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Disclosing errors and adverse events in the intensive care unit. | PSNet

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February 17, 2017 - Study Disclosing errors and adverse events in the intensive care unit. Citation Text: Boyle DJ, O'Connell D, Platt FW, et al. Disclosing errors and adverse events in the intensive care unit. Crit Care Med. 2006;34(5):1532-7. Copy Citation Format: Google Scholar PubMed Bib…

JAMA professionalism: disclosure of medical error. | PSNet

psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error

December 19, 2018 - Commentary JAMA professionalism: disclosure of medical error. Citation Text: Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

Communicating with patients about medical errors: a review of the literature. | PSNet

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December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…

Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet

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March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…

“Those found responsible have been sacked”: some observations on the usefulness of error. | PSNet

psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error

September 28, 2010 - Commentary “Those found responsible have been sacked”: some observations on the usefulness of error. Citation Text: Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…

Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet

psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis

November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident report analysis. Citation Text: Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…

The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. | PSNet

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January 06, 2017 - Review The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. Citation Text: Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10‐year review of enteral misconnection adverse events and narrative review. Nutr Clin …

Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. | PSNet

psnet.ahrq.gov/issue/improving-surgical-complications-and-patient-safety-nations-largest-military-hospital

November 09, 2022 - Study Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. Citation Text: Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation…

The frequency of diagnostic errors in radiologic reports depends on the patient's age. | PSNet

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March 09, 2022 - Study The frequency of diagnostic errors in radiologic reports depends on the patient's age. Citation Text: Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. Copy C…

Beyond the medical record: other modes of error acknowledgment. | PSNet

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August 03, 2009 - Study Beyond the medical record: other modes of error acknowledgment. Citation Text: Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. Copy Citation Format: Google Scholar PubMe…

Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. | PSNet

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May 27, 2011 - Study Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight. Citation Text: Mertens WC, Brown DE, Parisi R, et al. Detection, Classification, and Correction of Defective Chemotherapy Orders Through Nursing and Pharmacy Oversig…

Specimen labeling errors in surgical pathology: an 18-month experience. | PSNet

psnet.ahrq.gov/issue/specimen-labeling-errors-surgical-pathology-18-month-experience

January 04, 2012 - Study Specimen labeling errors in surgical pathology: an 18-month experience. Citation Text: Layfield LJ, Anderson GM. Specimen labeling errors in surgical pathology: an 18-month experience. Am J Clin Pathol. 2010;134(3):466-70. doi:10.1309/AJCPHLQHJ0S3DFJK. Copy Citation Format:…

Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. | PSNet

psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit

November 16, 2022 - Study Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Citation Text: Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. …

Overnight and postcall errors in medication orders. | PSNet

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May 18, 2022 - Study Overnight and postcall errors in medication orders. Citation Text: Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

Medication errors resulting from computer entry by nonprescribers. | PSNet

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January 02, 2017 - Study Medication errors resulting from computer entry by nonprescribers. Citation Text: Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208. Copy Citation …

Rate of occult specimen provenance complications in routine clinical practice. | PSNet

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January 05, 2012 - Study Rate of occult specimen provenance complications in routine clinical practice. Citation Text: Pfeifer JD, Liu J. Rate of occult specimen provenance complications in routine clinical practice. Am J Clin Pathol. 2013;139(1):93-100. doi:10.1309/AJCP50WEZHWIFCIV. Copy Citation F…

Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet

psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and

December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. Citation Text: Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…

Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. | PSNet

psnet.ahrq.gov/issue/seven-hundred-and-fifty-nine-759-chances-learn-3-year-pilot-project-analyse-transfusion

September 25, 2008 - Study Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. Citation Text: Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project …

The occurrence of potential patient safety events among trauma patients: are they random? | PSNet

psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random

July 19, 2018 - Study The occurrence of potential patient safety events among trauma patients: are they random? Citation Text: Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…

Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. | PSNet

psnet.ahrq.gov/issue/consequences-running-more-operating-theatres-anaesthetists-staff-them-stochastic-simulation

October 19, 2022 - Study Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Citation Text: Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth. 2007…

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