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Cognitive bias impact on management of postoperative complications, medical error, and standard of care. | PSNet

psnet.ahrq.gov/issue/cognitive-bias-impact-management-postoperative-complications-medical-error-and-standard-care

March 09, 2022 - Study Cognitive bias impact on management of postoperative complications, medical error, and standard of care. Citation Text: Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. J Surg Res…

A human factors and survey methodology-based design of a web-based adverse event reporting system for families. | PSNet

psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system

January 12, 2012 - Study A human factors and survey methodology-based design of a web-based adverse event reporting system for families. Citation Text: Daniels JP, King AD, Cochrane D, et al. A human factors and survey methodology-based design of a web-based adverse event reporting system for families. Int…

Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. | PSNet

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August 23, 2023 - Study Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting. Citation Text: Lesselroth B, Adams S, Felder R, et al. Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty c…

CT for suspected appendicitis in children: an analysis of diagnostic errors. | PSNet

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August 20, 2018 - Study CT for suspected appendicitis in children: an analysis of diagnostic errors. Citation Text: Taylor GA, Callahan MJ, Rodriguez D, et al. CT for suspected appendicitis in children: an analysis of diagnostic errors. Pediatr Radiol. 2006;36(4):331-7. Copy Citation Format: …

The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. | PSNet

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December 21, 2022 - Study The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. Citation Text: Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department…

The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. | PSNet

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December 17, 2010 - Study The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. Citation Text: Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medi…

Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet

psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything

November 03, 2021 - Commentary Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Citation Text: Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. | PSNet

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November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. | PSNet

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March 24, 2021 - Study Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department. Citation Text: Etter R, Ludwig R, Lersch F, et al. Early prognostic value of the medical emergency team calling criteria in patients admitte…

Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. | PSNet

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April 24, 2018 - Study Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, cluster controlled, non-randomised trial. Citation Text: Pannick S, Athanasiou T, Long SJ, et al. Translating staff experience into organisational improvement: the HEADS-UP stepped wedge, clus…

Accidental deaths, saved lives, and improved quality. | PSNet

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February 04, 2015 - Commentary Classic Accidental deaths, saved lives, and improved quality. Citation Text: Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. C…

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. | PSNet

psnet.ahrq.gov/issue/coordinating-care-across-diseases-settings-and-clinicians-key-role-generalist-practice

July 01, 2020 - Review Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Citation Text: Stille CJ, Jerant A, Bell D, et al. Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice. Ann Intern Med. 2005…

Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

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December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. | PSNet

psnet.ahrq.gov/issue/improving-patient-safety-public-hospitals-developing-standard-measures-track-medical-errors

December 19, 2018 - Study Improving patient safety in public hospitals: developing standard measures to track medical errors and process breakdowns. Citation Text: Ackerman SL, Gourley G, Le G, et al. Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Proc…

Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet

psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream

May 24, 2012 - Commentary Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual…

User-centered collaborative design and development of an inpatient safety dashboard. | PSNet

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July 24, 2017 - Commentary User-centered collaborative design and development of an inpatient safety dashboard. Citation Text: Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685. do…

Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. | PSNet

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June 19, 2012 - Study Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors. Citation Text: Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An exploratory analysis of int…

Incidence and preventability of adverse events requiring intensive care admission: a systematic review. | PSNet

psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic

May 16, 2018 - Review Incidence and preventability of adverse events requiring intensive care admission: a systematic review. Citation Text: Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…

An intervention to decrease patient identification band errors in a children's hospital. | PSNet

psnet.ahrq.gov/issue/intervention-decrease-patient-identification-band-errors-childrens-hospital

October 06, 2016 - Study An intervention to decrease patient identification band errors in a children's hospital. Citation Text: Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qs…

Teaching quality improvement and patient safety to trainees: a systematic review. | PSNet

psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review

June 09, 2015 - Review Classic Teaching quality improvement and patient safety to trainees: a systematic review. Citation Text: Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…

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