lamb CR, et al. Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety. Surgery. 2021;170(3):764-768. doi:10.10…

New U.S. health crisis looms as patients without COVID-19 delay care. | PSNet

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July 29, 2020 - Newspaper/Magazine Article New U.S. health crisis looms as patients without COVID-19 delay care. Citation Text: Bernstein S. New U.S. health crisis looms as patients without COVID-19 delay care. Reuters. 2020;July 13. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet

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October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department. Citation Text: Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …

The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet

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April 12, 2019 - Commentary The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Citation Text: Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…

Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. | PSNet

psnet.ahrq.gov/issue/use-multidisciplinary-rounds-simultaneously-improve-quality-outcomes-enhance-resident

December 18, 2014 - Study Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. Citation Text: O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident e…

Design and implementation of an ICU incident registry. | PSNet

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February 14, 2024 - Study Design and implementation of an ICU incident registry. Citation Text: van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. | PSNet

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February 18, 2011 - Study Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project. Citation Text: Blegen MA, Sehgal NL, Alldredge BK, et al. Improving safety culture on adult medical units through multidisciplinary teamwork and c…

Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. | PSNet

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November 07, 2011 - Study Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. Citation Text: Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patie…

Defining speaking up in the healthcare system: a systematic review. | PSNet

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September 27, 2023 - Review Defining speaking up in the healthcare system: a systematic review. Citation Text: Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0. Copy Citation Forma…

Using a logic model to design and evaluate quality and patient safety improvement programs. | PSNet

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November 10, 2010 - Commentary Using a logic model to design and evaluate quality and patient safety improvement programs. Citation Text: Goeschel CA, Weiss WM, Pronovost P. Using a logic model to design and evaluate quality and patient safety improvement programs. Int J Qual Health Care. 2012;24(4):330-7. …

Delayed medical emergency team calls and associated outcomes. | PSNet

psnet.ahrq.gov/issue/delayed-medical-emergency-team-calls-and-associated-outcomes

October 13, 2018 - Study Delayed medical emergency team calls and associated outcomes. Citation Text: Boniatti MM, Azzolini N, Viana M, et al. Delayed medical emergency team calls and associated outcomes. Crit Care Med. 2014;42(1):26-30. doi:10.1097/CCM.0b013e31829e53b9. Copy Citation Format: …

Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

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May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. | PSNet

psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported-paediatric-medication

July 01, 2016 - Study The relationship between the nursing work environment and the occurrence of reported paediatric medication administration errors: a pan Canadian study. Citation Text: Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between the Nursing Work Environment and the Occurr…

Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. | PSNet

psnet.ahrq.gov/issue/explaining-unexplainable-impact-physicians-attitude-towards-litigation-their-incident

March 26, 2014 - Study Explaining the unexplainable—the impact of physicians' attitude towards litigation on their incident disclosure behaviour. Citation Text: Renkema E, Broekhuis MH, Ahaus K. Explaining the unexplainable - the impact of physicians' attitude towards litigation on their incident disclos…

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