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Using data to enhance performance and improve quality and safety in surgery. | PSNet

psnet.ahrq.gov/issue/using-data-enhance-performance-and-improve-quality-and-safety-surgery

March 15, 2023 - Commentary Using data to enhance performance and improve quality and safety in surgery. Citation Text: Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. Co…

Simulation-based training: the missing link to lastingly improved patient safety and health? | PSNet

psnet.ahrq.gov/issue/simulation-based-training-missing-link-lastingly-improved-patient-safety-and-health

January 17, 2024 - Review Simulation-based training: the missing link to lastingly improved patient safety and health? Citation Text: Mileder LP, Schmölzer GM. Simulation-based training: the missing link to lastingly improved patient safety and health? Postgrad Med J. 2016;92(1088):309-11. doi:10.1136/post…

Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. | PSNet

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August 20, 2021 - Press Release/Announcement Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. Citation Text: Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. MedWatch Safety Al…

Bridging the communication gap in the operating room with medical team training. | PSNet

psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training

March 05, 2025 - Study Bridging the communication gap in the operating room with medical team training. Citation Text: Awad SS, Fagan SP, Bellows C, et al. Bridging the communication gap in the operating room with medical team training. Am J Surg. 2005;190(5):770-4. Copy Citation Format: …

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 …

Quality gaps identified through mortality review. | PSNet

psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review

November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. | PSNet

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December 22, 2010 - Study Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. Citation Text: Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty a…

COVID-19 pandemic and the tension between the need to act and the need to know. | PSNet

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July 28, 2021 - Commentary COVID-19 pandemic and the tension between the need to act and the need to know. Citation Text: Scott IA. COVID-19 pandemic and the tension between the need to act and the need to know. Intern Med J. 2020;50(8):904-909. doi:10.1111/imj.14929. Copy Citation Format: …

Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care

June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

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December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

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

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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…

Developing expert medical teams: toward an evidence-based approach. | PSNet

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September 29, 2017 - Review Developing expert medical teams: toward an evidence-based approach. Citation Text: Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence-based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x. Copy …

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…

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

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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: …

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…

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

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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 …

Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. | PSNet

psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-recommendations-interventions-cross

September 09, 2020 - Study Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. Citation Text: Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospit…

Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. | PSNet

psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-2

January 16, 2008 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 2: applying the knowledge to clinical documentation systems. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliabilit…

Using system analysis to build a safety culture: improving the reliability of epidural analgesia. | PSNet

psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia

January 14, 2009 - Study Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Citation Text: Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand…

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. …

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