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Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet

psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types

April 14, 2011 - Study Unit-based incident reporting and root cause analysis: variation at three hospital unit types. Citation Text: Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/…

Implementing medication reconciliation in outpatient pediatrics. | PSNet

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September 23, 2020 - Study Implementing medication reconciliation in outpatient pediatrics. Citation Text: Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. Copy Citation Format: …

Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. | PSNet

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September 04, 2016 - Study Separating residents' inpatient and outpatient responsibilities: improving patient safety, learning environments, and relationships with continuity patients. Citation Text: Bates CK, Yang J, Huang GC, et al. Separating Residents' Inpatient and Outpatient Responsibilities: Improving…

A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. | PSNet

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September 28, 2010 - Study A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. Citation Text: Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …

Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). | PSNet

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May 18, 2022 - Study Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). Citation Text: Gupta K, Lisker S, Rivadeneira NA, et al. Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM). BMJ Qual Saf. 2019;28(7):564-573.…

Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. | PSNet

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November 26, 2014 - Study Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. Citation Text: Rosen AK, Loveland SA, Romano PS, et al. Effects of resident duty hour reform on surgical and procedura…

Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. | PSNet

psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety

August 02, 2015 - Commentary Emerging Classic Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. Citation Text: Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10…

Understanding patient-centred readmission factors: a multi-site, mixed-methods study. | PSNet

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May 08, 2017 - Study Understanding patient-centred readmission factors: a multi-site, mixed-methods study. Citation Text: Greysen R, Harrison JD, Kripalani S, et al. Understanding patient-centred readmission factors: a multi-site, mixed-methods study. BMJ Qual Saf. 2017;26(1):33-41. doi:10.1136/bmjqs-2…

Discussion of medical errors in morbidity and mortality conferences. | PSNet

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August 04, 2015 - Study Classic Discussion of medical errors in morbidity and mortality conferences. Citation Text: Pierluissi E, Fischer M, Campbell AR, et al. Discussion of medical errors in morbidity and mortality conferences. JAMA. 2003;290(21):2838-2842. Copy Citation …

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. | PSNet

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August 02, 2010 - Study Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. Citation Text: Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescr…

Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). | PSNet

psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit

August 03, 2022 - Study Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). Citation Text: Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…

Work patterns and fatigue-related risk among junior doctors. | PSNet

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July 29, 2020 - Study Work patterns and fatigue-related risk among junior doctors. Citation Text: Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup Environ Med. 2007;64(11):733-8. Copy Citation Format: Google Scholar PubMed BibTeX En…

Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. | PSNet

psnet.ahrq.gov/issue/consensus-statement-effective-communication-urgent-diagnoses-and-significant-unexpected

November 16, 2022 - Organizational Policy/Guidelines Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. Cit…

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. | PSNet

psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled

July 02, 2014 - Study Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. Citation Text: Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. | PSNet

psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative-study

November 16, 2022 - Study 'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study. Citation Text: Watson J, Salisbury C, Whiting PF, et al. ‘I guess I’ll wait to hear’— communication of blood test results in primary care a qualitative study. Br J Gen Pract. 2022;…

Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. | PSNet

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October 11, 2023 - Study Hacking teamwork in health care: addressing adverse effects of ad hoc team composition in critical care medicine. Citation Text: McLeod PL, Cunningham QW, DiazGranados D, et al. Hacking teamwork in health care: Addressing adverse effects of ad hoc team composition in critical care …

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. | PSNet

psnet.ahrq.gov/issue/association-residency-work-hour-reform-long-term-quality-and-costs-care-us-physicians

June 21, 2016 - Study Association of residency work hour reform with long term quality and costs of care of US physicians: observational study. Citation Text: Jena AB, Farid M, Blumenthal D, et al. Association of residency work hour reform with long term quality and costs of care of US physicians: obser…

Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. | PSNet

psnet.ahrq.gov/issue/adverse-medication-events-related-hospitalization-united-states-comparison-between-adults

February 02, 2022 - Study Adverse medication events related to hospitalization in the United States: a comparison between adults with intellectual and developmental disabilities and those without. Citation Text: Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the Unite…

Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency

July 22, 2020 - Study Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. Citation Text: Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…

Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. | PSNet

psnet.ahrq.gov/issue/identifying-and-prioritizing-educational-content-malpractice-claims-database-clinical

September 20, 2023 - Study Identifying and prioritizing educational content from a malpractice claims database for clinical reasoning education in the vocational training of general practitioners. Citation Text: van Sassen CGM, van den Berg PJ, Mamede S, et al. Identifying and prioritizing educational conten…

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