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Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. | PSNet

psnet.ahrq.gov/issue/use-nondisclosure-agreements-medical-malpractice-settlements-large-academic-health-care

December 19, 2018 - Study Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. Citation Text: Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System. JAMA Intern Med. 20…

An observational study of adult admissions to a medical ICU due to adverse drug events. | PSNet

psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events

January 28, 2015 - Study An observational study of adult admissions to a medical ICU due to adverse drug events. Citation Text: Jolivot P-A, Pichereau C, Hindlet P, et al. An observational study of adult admissions to a medical ICU due to adverse drug events. Ann Intensive Care. 2016;6(1):9. doi:10.1186/s1…

Using inpatient hospital discharge data to monitor patient safety events. | PSNet

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March 02, 2011 - Study Using inpatient hospital discharge data to monitor patient safety events. Citation Text: Taylor JA, Pandian RS, Mao L, et al. Using inpatient hospital discharge data to monitor patient safety events. J Healthc Risk Manag. 2013;32(4):26-33. doi:10.1002/jhrm.21107. Copy Citation …

Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. | PSNet

psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology

June 28, 2023 - Commentary Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. Citation Text: Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and P…

Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. | PSNet

psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients

April 13, 2011 - Study Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. Citation Text: Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. Copy…

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. | PSNet

psnet.ahrq.gov/issue/improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized

November 17, 2014 - Study Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial. Citation Text: Weller JM, Torrie J, Boyd M, et al. Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized control…

A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. | PSNet

psnet.ahrq.gov/issue/comprehensive-program-reduce-rates-hospital-acquired-pressure-ulcers-system-community

May 12, 2021 - Study A comprehensive program to reduce rates of hospital-acquired pressure ulcers in a system of community hospitals. Citation Text: Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital-Acquired Pressure Ulcers in a System of Community Hospita…

A target to achieve zero preventable trauma deaths through quality improvement. | PSNet

psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement

March 03, 2011 - Study A target to achieve zero preventable trauma deaths through quality improvement. Citation Text: Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. Copy…

Who applies an intervention to influence cultural attributes in a quality improvement collaborative? | PSNet

psnet.ahrq.gov/issue/who-applies-intervention-influence-cultural-attributes-quality-improvement-collaborative

January 22, 2016 - Study Who applies an intervention to influence cultural attributes in a quality improvement collaborative? Citation Text: Hsu Y-J, Marsteller JA. Who Applies an Intervention to Influence Cultural Attributes in a Quality Improvement Collaborative? J Patient Saf. 2020;16(1):1-6. Copy Cit…

Active surveillance of vaccine safety: a system to detect early signs of adverse events. | PSNet

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March 29, 2010 - Study Active surveillance of vaccine safety: a system to detect early signs of adverse events. Citation Text: Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41. Copy Citation …

Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet

psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem

March 13, 2013 - Study Retained guidewires in the Veterans Health Administration: getting to the root of the problem. Citation Text: Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. d…

Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. | PSNet

psnet.ahrq.gov/issue/blood-bank-specimen-mislabeling-college-american-pathologists-q-probes-study-41333-blood-bank

November 16, 2022 - Study Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. Citation Text: Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American Pathologists Q-Probes Study of 41 333 …

Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. | PSNet

psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medication-safety-pediatrics-avoid-study

October 28, 2015 - Study Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Citation Text: Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res P…

Crew resource management in the intensive care unit: a prospective 3-year cohort study. | PSNet

psnet.ahrq.gov/issue/crew-resource-management-intensive-care-unit-prospective-3-year-cohort-study

August 10, 2022 - Study Crew resource management in the intensive care unit: a prospective 3-year cohort study. Citation Text: Haerkens MHTM, Kox M, Lemson J, et al. Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319-29. doi:10…

The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study. | PSNet

psnet.ahrq.gov/issue/impact-rapid-response-team-outcome-patients-transferred-ward-icu-single-center-study

May 27, 2011 - Study The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-center study. Citation Text: Karpman C, Keegan MT, Jensen J, et al. The impact of rapid response team on outcome of patients transferred from the ward to the ICU: a single-cent…

Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. | PSNet

psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity

March 17, 2014 - Study Emerging Classic Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. Citation Text: McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …

Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. | PSNet

psnet.ahrq.gov/issue/prevalence-triggers-and-patient-harm-identified-global-trigger-tool-specialized-palliative

June 14, 2023 - Study Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. Citation Text: Fredheim OMS, Klingenberg E, Lindahl AK. Prevalence of triggers and patient harm identified by Global Trigger Tool in specialized palliative care. J Palliat Med.…

Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. | PSNet

psnet.ahrq.gov/issue/parental-preferences-error-disclosure-reporting-and-legal-action-after-medical-error-care

May 24, 2010 - Study Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children. Citation Text: Hobgood C, Tamayo-Sarver JH, Elms A, et al. Parental preferences for error disclosure, reporting, and legal action after medical error in the c…

Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year

November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. | PSNet

psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism

April 03, 2024 - Commentary Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. Citation Text: Hochberg MS, Seib CD, Berman RS, et al. Perspective: Malpractice in an academic medical center: a frequently overlooked aspect of professionali…

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