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psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
April 03, 2019 - Commentary
How to develop a second victim support program: a toolkit for health care organizations.
Citation Text:
Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, …
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psnet.ahrq.gov/issue/medication-errors-management-anaphylaxis-pediatric-emergency-department
April 24, 2018 - Study
Medication errors in the management of anaphylaxis in a pediatric emergency department.
Citation Text:
Benkelfat R, Gouin S, Larose G, et al. Medication errors in the management of anaphylaxis in a pediatric emergency department. J Emerg Med. 2013;45(3):419-425. doi:10.1016/j.jem…
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psnet.ahrq.gov/issue/sterile-cockpit-effective-approach-reducing-medication-errors
April 24, 2018 - Commentary
The sterile cockpit: an effective approach to reducing medication errors?
Citation Text:
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
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psnet.ahrq.gov/issue/reducing-hospital-errors-interventions-build-safety-culture
September 27, 2017 - Review
Reducing hospital errors: interventions that build safety culture.
Citation Text:
Singer SJ, Vogus TJ. Reducing hospital errors: interventions that build safety culture. Annu Rev Public Health. 2013;34:373-96. doi:10.1146/annurev-publhealth-031912-114439.
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psnet.ahrq.gov/issue/simulation-training-obstetrics
September 02, 2015 - Review
Simulation training in obstetrics.
Citation Text:
Gavin NR, Satin AJ. Simulation Training in Obstetrics. Clin Obstet Gynecol. 2017;60(4):802-810. doi:10.1097/GRF.0000000000000322.
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psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week
November 21, 2012 - Review
Myths and realities of the 80-hour work week.
Citation Text:
Schenarts PJ, Schenarts KDA, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg. 2006;63(4):269-274.
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psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
June 16, 2010 - Study
Nurses' work schedule characteristics, nurse staffing, and patient mortality.
Citation Text:
Trinkoff AM, Johantgen M, Storr CL, et al. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011;60(1):1-8. doi:10.1097/NNR.0b013e3181fff15d.
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psnet.ahrq.gov/issue/support-medical-apology-nonlegal-arguments
June 30, 2021 - Commentary
In support of the medical apology: the nonlegal arguments.
Citation Text:
Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048.
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psnet.ahrq.gov/issue/factors-associated-disclosure-medical-errors-housestaff
January 27, 2019 - Study
Factors associated with disclosure of medical errors by housestaff.
Citation Text:
Kronman AC, Paasche-Orlow MK, Orlander JD. Factors associated with disclosure of medical errors by housestaff. BMJ Qual Saf. 2011;21(4). doi:10.1136/bmjqs-2011-000084.
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psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
October 19, 2022 - Study
Teaching medical error disclosure to residents using patient-centered simulation training.
Citation Text:
Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…
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psnet.ahrq.gov/issue/role-talking-and-keeping-silent-physician-coping-medical-error-qualitative-study
February 16, 2011 - Study
The role of talking (and keeping silent) in physician coping with medical error: a qualitative study.
Citation Text:
May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. …
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psnet.ahrq.gov/issue/piece-my-mind-patient-you-least-want-see
August 14, 2024 - Commentary
A piece of my mind. The patient you least want to see.
Citation Text:
Chen JH. A PIECE OF MY MIND. The Patient You Least Want to See. JAMA. 2016;315(16):1701-2. doi:10.1001/jama.2016.0221.
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psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
July 22, 2020 - Book/Report
The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System.
Citation Text:
The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System. Thompson WC Jr. New York, NY: Off…
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psnet.ahrq.gov/issue/misdiagnosed-food-allergy-resulting-severe-malnutrition-infant
April 24, 2018 - Commentary
Misdiagnosed food allergy resulting in severe malnutrition in an infant.
Citation Text:
Alvares M, Kao L, Mittal V, et al. Misdiagnosed food allergy resulting in severe malnutrition in an infant. Pediatrics. 2013;132(1):e229-32. doi:10.1542/peds.2012-2362.
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
July 08, 2008 - Study
Medication reconciliation at hospital discharge: evaluating discrepancies.
Citation Text:
Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190.
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psnet.ahrq.gov/issue/patient-safety-psychiatric-inpatient-care-literature-review
September 27, 2017 - Review
Patient safety in psychiatric inpatient care: a literature review.
Citation Text:
Kanerva A, Lammintakanen J, Kivinen T. Patient safety in psychiatric inpatient care: a literature review. J Psychiatr Ment Health Nurs. 2013;20(6):541-8. doi:10.1111/j.1365-2850.2012.01949.x.
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psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse
July 29, 2020 - Commentary
Medical error, incident investigation and the second victim: doing better but feeling worse?
Citation Text:
Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-20…
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psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
June 08, 2011 - Study
The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department.
Citation Text:
Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…
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psnet.ahrq.gov/issue/patient-safety-disclosure-medical-errors-and-risk-mitigation
June 07, 2017 - Commentary
Patient safety: disclosure of medical errors and risk mitigation.
Citation Text:
Moffatt-Bruce SD, Ferdinand FD, Fann J. Patient Safety: Disclosure of Medical Errors and Risk Mitigation. Ann Thorac Surg. 2016;102(2):358-62. doi:10.1016/j.athoracsur.2016.06.033.
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psnet.ahrq.gov/issue/use-surgical-safety-checklist-improve-team-communication
August 08, 2018 - Commentary
Use of a surgical safety checklist to improve team communication.
Citation Text:
Cabral RA, Eggenberger T, Keller K, et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016;104(3):206-216. doi:10.1016/j.aorn.2016.06.019.
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