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Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet

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October 19, 2016 - Commentary Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. Citation Text: Charles R, Hood B, DeRosier JM, et al. Root Cause Analysis and Actions for the Prevention of Medical Errors: Quality Improvement and Resident Educat…

Gaps in ambulatory patient safety for immunosuppressive specialty medications. | PSNet

psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications

November 19, 2018 - Study Gaps in ambulatory patient safety for immunosuppressive specialty medications. Citation Text: Patterson S, Schmajuk G, Evans M, et al. Gaps in Ambulatory Patient Safety for Immunosuppressive Specialty Medications. Jt Comm J Qual Patient Saf. 2019;45(5):348-357. doi:10.1016/j.jcjq.2…

The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. | PSNet

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September 23, 2020 - Commentary The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Citation Text: Kelen GD, Kaji AH, Schreyer KE, et al. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Ann Emerg M…

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…

Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. | PSNet

psnet.ahrq.gov/issue/reliability-verbal-handoff-assessment-and-handoff-quality-and-after-implementation-resident

November 16, 2022 - Study Reliability of verbal handoff assessment and handoff quality before and after implementation of a resident handoff bundle. Citation Text: Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality Before and After Implementation of a Resi…

Near-miss events detected using the emergency department trigger tool. | PSNet

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August 24, 2022 - Study Near-miss events detected using the emergency department trigger tool. Citation Text: Griffey RT, Schneider RM, Todorov AA. Near-miss events detected using the emergency department trigger tool. J Patient Saf. 2023;19(2):59-66. doi:10.1097/pts.0000000000001092. Copy Citation …

Safety and risk management interventions in hospitals: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature

April 01, 2010 - Review Safety and risk management interventions in hospitals: a systematic review of the literature. Citation Text: Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):…

An assessment of the impact of just culture on quality and safety in US hospitals. | PSNet

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April 13, 2017 - Study Emerging Classic An assessment of the impact of just culture on quality and safety in US hospitals. Citation Text: Edwards MT. An Assessment of the Impact of Just Culture on Quality and Safety in US Hospitals. Am J Med Qual. 2018;33(5):502-508. doi:10.1177…

How hospital leaders contribute to patient safety through the development of trust. | PSNet

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January 22, 2014 - Study How hospital leaders contribute to patient safety through the development of trust. Citation Text: Auer C, Schwendimann R, Koch R, et al. How hospital leaders contribute to patient safety through the development of trust. J Nurs Adm. 2014;44(1):23-9. doi:10.1097/NNA.00000000000000…

Can we rely on patients' reports of adverse events? | PSNet

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December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

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February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

Errors in breast imaging: how to reduce errors and promote a safety environment. | PSNet

psnet.ahrq.gov/issue/errors-breast-imaging-how-reduce-errors-and-promote-safety-environment

July 22, 2020 - Commentary Errors in breast imaging: how to reduce errors and promote a safety environment. Citation Text: Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. Cop…

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. | PSNet

psnet.ahrq.gov/issue/perceptions-impact-large-scale-collaborative-improvement-programme-experience-uk-safer

February 01, 2011 - Study Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. Citation Text: Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK …

Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet

psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately

January 18, 2013 - Study Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? Citation Text: Rosen AK, Itani KMF, Cevasco M, et al. Validating the Patient Safety Indicators in the Veterans Health Administration. Med Care. 2011;50(…

A review of patient safety measures based on routinely collected hospital data. | PSNet

psnet.ahrq.gov/issue/review-patient-safety-measures-based-routinely-collected-hospital-data

February 10, 2012 - Review A review of patient safety measures based on routinely collected hospital data. Citation Text: Tsang C, Palmer WL, Bottle A, et al. A review of patient safety measures based on routinely collected hospital data. Am J Med Qual. 2012;27(2):154-69. doi:10.1177/1062860611414697. C…

A systematic review of failures in handoff communication during intrahospital transfers. | PSNet

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November 03, 2015 - Review A systematic review of failures in handoff communication during intrahospital transfers. Citation Text: Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284. Copy Citation …

Adverse events present on arrival to the emergency department: the ED as a dual safety net. | PSNet

psnet.ahrq.gov/issue/adverse-events-present-arrival-emergency-department-ed-dual-safety-net

September 30, 2020 - Study Adverse events present on arrival to the emergency department: the ED as a dual safety net. Citation Text: Griffey RT, Schneider RM, Todorov AA. Adverse Events Present on Arrival to the Emergency Department: The ED as a Dual Safety Net. Jt Comm J Qual Patient Saf. 2020;46(4):192-19…

Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020. | PSNet

psnet.ahrq.gov/issue/delay-or-avoidance-medical-care-because-covid-19-related-concerns-united-states-june-2020

September 23, 2020 - Study Classic Delay or avoidance of medical care because of COVID-19-related concerns--United States, June 2020. Citation Text: Czeisler MÉ, Marynak K, Clarke KEN, et al. Delay or avoidance of medical care because of COVID-19-related concerns - United States, Ju…

Workplace engagement and workers' compensation claims as predictors for patient safety culture. | PSNet

psnet.ahrq.gov/issue/workplace-engagement-and-workers-compensation-claims-predictors-patient-safety-culture

March 08, 2023 - Study Workplace engagement and workers' compensation claims as predictors for patient safety culture. Citation Text: Thorp J, Baqai W, Witters D, et al. Workplace engagement and workers' compensation claims as predictors for patient safety culture. J Patient Saf. 2012;8(4):194-201. doi…

Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. | PSNet

psnet.ahrq.gov/issue/choosing-wisely-clinical-practice-embracing-critical-thinking-striving-safer-care

February 15, 2023 - Commentary Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. Citation Text: Furlan L, Francesco PD, Costantino G, et al. Choosing wisely in clinical practice: embracing critical thinking, striving for safer care. J Intern Med. 2022;291(4):397-407…

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