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Standardization in patient safety: the WHO High 5s project. | PSNet

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January 12, 2022 - Commentary Standardization in patient safety: the WHO High 5s project. Citation Text: Leotsakos A, Zheng H, Croteau R, et al. Standardization in patient safety: the WHO High 5s project. Int J Qual Health Care. 2014;26(2):109-16. doi:10.1093/intqhc/mzu010. Copy Citation Format: …

Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. | PSNet

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March 24, 2019 - Study Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. Citation Text: Jin Q, Chen F, Zhou Y, et al. Hidden flaws behind expert-level accuracy of multimodal GPT-4 vision in medicine. NPJ Dig Med. 2024;7(1):190. doi:10.1038/s41746-024-01185-7. Copy Citati…

Implementation of a mock root cause analysis to provide simulated patient safety training. | PSNet

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January 12, 2022 - Commentary Implementation of a mock root cause analysis to provide simulated patient safety training. Citation Text: Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-…

10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet

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April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…

The 80-hour work guidelines and resident survey perceptions of quality. | PSNet

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June 18, 2008 - Study The 80-hour work guidelines and resident survey perceptions of quality. Citation Text: Biller K, Antonacci AC, Pelletier S, et al. The 80-hour work guidelines and resident survey perceptions of quality. J Surg Res. 2006;135(2):275-81. Copy Citation Format: Google Sc…

Clinical reasoning assessment methods: a scoping review and practical guidance. | PSNet

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August 15, 2018 - Review Clinical reasoning assessment methods: a scoping review and practical guidance. Citation Text: Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618. C…

Quantitative assessment of workload and stressors in clinical radiation oncology. | PSNet

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October 21, 2015 - Study Quantitative assessment of workload and stressors in clinical radiation oncology. Citation Text: Mazur LM, Mosaly PR, Jackson M, et al. Quantitative assessment of workload and stressors in clinical radiation oncology. Int J Radiat Oncol Biol Phys. 2012;83(5):e571-6. doi:10.1016/j.i…

Using electronic health records to identify adverse drug events in ambulatory care: a systematic review. | PSNet

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May 04, 2012 - Review Using electronic health records to identify adverse drug events in ambulatory care: a systematic review. Citation Text: Feng C, Le D, McCoy AB. Using Electronic Health Records to Identify Adverse Drug Events in Ambulatory Care: A Systematic Review. Appl Clin Inform. 2019;10(1):123…

How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet

psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review

August 03, 2017 - Review How to perform a root cause analysis for workup and future prevention of medical errors: a review. Citation Text: Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…

Facing ambiguous threats. | PSNet

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December 24, 2008 - Commentary Facing ambiguous threats. Citation Text: Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. | PSNet

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March 13, 2013 - Commentary Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. Citation Text: Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…

Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. | PSNet

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April 24, 2018 - Study Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. Citation Text: Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Pati…

Clinical features and preventability of delayed diagnosis of pediatric appendicitis. | PSNet

psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis

September 13, 2023 - Study Clinical features and preventability of delayed diagnosis of pediatric appendicitis. Citation Text: Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4(8):e2122248. doi:10.1001/ja…

Using computerized virtual cases to explore diagnostic error in practicing physicians. | PSNet

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August 20, 2018 - Study Using computerized virtual cases to explore diagnostic error in practicing physicians. Citation Text: Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515…

Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. | PSNet

psnet.ahrq.gov/issue/journey-toward-high-reliability-comprehensive-safety-program-improve-quality-care-and-safety

September 19, 2017 - Study Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. Citation Text: Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to…

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet

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March 25, 2009 - Study Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. Citation Text: Freeth D, Ayida G, Berridge EJ, et al. Multidisciplinary obstetric simulated emergency scenarios (MOSES): p…

With money at risk, hospitals push staff to wash hands. | PSNet

psnet.ahrq.gov/issue/money-risk-hospitals-push-staff-wash-hands

May 18, 2022 - Newspaper/Magazine Article With money at risk, hospitals push staff to wash hands. Citation Text: Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Health…

High performance teamwork training and systems redesign in outpatient oncology. | PSNet

psnet.ahrq.gov/issue/high-performance-teamwork-training-and-systems-redesign-outpatient-oncology

November 16, 2022 - Study High performance teamwork training and systems redesign in outpatient oncology. Citation Text: Bunnell CA, Gross AH, Weingart SN, et al. High performance teamwork training and systems redesign in outpatient oncology. BMJ Qual Saf. 2013;22(5):405-13. doi:10.1136/bmjqs-2012-000948.…

Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. | PSNet

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January 23, 2017 - Study Intraoperative adverse events in abdominal surgery: what happens in the operating room does not stay in the operating room. Citation Text: Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in …

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…

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