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Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. | PSNet

psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes

January 15, 2025 - Study Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. Citation Text: Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):…

Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet

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July 07, 2021 - Study Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Citation Text: Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. do…

Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study. | PSNet

psnet.ahrq.gov/issue/contextual-factors-influencing-implementation-multifaceted-intervention-improve-teamwork-and

November 15, 2023 - Study Contextual factors influencing the implementation of a multifaceted intervention to improve teamwork and quality for hospitalized patients: a multi-site qualitative comparative case study. Citation Text: Terwilliger IA, Johnson JK, Manojlovich M, et al. Contextual Factors Influenci…

Families’ experiences of central-line infection in children: a qualitative study. | PSNet

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July 29, 2020 - Study Families’ experiences of central-line infection in children: a qualitative study. Citation Text: Soto C, Dixon-Woods M, Tarrant C. Families’ experiences of central-line infection in children: a qualitative study. Arch Dis Child. 2022;107(11):1038-1042. doi:10.1136/archdischild-2022…

It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. | PSNet

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December 02, 2020 - Study It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. Citation Text: Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…

Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet

psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes

March 25, 2017 - Study Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. Citation Text: Patel E, Muthusamy V, Young JQ. Delivering on the Promise of CLER: A Patient Safety Rotation That Aligns Resident Education With Hospital Processes. A…

Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. | PSNet

psnet.ahrq.gov/issue/patients-negative-experiences-health-care-settings-brought-light-formal-complaints

July 21, 2021 - Review Patients' negative experiences with health care settings brought to light by formal complaints: a qualitative metasynthesis. Citation Text: Eriksen AA, Fegran L, Fredwall TE, et al. Patients' negative experiences with health care settings brought to light by formal complaints: a q…

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. | PSNet

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June 08, 2011 - Special or Theme Issue Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Citation Text: Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety. Shekelle PG, Pronovost…

Exploring perinatal shift-to-shift handover communication and process: an observational study. | PSNet

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April 04, 2018 - Study Exploring perinatal shift-to-shift handover communication and process: an observational study. Citation Text: Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166…

Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. | PSNet

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November 03, 2015 - Study Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Changes in adverse event rates in hospitals over time: a longitudinal retrospective patient record review s…

Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. | PSNet

psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals

March 18, 2013 - Study Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe pati…

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. | PSNet

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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 …

Reflecting on diagnostic errors: taking a second look is not enough. | PSNet

psnet.ahrq.gov/issue/reflecting-diagnostic-errors-taking-second-look-not-enough

September 26, 2016 - Study Reflecting on diagnostic errors: taking a second look is not enough. Citation Text: Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4. Copy Citation …

What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. | PSNet

psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective

March 18, 2013 - Study What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. Citation Text: Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retr…

Views of children, parents, and health-care providers on pediatric disclosure of medical errors. | PSNet

psnet.ahrq.gov/issue/views-children-parents-and-health-care-providers-pediatric-disclosure-medical-errors

April 08, 2020 - Study Views of children, parents, and health-care providers on pediatric disclosure of medical errors. Citation Text: Koller D, Espin S. Views of children, parents, and health-care providers on pediatric disclosure of medical errors. J Child Health Care. 2018;22(4):577-590. doi:10.1177/1…

Handoff strategies in settings with high consequences for failure: lessons for health care operations. | PSNet

psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations

March 14, 2018 - Study Classic Handoff strategies in settings with high consequences for failure: lessons for health care operations. Citation Text: Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual …

Predictors of medication errors among elderly hospital patients. | PSNet

psnet.ahrq.gov/issue/predictors-medication-errors-among-elderly-hospital-patients

September 23, 2020 - Study Predictors of medication errors among elderly hospital patients. Citation Text: Picone DM, Titler MG, Dochterman J, et al. Predictors of medication errors among elderly hospitalized patients. Am J Med Qual. 2008;23(2):115-127. doi:10.1177/1062860607313143. Copy Citation For…

Analysis of patient safety risk management call data during the COVID‐19 pandemic. | PSNet

psnet.ahrq.gov/issue/analysis-patient-safety-risk-management-call-data-during-covid-19-pandemic

February 16, 2022 - Study Analysis of patient safety risk management call data during the COVID‐19 pandemic. Citation Text: Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID‐19 pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457. Copy Citati…

Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. | PSNet

psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal

July 29, 2020 - Study Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Citation Text: Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…

Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. | PSNet

psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade

February 24, 2011 - Study Classic Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Citation Text: Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cas…

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