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Root cause analysis of ambulatory adverse drug events that present to the emergency department. | PSNet

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April 25, 2016 - Study Root cause analysis of ambulatory adverse drug events that present to the emergency department. Citation Text: Gertler SA, Coralic Z, Lopez A, et al. Root Cause Analysis of Ambulatory Adverse Drug Events That Present to the Emergency Department. J Patient Saf. 2014;12(3). doi:10.10…

Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. | PSNet

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September 10, 2014 - Commentary Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Citation Text: Kukreti V, Gaiteiro R, Mohseni-Bod H. Implementation of a pediatric rapid response team: experience of the Hospital for Sick Children in Toronto. Indian …

Types and patterns of safety concerns in home care: client and family caregiver perspectives. | PSNet

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December 29, 2014 - Study Types and patterns of safety concerns in home care: client and family caregiver perspectives. Citation Text: Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):21…

Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. | PSNet

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August 04, 2021 - Study Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. Citation Text: Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilita…

Liability impact of the hospitalist model of care. | PSNet

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July 09, 2018 - Study Liability impact of the hospitalist model of care. Citation Text: Schaffer A, Puopolo AL, Raman S, et al. Liability impact of the hospitalist model of care. J Hosp Med. 2014;9(12):750-5. doi:10.1002/jhm.2244. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

Missed opportunities in the primary care management of early acute ischemic heart disease. | PSNet

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January 08, 2016 - Study Missed opportunities in the primary care management of early acute ischemic heart disease. Citation Text: Sequist TD, Marshall R, Lampert S, et al. Missed opportunities in the primary care management of early acute ischemic heart disease. Arch Intern Med. 2006;166(20):2237-43. …

Teaching a 'good' ward round. | PSNet

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October 28, 2020 - Commentary Teaching a 'good' ward round. Citation Text: Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet

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June 19, 2019 - Study Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. Citation Text: Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…

Hospital patients' reports of medical errors and undesirable events in their health care. | PSNet

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July 06, 2012 - Study Hospital patients' reports of medical errors and undesirable events in their health care. Citation Text: Davis R, Sevdalis N, Neale G, et al. Hospital patients' reports of medical errors and undesirable events in their health care. J Eval Clin Pract. 2013;19(5):875-81. doi:10.11…

Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

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July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

Using implementation safety indicators for CPOE implementation. | PSNet

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August 04, 2021 - Study Using implementation safety indicators for CPOE implementation. Citation Text: Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. | PSNet

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April 14, 2011 - Study Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. Citation Text: Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety Agency's guidan…

Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. | PSNet

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April 30, 2008 - Study Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective survey. Citation Text: Borowitz SM, Waggoner-Fountain LA, Bass EJ, et al. Adequacy of information transferred at resident sign-out (in-hospital handover of care): a prospective …

Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. | PSNet

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February 02, 2022 - Study Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. Citation Text: Jenkins RC, Smillov AE, Goodwin MA. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. J Healthc Risk Manag. 2014;33(4):15-22. doi:10.1002/j…

The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. | PSNet

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August 03, 2022 - Study The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Citation Text: Hall AJ, Toner NS, Bhatt PM. The introduction of a Neurosurgical Postoperative Checklist improved quality of care and patient safety. Br J Neurosurg. 2019;33(5):4…

Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. | PSNet

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September 23, 2020 - Commentary Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. Citation Text: Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an …

Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

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March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

What can apologies in the electronic health record tell us about health care quality, processes, and safety? | PSNet

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November 18, 2016 - Study What can apologies in the electronic health record tell us about health care quality, processes, and safety? Citation Text: Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e1…

Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. | PSNet

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March 27, 2024 - Study Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Citation Text: Marshall HS, Milikowski C. Comparison of clinical diagnoses and autopsy findings: six-year retrospective study. Arch Pathol Lab Med. 2017;141(9):1262-1266. doi:10.5858/arpa.2016-0488…

Use of failure mode and effects analysis to improve emergency department handoff processes. | PSNet

psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes

October 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department handoff processes. Citation Text: Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…

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