-
psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
December 03, 2014 - Study
Changing operating room culture: implementation of a postoperative debrief and improved safety culture.
Citation Text:
Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…
-
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…
-
psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
September 18, 2013 - Study
Teaching about diagnostic errors through virtual patient cases: a pilot exploration.
Citation Text:
Geha R, Trowbridge RL, Dhaliwal G, et al. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. Diagnosis (Berl). 2018;5(4):223-227. doi:10.1515/dx-201…
-
psnet.ahrq.gov/issue/inpatient-suicide-preventing-common-sentinel-event
May 28, 2015 - Review
Inpatient suicide: preventing a common sentinel event.
Citation Text:
Tishler CL, Reiss NS. Inpatient suicide: preventing a common sentinel event. Gen Hosp Psychiatry. 2009;31(2):103-9. doi:10.1016/j.genhosppsych.2008.09.007.
Copy Citation
Format:
DOI Google Scholar …
-
psnet.ahrq.gov/issue/reportable-incidents
November 02, 2016 - Newspaper/Magazine Article
Reportable incidents.
Citation Text:
Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML End…
-
psnet.ahrq.gov/issue/strategic-approach-quality-improvement-and-patient-safety-education-and-resident-integration
November 17, 2010 - Commentary
A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency.
Citation Text:
O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a gener…
-
psnet.ahrq.gov/issue/diagnostic-pitfalls-paediatric-ischaemic-stroke
December 14, 2016 - Study
Diagnostic pitfalls in paediatric ischaemic stroke.
Citation Text:
Braun KPJ, Kappelle J, Kirkham FJ, et al. Diagnostic pitfalls in paediatric ischaemic stroke. Dev Med Child Neurol. 2006;48(12):985-90.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 X…
-
psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
November 18, 2016 - Commentary
Emerging Classic
Defensive medicine: it is time to finally slow down an epidemic.
Citation Text:
Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…
-
psnet.ahrq.gov/issue/association-clinical-specialty-symptoms-burnout-and-career-choice-regret-among-us-resident
December 21, 2018 - Study
Classic
Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians.
Citation Text:
Dyrbye LN, Burke SE, Hardeman RR, et al. Association of Clinical Specialty With Symptoms of Burnout and Career Choice R…
-
psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
December 01, 2005 - patients receiving neuromuscular blockade, aminoglycosides, or intravenous magnesium; and patients with neurological … benzodiazepines, anticholinergics Send blood samples for ABG and serum electrolyte levels Conduct a neurological
-
psnet.ahrq.gov/node/49585/psn-pdf
May 01, 2009 - The
neurological examination is especially important because while acute, focal neurological changes
-
psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
March 05, 2025 - Study
Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals?
Citation Text:
Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn from the experiences of caregive…
-
psnet.ahrq.gov/issue/machine-learning-enhance-electronic-detection-diagnostic-errors
December 18, 2024 - Commentary
Machine learning to enhance electronic detection of diagnostic errors.
Citation Text:
Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982.
Copy Cit…
-
psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
August 23, 2023 - Study
A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.
Citation Text:
Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …
-
psnet.ahrq.gov/node/49437/psn-pdf
March 01, 2004 - Crossing the Line
March 1, 2004
Feldman JP, Gould MK. Crossing the Line. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/crossing-line
Case Objectives
Review complications of central venous catheterization
Discuss patient and operator factors that affect complication rates
Describe methods for preventing c…
-
psnet.ahrq.gov/web-mm/hazards-distraction-ticking-all-ehr-boxes
April 09, 2014 - SPOTLIGHT CASE
The Hazards of Distraction: Ticking All the EHR Boxes
Citation Text:
Easty AC. The Hazards of Distraction: Ticking All the EHR Boxes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
…
-
psnet.ahrq.gov/issue/neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards
September 15, 2021 - Study
Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation in tumour boards and physician experience.
Citation Text:
Ivanovic V, Assadsangabi R, Hacein-Bey L, et al. Neuroradiology diagnostic errors at a tertiary academic centre: effect of participation…
-
psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
January 21, 2019 - Study
Learning from lawsuits: using malpractice claims data to develop care transitions planning tools.
Citation Text:
Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…
-
psnet.ahrq.gov/issue/efficacy-educational-video-game-versus-traditional-educational-apps-improving-physician
August 04, 2021 - Study
Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial.
Citation Text:
Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational apps …
-
psnet.ahrq.gov/issue/patient-safety-and-quality-outcomes-ed-patients-admitted-alternative-care-area-inpatient-beds
October 19, 2022 - Study
Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds.
Citation Text:
Lee MO, Arthofer R, Callagy P, et al. Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. Am J Emerg Med. 2019;38(…