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Autopsy as a quality control measure for radiology, and vice versa. | PSNet

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April 24, 2018 - Study Autopsy as a quality control measure for radiology, and vice versa. Citation Text: Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. Copy Citation Fo…

Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet

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June 01, 1989 - Study Classic Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. Citation Text: Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…

Electronic handoff instruments: a truly multidisciplinary tool? | PSNet

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September 26, 2012 - Study Electronic handoff instruments: a truly multidisciplinary tool? Citation Text: Schuster KM, Jenq GY, Thung SF, et al. Electronic handoff instruments: a truly multidisciplinary tool? J Am Med Inform Assoc. 2014;21(e2):e352-e357. doi:10.1136/amiajnl-2013-002361. Copy Citation F…

Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. | PSNet

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December 03, 2018 - Study Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. Citation Text: Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patie…

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. | PSNet

psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing

June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children. Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. | PSNet

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October 19, 2022 - Study Classic Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Citation Text: Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

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September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. | PSNet

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October 28, 2020 - Review The association between professional burnout and engagement with patient safety culture and outcomes: a systematic review. Citation Text: Mossburg SE, Himmelfarb CD. The Association Between Professional Burnout and Engagement With Patient Safety Culture and Outcomes: A Systematic …

Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. | PSNet

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October 21, 2020 - Study Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. Citation Text: Okafor NG, Doshi PB, Miller SK, et al. Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency de…

The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. | PSNet

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June 07, 2023 - Study The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Citation Text: Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Q…

Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. | PSNet

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December 23, 2008 - Study Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Citation Text: Robicsek A, Beaumont JL, Paule SM, et al. Universal surveillance for methicillin-resistant Staphylococcus aureus in 3 affiliated hospitals. Ann Intern Med. 2008;148(6)…

"Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. | PSNet

psnet.ahrq.gov/issue/please-describe-your-point-view-typical-case-error-palliative-care-qualitative-data

December 04, 2016 - Study "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. Citation Text: Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a …

Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. | PSNet

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September 23, 2020 - Commentary Executive summary of the American College of Obstetricians and Gynecologists Presidential Task Force on Patient Safety in the Office Setting: reinvigorating safety in office-based gynecologic surgery. Citation Text: Erickson TB, Kirkpatrick DH, DeFrancesco MS, et al. Executi…

Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. | PSNet

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April 30, 2014 - Study Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. Citation Text: Smits M, Janssen J, de Vet R, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and c…

Disclosing harmful mammography errors to patients. | PSNet

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November 03, 2015 - Study Disclosing harmful mammography errors to patients. Citation Text: Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. Copy Citation Format: DOI Google Scholar BibTeX EndN…

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. | PSNet

psnet.ahrq.gov/issue/error-reduction-and-performance-improvement-emergency-department-through-formal-teamwork

June 24, 2015 - Study Classic Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Citation Text: Morey JC, Simon R, Jay G, et al. Error reduction and performance improvement in t…

Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review

January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. | PSNet

psnet.ahrq.gov/issue/temporal-associations-between-ehr-derived-workload-burnout-and-errors-prospective-cohort

December 03, 2014 - Study Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. Citation Text: Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):21…

Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. | PSNet

psnet.ahrq.gov/issue/effects-racial-bias-pulse-oximetry-children-and-how-address-algorithmic-bias-clinical

May 08, 2017 - Commentary Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. Citation Text: Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA …

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. | PSNet

psnet.ahrq.gov/issue/characteristics-medication-errors-and-adverse-drug-events-hospitals-participating-california

July 13, 2010 - Study Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. Citation Text: Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals particip…

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