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psnet.ahrq.gov/issue/defining-and-classifying-medical-error-lessons-patient-safety-reporting-systems
October 13, 2010 - Study
Defining and classifying medical error: lessons for patient safety reporting systems.
Citation Text:
Tamuz M, Thomas EJ, Franchois KE. Defining and classifying medical error: lessons for patient safety reporting systems. Qual Saf Health Care. 2004;13(1):13-20.
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psnet.ahrq.gov/issue/assessment-bias-patient-safety-reporting-systems-categorized-physician-gender-race-and
June 22, 2022 - Study
Assessment of bias in patient safety reporting systems categorized by physician gender, race and ethnicity, and faculty rank: a qualitative study.
Citation Text:
doi:https://doi.org/10.1001/jamanetworkopen.2022.13234.
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psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
June 28, 2023 - Study
Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital.
Citation Text:
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
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psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
February 01, 2023 - Study
Understanding complexity in a safety critical setting: a systems approach to medication administration.
Citation Text:
Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…
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psnet.ahrq.gov/issue/collaboration-between-pharmacists-physicians-and-nurse-practitioners-qualitative
November 16, 2022 - Study
Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Citation Text:
Makowsky MJ, Schindel TJ, Rosenthal M, et al. Collaboration between pharmacists, physicians and nurse pract…
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psnet.ahrq.gov/issue/health-care-huddles-managing-complexity-achieve-high-reliability
November 17, 2015 - Study
Health care huddles: managing complexity to achieve high reliability.
Citation Text:
Provost SM, Lanham H, Leykum LK, et al. Health care huddles: managing complexity to achieve high reliability. Health Care Manage Rev. 2015;40(1):2-12. doi:10.1097/HMR.0000000000000009.
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psnet.ahrq.gov/issue/examination-maternal-near-miss-experiences-hospital-setting-among-black-women-united-states
August 26, 2020 - Study
Examination of maternal near-miss experiences in the hospital setting among Black women in the United States.
Citation Text:
Byrd TE, Ingram LA, Okpara N. Examination of maternal near-miss experiences in the hospital setting among Black women in the United States. Womens Health (Lo…
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psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
March 17, 2021 - Study
Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek.
Citation Text:
Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…
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psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
June 22, 2010 - Commentary
Partnering to prevent falls: using a multimodal multidisciplinary team.
Citation Text:
Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a.
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psnet.ahrq.gov/issue/paediatric-early-warning-systems-detecting-and-responding-clinical-deterioration-children
January 26, 2022 - Review
Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review.
Citation Text:
Lambert V, Matthews A, MacDonell R, et al. Paediatric early warning systems for detecting and responding to clinical deterioration in children: …
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psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
February 10, 2012 - Study
The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units.
Citation Text:
Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…
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psnet.ahrq.gov/issue/retrospective-review-crisis-events-diagnostic-radiology-analysis-frequency-demographics
February 17, 2017 - Study
A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics, etiologies, and outcomes.
Citation Text:
Tindel MS, Darby JM, Simmons RL. A retrospective review of crisis events in diagnostic radiology: an analysis of frequency, demographics…
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psnet.ahrq.gov/issue/inappropriate-prescriptions-direct-oral-anticoagulants-doacs-hospitalized-patients-narrative
November 21, 2018 - Review
Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review.
Citation Text:
van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative…
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psnet.ahrq.gov/issue/untold-toll-pandemics-effects-patients-without-covid-19
August 02, 2015 - Commentary
Classic
The untold toll — the pandemic’s effects on patients without Covid-19.
Citation Text:
Rosenbaum L. The untold toll — the pandemic’s effects on patients without Covid-19. New Engl J Med. 2020;382(24):2368-2371. doi:10.1056/nejmms2009984.
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psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
October 25, 2023 - Commentary
Secure text messaging in healthcare: latent threats and opportunities to improve patient safety.
Citation Text:
Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…
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psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety-checklist
April 06, 2022 - Study
Relationship between psychological safety and reporting nonadherence to a safety checklist.
Citation Text:
Gilmartin HM, Langner P, Gokhale M, et al. Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. J Nurs Care Qual. 2018;33(1):53-60. doi:…
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psnet.ahrq.gov/issue/instruments-patient-safety-assessment-scoping-review
October 12, 2022 - Review
Instruments for patient safety assessment: a scoping review.
Citation Text:
Nunes E, Sirtoli F, Lima E, et al. Instruments for patient safety assessment: a scoping review. Healthcare. 2024;12(20):2075. doi:10.3390/healthcare12202075.
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psnet.ahrq.gov/issue/frontiers-measuring-structural-racism-and-its-health-effects
April 06, 2022 - Commentary
Frontiers in measuring structural racism and its health effects.
Citation Text:
Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978.
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psnet.ahrq.gov/issue/piece-my-mind-writing-wrong
January 24, 2024 - Commentary
A piece of my mind. Writing the wrong.
Citation Text:
Patel JJ. A PIECE OF MY MIND. Writing the Wrong. JAMA. 2015;314(7):671-2. doi:10.1001/jama.2015.5281.
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psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
November 17, 2010 - Study
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Citation Text:
Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber …