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Economic measurement of medical errors using a hospital claims database. | PSNet

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March 03, 2011 - Study Economic measurement of medical errors using a hospital claims database. Citation Text: David G, Gunnarsson CL, Waters HC, et al. Economic measurement of medical errors using a hospital claims database. Value Health. 2013;16(2):305-10. doi:10.1016/j.jval.2012.11.010. Copy Citati…

Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.' | PSNet

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June 22, 2016 - Commentary Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.' Citation Text: Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendat…

Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. | PSNet

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November 09, 2022 - Study Emergency department image interpretation accuracy: the influence of immediate reporting by radiology. Citation Text: Snaith B, Hardy M. Emergency department image interpretation accuracy: The influence of immediate reporting by radiology. Int Emerg Nurs. 2014;22(2):63-8. doi:10.10…

The association between organizational culture and the ability to benefit from "just culture" training. | PSNet

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August 04, 2021 - Study The association between organizational culture and the ability to benefit from "just culture" training. Citation Text: David DS. The Association Between Organizational Culture and the Ability to Benefit From "Just Culture" Training. J Patient Saf. 2019;15(1):e3-e7. doi:10.1097/PTS.…

Measurement of quality and assurance of safety in the critically ill. | PSNet

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March 21, 2012 - Commentary Measurement of quality and assurance of safety in the critically ill. Citation Text: Pronovost P, Sexton B, Pham JC, et al. Measurement of quality and assurance of safety in the critically ill. Clin Chest Med. 2009;30(1):169-79, x. doi:10.1016/j.ccm.2008.09.004. Copy Citat…

Medication errors—new approaches to prevention. | PSNet

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November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. | PSNet

psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional

February 01, 2003 - Commentary Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Citation Text: Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…

Fake it 'til you make it: pressures to measure up in surgical training. | PSNet

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October 25, 2023 - Study Emerging Classic Fake it 'til you make it: pressures to measure up in surgical training. Citation Text: Patel P, Martimianakis MA, Zilbert NR, et al. Fake It 'Til You Make It: Pressures to Measure Up in Surgical Training. Acad Med. 2018;93(5):769-774. doi:…

Rethinking medical ward quality. | PSNet

psnet.ahrq.gov/issue/rethinking-medical-ward-quality

November 03, 2015 - Commentary Rethinking medical ward quality. Citation Text: Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

Work system design for patient safety: the SEIPS model. | PSNet

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December 18, 2013 - Commentary Work system design for patient safety: the SEIPS model. Citation Text: Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842. Copy Citation Form…

Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). | PSNet

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January 03, 2017 - Study Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, valid…

HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. | PSNet

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December 16, 2009 - Book/Report HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016-2021. Citation Text: Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: A…

Understanding middle managers' influence in implementing patient safety culture. | PSNet

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March 24, 2012 - Commentary Understanding middle managers' influence in implementing patient safety culture. Citation Text: Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. Copy Citat…

Barriers and facilitators to nursing handoffs: recommendations for redesign. | PSNet

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January 22, 2016 - Study Barriers and facilitators to nursing handoffs: recommendations for redesign. Citation Text: Welsh CA, Flanagan ME, Ebright PR. Barriers and facilitators to nursing handoffs: Recommendations for redesign. Nurs Outlook. 2010;58(3):148-154. doi:10.1016/j.outlook.2009.10.005. Copy …

FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. | PSNet

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March 11, 2015 - Press Release/Announcement FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Citation Text: FDA Safety Communication: flexible bronchoscopes and updated recommendations for reprocessing. Silver Springs, MD: US Food and Drug Administration: Jun…

Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet

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January 08, 2025 - Review Exploring the barriers to learning from crisis: organizational learning and crisis. Citation Text: Smith D, Elliott D. Exploring the Barriers to Learning from Crisis. Manag Learn. 2007;38(5):519-538. doi:10.1177/1350507607083205. Copy Citation Format: DOI Google Sc…

Improving diagnostic decision support through deliberate reflection: a proposal. | PSNet

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September 23, 2020 - Commentary Improving diagnostic decision support through deliberate reflection: a proposal. Citation Text: Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. Copy Citation …

The limits of clinician vigilance as an AI safety bulwark. | PSNet

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September 07, 2022 - Commentary The limits of clinician vigilance as an AI safety bulwark. Citation Text: Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620. Copy Citation Format: DOI G…

The fallacy of a single diagnosis. | PSNet

psnet.ahrq.gov/issue/fallacy-single-diagnosis

October 05, 2022 - Study The fallacy of a single diagnosis. Citation Text: Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

Taking up the challenge to improve name and role recognition in the operating room. | PSNet

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July 12, 2023 - Review Taking up the challenge to improve name and role recognition in the operating room. Citation Text: Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.00000000000011…

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