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psnet.ahrq.gov/issue/changes-intern-attitudes-toward-medical-error-and-disclosure
November 10, 2021 - Study
Changes in intern attitudes toward medical error and disclosure.
Citation Text:
Varjavand N, Bachegowda LS, Gracely E, et al. Changes in intern attitudes toward medical error and disclosure. Med Educ. 2012;46(7):668-77. doi:10.1111/j.1365-2923.2012.04269.x.
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psnet.ahrq.gov/issue/why-pediatricians-fail-diagnose-hypertension-multicenter-survey
August 26, 2020 - Study
Why pediatricians fail to diagnose hypertension: a multicenter survey.
Citation Text:
Bijlsma MW, Blufpand HN, Kaspers GJL, et al. Why pediatricians fail to diagnose hypertension: a multicenter survey. J Pediatr. 2014;164(1):173-177.e7. doi:10.1016/j.jpeds.2013.08.066.
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psnet.ahrq.gov/issue/inter-and-intra-rater-reliability-classification-medication-related-events-paediatric
August 20, 2018 - Study
Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients.
Citation Text:
Kunac DL, Reith DM, Kennedy J, et al. Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. Qual Saf …
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psnet.ahrq.gov/issue/flawed-self-assessment-hand-hygiene-major-contributor-infections-clinical-practice
September 02, 2020 - Study
Flawed self-assessment in hand hygiene: a major contributor to infections in clinical practice?
Citation Text:
Kelcikova S, Mazuchova L, Bielena L, et al. Flawed self-assessment in hand hygiene: A major contributor to infections in clinical practice? J Clin Nurs. 2019;28(11-12):226…
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psnet.ahrq.gov/issue/framework-analysing-risk-and-safety-clinical-medicine-0
February 19, 2014 - Commentary
Framework for analysing risk and safety in clinical medicine.
Citation Text:
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ. 1998;316(7138):1154-1157.
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psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
March 11, 2009 - Study
Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices.
Citation Text:
Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …
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psnet.ahrq.gov/issue/understanding-behaviour-newly-qualified-doctors-acute-care-contexts
July 02, 2014 - Study
Understanding the behaviour of newly qualified doctors in acute care contexts.
Citation Text:
Tallentire VR, Smith SE, Skinner J, et al. Understanding the behaviour of newly qualified doctors in acute care contexts. Med Educ. 2011;45(10):995-1005. doi:10.1111/j.1365-2923.2011.040…
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psnet.ahrq.gov/issue/preventable-harm-canadian-organ-donation-and-transplantation-system-descriptive-study-missed
October 19, 2022 - Study
Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral.
Citation Text:
Zavalkoff S, O’Donnell S, Lalani J, et al. Preventable harm in the Canadian organ donation and transplantation system: a…
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psnet.ahrq.gov/issue/implementing-electronic-medical-record-computerized-prescriber-order-entry-critical-access
August 21, 2024 - Commentary
Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital.
Citation Text:
Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Phar…
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psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
December 15, 2021 - Study
Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients.
Citation Text:
Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoidi…
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psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
March 20, 2019 - Study
Enhanced detection of blood bank sample collection errors with a centralized patient database.
Citation Text:
MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:…
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psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
August 04, 2021 - Commentary
Value assessment of deprescribing interventions: suggestions for improvement.
Citation Text:
Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298.
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psnet.ahrq.gov/issue/broadening-concept-patient-safety-culture-through-value-based-healthcare
September 29, 2021 - Commentary
Broadening the concept of patient safety culture through value-based healthcare.
Citation Text:
Dombrádi V, Bíró K, Jonitz G, et al. Broadening the concept of patient safety culture through value-based healthcare. J Health Organ Manag. 2021;35(5):541-549. doi:10.1108/jhom-07-2…
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psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards
March 01, 2011 - Commentary
A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.
Citation Text:
Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…
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psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
April 10, 2024 - Commentary
Fumbled handoffs: one dropped ball after another.
Citation Text:
Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med. 2005;142(5):352-358.
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psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
December 16, 2015 - Study
High-alert medications in the pediatric intensive care unit.
Citation Text:
Franke HA, Woods D, Holl JL. High-alert medications in the pediatric intensive care unit. Pediatr Crit Care Med. 2009;10(1):85-90. doi:10.1097/PCC.0b013e3181936ff8.
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psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
May 27, 2011 - Study
Classic
An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.
Citation Text:
Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…
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psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box
July 22, 2020 - Commentary
Organisational reporting and learning systems: innovating inside and outside of the box.
Citation Text:
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
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psnet.ahrq.gov/issue/understanding-link-between-burnout-and-sub-optimal-care-why-should-healthcare-education-be
August 03, 2022 - Review
Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence?
Citation Text:
Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in emp…
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psnet.ahrq.gov/issue/flaw-medicine-addressing-racial-and-gender-disparities-critical-care
June 16, 2010 - Commentary
The flaw of medicine: addressing racial and gender disparities in critical care.
Citation Text:
Hilton EJ, Goff KL, Sreedharan R, et al. The flaw of medicine: addressing racial and gender disparities in critical care. Anesthesiol Clin. 2020;38(2):357-368. doi:10.1016/j.anclin.…