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Developing, implementing, evaluating electronic apparent cause analysis across a health care system. | PSNet

psnet.ahrq.gov/issue/developing-implementing-evaluating-electronic-apparent-cause-analysis-across-health-care

February 07, 2018 - Study Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Citation Text: Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2…

Human centered design workshops as a meta-solution to diagnostic disparities. | PSNet

psnet.ahrq.gov/issue/human-centered-design-workshops-meta-solution-diagnostic-disparities

July 31, 2024 - Study Human centered design workshops as a meta-solution to diagnostic disparities. Citation Text: Wiegand AA, Dukhanin V, Sheikh T, et al. Human centered design workshops as a meta-solution to diagnostic disparities. Diagnosis (Berl). 2022;9(4):458-467. doi:10.1515/dx-2022-0025. Copy …

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. | PSNet

psnet.ahrq.gov/issue/racial-and-ethnic-bias-diagnosis-alcohol-use-disorder-veterans

September 23, 2020 - Study Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Citation Text: Vickers-Smith R, Justice AC, Becker WC, et al. Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans. Am J Psych. 2023;180(6):426-436. doi:10.1176/appi.ajp.21111097. …

Racial/ethnic inequities in pregnancy-related morbidity and mortality. | PSNet

psnet.ahrq.gov/issue/racialethnic-inequities-pregnancy-related-morbidity-and-mortality

August 10, 2022 - Commentary Emerging Classic Racial/ethnic inequities in pregnancy-related morbidity and mortality. Citation Text: Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and mortality. Obstet Gynecol Clin North Am. 2021;…

Pediatric trainee perspectives on the decision to disclose medical errors. | PSNet

psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors

April 27, 2022 - Study Pediatric trainee perspectives on the decision to disclose medical errors. Citation Text: Lin M, Horwitz LI, Gross RS, et al. Pediatric trainee perspectives on the decision to disclose medical errors. J Patient Saf. 2022;18(2):e470-e476. doi:10.1097/pts.0000000000000848. Copy Cit…

Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. | PSNet

psnet.ahrq.gov/issue/early-impact-2011-acgme-duty-hour-regulations-surgical-outcomes

May 01, 2015 - Study Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. Citation Text: Scally CP, Ryan AM, Thumma JR, et al. Early impact of the 2011 ACGME duty hour regulations on surgical outcomes. Surgery. 2015;158(6):1453-61. doi:10.1016/j.surg.2015.05.002. Copy Citation …

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. | PSNet

psnet.ahrq.gov/issue/effects-duty-hour-restrictions-core-competencies-education-quality-life-and-burnout-among

December 21, 2014 - Study Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. Citation Text: Antiel RM, Reed DA, Van Arendonk K, et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout a…

Resident fatigue: is there a patient safety issue? | PSNet

psnet.ahrq.gov/issue/resident-fatigue-there-patient-safety-issue

February 03, 2010 - Study Resident fatigue: is there a patient safety issue? Citation Text: Mitchell CD, Mooty CR, Dunn EL, et al. Resident fatigue: is there a patient safety issue? Am J Surg. 2009;198(6):811-6. doi:10.1016/j.amjsurg.2009.04.028. Copy Citation Format: DOI Google Scholar PubM…

Creating champions for health care quality and safety. | PSNet

psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety

August 04, 2021 - Study Creating champions for health care quality and safety. Citation Text: Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. Copy Citation Format: DOI Google S…

Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet

psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events

September 01, 2021 - Commentary Classic Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. Citation Text: Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J G…

Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. | PSNet

psnet.ahrq.gov/issue/who-gets-benefit-doubt-performance-evaluations-medical-errors-and-production-gender

May 01, 2012 - Study Who gets the benefit of the doubt? Performance evaluations, medical errors, and the production of gender inequality in emergency medical education. Citation Text: Brewer A, Osborne M, Mueller AS, et al. Who Gets the Benefit of the Doubt? Performance Evaluations, Medical Errors, an…

The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. | PSNet

psnet.ahrq.gov/issue/henry-ford-production-system-reduction-surgical-pathology-process-misidentification-defects

July 16, 2013 - Study The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. Citation Text: Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-p…

Information handoff and outcomes of critically ill patients transferred between hospitals. | PSNet

psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between-hospitals

July 18, 2016 - Study Information handoff and outcomes of critically ill patients transferred between hospitals. Citation Text: Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.20…

A survey of hospital quality improvement activities. | PSNet

psnet.ahrq.gov/issue/survey-hospital-quality-improvement-activities

January 27, 2019 - Study A survey of hospital quality improvement activities. Citation Text: Cohen AB, Restuccia JD, Shwartz M, et al. A survey of hospital quality improvement activities. Med Care Res Rev. 2008;65(5):571-95. doi:10.1177/1077558708318285. Copy Citation Format: DOI Google Sch…

Increasing patient safety event reporting in an emergency medicine residency. | PSNet

psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-emergency-medicine-residency

August 04, 2021 - Commentary Increasing patient safety event reporting in an emergency medicine residency. Citation Text: Steen S, Jaeger C, Price L, et al. Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u223876.w5716. …

Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? | PSNet

psnet.ahrq.gov/issue/use-paediatric-early-warning-systems-great-britain-has-there-been-change-practice-last-7

September 23, 2020 - Study Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 years? Citation Text: Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there been a change of practice in the last 7 yea…

First-year analysis of the Operating Room Black Box study. | PSNet

psnet.ahrq.gov/issue/first-year-analysis-operating-room-black-box-study

October 16, 2019 - Study Emerging Classic First-year analysis of the Operating Room Black Box study. Citation Text: Jung JJ, Jüni P, Lebovic G, et al. First-year Analysis of the Operating Room Black Box Study. Ann Surg. 2020;271(1):122-127. doi:10.1097/SLA.0000000000002863. Copy…

A new, evidence-based estimate of patient harms associated with hospital care. | PSNet

psnet.ahrq.gov/issue/new-evidence-based-estimate-patient-harms-associated-hospital-care

October 19, 2022 - Review A new, evidence-based estimate of patient harms associated with hospital care. Citation Text: James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. Copy Citation Format: …

Transforming team performance through reimplementation of the surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/transforming-team-performance-through-reimplementation-surgical-safety-checklist

March 09, 2022 - Study Transforming team performance through reimplementation of the surgical safety checklist. Citation Text: Etheridge JC, Moyal-Smith R, Yong TT, et al. Transforming team performance through reimplementation of the surgical safety checklist. JAMA Surg. 2024;159(1):78-86. doi:10.1001/ja…

House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. | PSNet

psnet.ahrq.gov/issue/house-staff-team-workload-and-organization-effects-patient-outcomes-academic-general-internal

February 24, 2011 - Study House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. Citation Text: Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient outcomes in an academic general in…

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