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Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

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January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

All CLEAR? Preparing for IT downtime. | PSNet

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November 16, 2022 - Commentary All CLEAR? Preparing for IT downtime. Citation Text: Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. | PSNet

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May 25, 2010 - Commentary Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. Citation Text: Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Aca…

Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. | PSNet

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April 03, 2013 - Study Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. Citation Text: Shaw KN, Ruddy RM, Olsen CS, et al. Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. Pediatrics. 2009;124(2):485-93. doi:10.…

Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. | PSNet

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January 31, 2018 - Award Recipient Reducing Avoidable Readmissions Effectively campaign: a statewide collaborative. Citation Text: McCoy KA, Bear-Pfaffendorf K, Foreman JK, et al. Reducing Avoidable Hospital Readmissions Effectively: A Statewide Campaign. Joint Comm J Qual Patient Saf. 2016;40(5):198-204,…

When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. | PSNet

psnet.ahrq.gov/issue/when-mistakes-multiply-how-inadequate-responses-medical-mishaps-erode-trust-american-medicine

April 24, 2019 - Commentary When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. Citation Text: Schlesinger M, Grob R. When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. Hastings Cent Rep. 2023;53(S2):s22-…

Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. | PSNet

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May 29, 2015 - Review Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. Citation Text: Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatm…

Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. | PSNet

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July 03, 2014 - Study Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. Citation Text: Mamede S, Splinter TAW, Van Gog T, et al. Exploring the role of salient distracting clinical features…

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. | PSNet

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May 23, 2013 - Study In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Citation Text: Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf…

A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. | PSNet

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May 25, 2011 - Study A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. Citation Text: Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications f…

Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. | PSNet

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January 29, 2015 - Commentary Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. Citation Text: Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. | PSNet

psnet.ahrq.gov/issue/preliminary-assessment-pediatric-health-care-quality-and-patient-safety-united-states-using

December 23, 2008 - Study Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. Citation Text: McDonald KM, Davies SM, Haberland CA, et al. Preliminary assessment of pediatric health care quality and patient safety in t…

Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. | PSNet

psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected-tumour-areas

April 21, 2021 - Study Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. Citation Text: Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. BJU Int. 2009;103(9):1184-9. d…

Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. | PSNet

psnet.ahrq.gov/issue/patient-safety-healthcare-preregistration-educational-curricula-multiple-case-study-based

January 19, 2014 - Study Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses. Citation Text: Cresswell K, Howe A, Steven A, et al. Patient safety in healthcare preregistratio…

Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis

August 28, 2024 - Study Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. Citation Text: Dunn EJ, Moga PJ. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis …

A family and hospital's journey and commitment to improving diagnostic safety. | PSNet

psnet.ahrq.gov/issue/family-and-hospitals-journey-and-commitment-improving-diagnostic-safety

July 06, 2022 - Commentary A family and hospital's journey and commitment to improving diagnostic safety. Citation Text: Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.…

The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet

psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process

April 12, 2019 - Commentary The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Citation Text: Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…

Impact of duty hour regulations on medical students' education: views of key clinical faculty. | PSNet

psnet.ahrq.gov/issue/impact-duty-hour-regulations-medical-students-education-views-key-clinical-faculty

May 20, 2019 - Study Impact of duty hour regulations on medical students' education: views of key clinical faculty. Citation Text: Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education: views of key clinical faculty. J Gen Intern Med. 2008;23(7):1084-9. …

A model for the departmental quality management infrastructure within an academic health system. | PSNet

psnet.ahrq.gov/issue/model-departmental-quality-management-infrastructure-within-academic-health-system

August 08, 2018 - Commentary A model for the departmental quality management infrastructure within an academic health system. Citation Text: Mathews SC, Demski R, Hooper JE, et al. A Model for the Departmental Quality Management Infrastructure Within an Academic Health System. Acad Med. 2017;92(5):608-613…

Computerised provider order entry and residency education in an academic medical centre. | PSNet

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June 09, 2015 - Study Computerised provider order entry and residency education in an academic medical centre. Citation Text: Wong BM, Kuper A, Robinson N, et al. Computerised provider order entry and residency education in an academic medical centre. Med Educ. 2012;46(8):795-806. doi:10.1111/j.1365-2…

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