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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…

The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. | PSNet

psnet.ahrq.gov/issue/top-six-standardized-safety-practices-us-army-medical-department-treatment-facilities

March 18, 2020 - Study The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. Citation Text: Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Car…

Shift change handovers and subsequent interruptions: potential impacts on quality of care. | PSNet

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February 04, 2009 - Study Shift change handovers and subsequent interruptions: potential impacts on quality of care. Citation Text: Estryn-Behar MR, Milanini-Magny G, Chaumon E, et al. Shift change handovers and subsequent interruptions: potential impacts on quality of care. J Patient Saf. 2014;10(1):29-44.…

The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. | PSNet

psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned

March 04, 2015 - Study The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. Citation Text: Kapadia SN, Abramson EL, Carter EJ, et al. The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the Uni…

Getting it right for patient safety: specimen collection process improvement from operating room to pathology. | PSNet

psnet.ahrq.gov/issue/getting-it-right-patient-safety-specimen-collection-process-improvement-operating-room

July 16, 2013 - Commentary Getting it right for patient safety: specimen collection process improvement from operating room to pathology. Citation Text: D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol.…

The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet

psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey

September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey. Citation Text: Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. Copy Citation …

Errare humanum est: frequency of laterality errors in radiology reports. | PSNet

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September 13, 2023 - Study Errare humanum est: frequency of laterality errors in radiology reports. Citation Text: Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. Copy Citatio…

American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. | PSNet

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September 23, 2020 - Study American College of Surgeons' Committee on Trauma performance improvement and patient safety program: maximal impact in a mature trauma center. Citation Text: Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma Performance Improvem…

Performance of a trigger tool for identifying adverse events in oncology. | PSNet

psnet.ahrq.gov/issue/performance-trigger-tool-identifying-adverse-events-oncology

May 23, 2018 - Study Performance of a trigger tool for identifying adverse events in oncology. Citation Text: Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. Copy Citatio…

Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. | PSNet

psnet.ahrq.gov/issue/using-assessment-reasoning-tool-facilitate-feedback-about-diagnostic-reasoning

February 23, 2022 - Study Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Citation Text: Cohen AL, Sur M, Falco C, et al. Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. Diagnosis (Berl). 2022;9(4):476-484. doi:10.1515/dx-20…

Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. | PSNet

psnet.ahrq.gov/issue/assessing-adverse-events-after-chiropractic-care-chiropractic-teaching-clinic-active

December 23, 2020 - Study Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. Citation Text: Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillanc…

Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. | PSNet

psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action

September 15, 2021 - Study Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Citation Text: Harris CK, Chen Y, Yarsky B, et al. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. Acad Pathol. 2022…

The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. | PSNet

psnet.ahrq.gov/issue/medical-emergency-team-system-and-not-resuscitation-orders-results-merit-study

June 02, 2010 - Study The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study. Citation Text: Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008;79(3):391-…

Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. | PSNet

psnet.ahrq.gov/issue/use-daily-goals-checklist-morning-icu-rounds-mixed-methods-study

November 21, 2021 - Study Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Citation Text: Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: a mixed-methods study. Crit Care Med. 2014;42(8):1797-803. doi:10.1097/CCM.0000000000000331. …

The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet

psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist

March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. Citation Text: Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…

Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. | PSNet

psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-fda-analysis-fda-adverse-event-reporting-system-2006

December 15, 2010 - Study Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. Citation Text: Sonawane KB, Cheng N, Hansen RA. Serious Adverse Drug Events Reported to the FDA: Analysis of the FDA Adverse Event Reporting System 2006-2014 Data…

Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. | PSNet

psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments

April 20, 2011 - Study Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. Citation Text: Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in Academic …

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…

A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. | PSNet

psnet.ahrq.gov/issue/hospital-not-just-factory-complex-adaptive-system-implications-perioperative-care

May 11, 2019 - Commentary A hospital is not just a factory, but a complex adaptive system—implications for perioperative care. Citation Text: Mahajan A, Islam SD, Schwartz MJ, et al. A Hospital Is Not Just a Factory, but a Complex Adaptive System-Implications for Perioperative Care. Anesth Analg. 2017;…

Rapidly increasing rapid response team activation rates. | PSNet

psnet.ahrq.gov/issue/rapidly-increasing-rapid-response-team-activation-rates

February 18, 2015 - Study Rapidly increasing rapid response team activation rates. Citation Text: Braaten JS, deGunst G, Bilys K. Rapidly Increasing Rapid Response Team Activation Rates. Jt Comm J Qual Patient Saf. 2015;41(9):421-427. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

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