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Management of anesthesia equipment failure: a simulation-based resident skill assessment. | PSNet

psnet.ahrq.gov/issue/management-anesthesia-equipment-failure-simulation-based-resident-skill-assessment

December 20, 2017 - Study Management of anesthesia equipment failure: a simulation-based resident skill assessment. Citation Text: Waldrop WB, Murray DJ, Boulet JR, et al. Management of Anesthesia Equipment Failure: A Simulation-Based Resident Skill Assessment. Anesthesia & Analgesia. 2009;109(2). doi:10.…

Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. | PSNet

psnet.ahrq.gov/issue/bringing-perioperative-emergency-manuals-your-institution-how-concept-implementation-10-steps

November 15, 2018 - Commentary Bringing perioperative emergency manuals to your institution: a "How To" from concept to implementation in 10 steps. Citation Text: Agarwala A, McRichards K, Rao V, et al. Bringing Perioperative Emergency Manuals to Your Institution: A "How To" from Concept to Implementation i…

Types, prevalence, and potential clinical significance of medication administration errors in assisted living. | PSNet

psnet.ahrq.gov/issue/types-prevalence-and-potential-clinical-significance-medication-administration-errors

October 11, 2023 - Study Types, prevalence, and potential clinical significance of medication administration errors in assisted living. Citation Text: Young HM, Gray SL, McCormick WC, et al. Types, prevalence, and potential clinical significance of medication administration errors in assisted living. J A…

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. | PSNet

psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity

December 12, 2012 - Study Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Citation Text: Moulton C-A, Regehr G, Lingard LA, et al. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Acad Med. 2010;85(10):1571-7. d…

Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. | PSNet

psnet.ahrq.gov/issue/comparison-three-methods-estimating-rates-adverse-events-and-rates-preventable-adverse-events

March 23, 2011 - Study Comparison of three methods for estimating rates of adverse events and rates of preventable adverse events in acute care hospitals. Citation Text: Michel P, Quenon JL, de Sarasqueta AM, et al. Comparison of three methods for estimating rates of adverse events and rates of prevent…

"First, do no harm": balancing competing priorities in surgical practice. | PSNet

psnet.ahrq.gov/issue/first-do-no-harm-balancing-competing-priorities-surgical-practice

December 12, 2012 - Study "First, do no harm": balancing competing priorities in surgical practice. Citation Text: Leung A, Luu S, Regehr G, et al. "First, do no harm": balancing competing priorities in surgical practice. Acad Med. 2012;87(10):1368-74. Copy Citation Format: Google Scholar Pub…

Human-simulation-based learning to prevent medication error: a systematic review. | PSNet

psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review

February 01, 2012 - Review Human-simulation-based learning to prevent medication error: a systematic review. Citation Text: Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883. …

We are going to name names and call you out! Improving the team in the academic operating room environment. | PSNet

psnet.ahrq.gov/issue/we-are-going-name-names-and-call-you-out-improving-team-academic-operating-room-environment

September 23, 2020 - Study We are going to name names and call you out! Improving the team in the academic operating room environment. Citation Text: Bodor R, Nguyen BJ, Broder K. We Are Going to Name Names and Call You Out! Improving the Team in the Academic Operating Room Environment. Ann Plast Surg. 2017;…

State-of-the-art usage of simulation in anesthesia: skills and teamwork. | PSNet

psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork

June 18, 2014 - Review State-of-the-art usage of simulation in anesthesia: skills and teamwork. Citation Text: Krage R, Erwteman M. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Curr Opin Anaesthesiol. 2015;28(6):727-34. doi:10.1097/ACO.0000000000000257. Copy Citation Fo…

Making hospital care safer and better: the structure-process connection leading to adverse events. | PSNet

psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events

November 04, 2020 - Study Making hospital care safer and better: the structure-process connection leading to adverse events. Citation Text: El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8. Copy Citation …

Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. | PSNet

psnet.ahrq.gov/issue/identifying-contributing-factors-associated-dental-adverse-events-through-pragmatic

May 23, 2018 - Study Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. Citation Text: Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a …

Negative behaviours in health care: prevalence and strategies. | PSNet

psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies

May 01, 2024 - Study Negative behaviours in health care: prevalence and strategies. Citation Text: Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. Copy Citation Format: DOI Goog…

Economic evaluation in patient safety: a literature review of methods. | PSNet

psnet.ahrq.gov/issue/economic-evaluation-patient-safety-literature-review-methods

March 05, 2025 - Review Economic evaluation in patient safety: a literature review of methods. Citation Text: de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191. Copy Citation …

Optimising the delivery of remediation programmes for doctors: a realist review. | PSNet

psnet.ahrq.gov/issue/optimising-delivery-remediation-programmes-doctors-realist-review

June 02, 2021 - Review Optimising the delivery of remediation programmes for doctors: a realist review. Citation Text: Price T, Wong G, Withers L, et al. Optimising the delivery of remediation programmes for doctors: a realist review. Med Educ. 2021;55(9):995-1010. doi:10.1111/medu.14528. Copy Citatio…

Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. | PSNet

psnet.ahrq.gov/issue/integrating-ethics-and-patient-safety-role-clinical-ethics-consultants-quality-improvement

October 04, 2011 - Commentary Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. Citation Text: Opel DJ, Brownstein D, Diekema DS, et al. Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. J Clin Ethic…

Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. | PSNet

psnet.ahrq.gov/issue/frequency-and-type-situational-awareness-errors-contributing-death-and-brain-damage-closed

September 01, 2021 - Study Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis. Citation Text: Schulz CM, Burden A, Posner KL, et al. Frequency and Type of Situational Awareness Errors Contributing to Death and Brain Damage: A Closed Claims Anal…

Structuring feedback and debriefing to achieve mastery learning goals. | PSNet

psnet.ahrq.gov/issue/structuring-feedback-and-debriefing-achieve-mastery-learning-goals

September 02, 2020 - Study Structuring feedback and debriefing to achieve mastery learning goals. Citation Text: Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. Copy Citation …

Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? | PSNet

psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet

August 04, 2021 - Review Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? Citation Text: Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? A systematic review. Neurosurg Rev. …

Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. | PSNet

psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected-tumour-areas

April 21, 2021 - Study Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. Citation Text: Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. BJU Int. 2009;103(9):1184-9. d…

Rapid learning of adverse medical event disclosure and apology. | PSNet

psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology

November 04, 2014 - Study Rapid learning of adverse medical event disclosure and apology. Citation Text: Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. Copy Citation Format: …

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