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Reflecting on diagnostic errors: taking a second look is not enough. | PSNet

psnet.ahrq.gov/issue/reflecting-diagnostic-errors-taking-second-look-not-enough

September 26, 2016 - Study Reflecting on diagnostic errors: taking a second look is not enough. Citation Text: Monteiro SD, Sherbino J, Patel A, et al. Reflecting on Diagnostic Errors: Taking a Second Look is Not Enough. J Gen Intern Med. 2015;30(9):1270-4. doi:10.1007/s11606-015-3369-4. Copy Citation …

Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. | PSNet

psnet.ahrq.gov/issue/automatable-algorithms-identify-nonmedical-opioid-use-using-electronic-data-systematic-review

July 27, 2016 - Review Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. Citation Text: Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc.…

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. | PSNet

psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation

November 17, 2010 - Study Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. Citation Text: Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber …

Incident and error reporting systems in intensive care: a systematic review of the literature. | PSNet

psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature

November 10, 2015 - Review Incident and error reporting systems in intensive care: a systematic review of the literature. Citation Text: Brunsveld-Reinders AH, Arbous S, De Vos R, et al. Incident and error reporting systems in intensive care: a systematic review of the literature. Int J Qual Health Care. 20…

Families’ experiences of central-line infection in children: a qualitative study. | PSNet

psnet.ahrq.gov/issue/families-experiences-central-line-infection-children-qualitative-study

July 29, 2020 - Study Families’ experiences of central-line infection in children: a qualitative study. Citation Text: Soto C, Dixon-Woods M, Tarrant C. Families’ experiences of central-line infection in children: a qualitative study. Arch Dis Child. 2022;107(11):1038-1042. doi:10.1136/archdischild-2022…

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. | PSNet

psnet.ahrq.gov/issue/using-human-factors-framework-assess-clinician-perceptions-and-barriers-high-reliability-hand

December 02, 2020 - Study Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Citation Text: Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in han…

Development of a core drug list towards improving prescribing education and reducing errors in the UK. | PSNet

psnet.ahrq.gov/issue/development-core-drug-list-towards-improving-prescribing-education-and-reducing-errors-uk

April 13, 2022 - Study Development of a core drug list towards improving prescribing education and reducing errors in the UK. Citation Text: Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmac…

Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet

psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement

August 01, 2012 - Commentary Omissions of care in nursing homes: a uniform definition for research and quality improvement. Citation Text: Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11…

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. | PSNet

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November 09, 2011 - Study The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. Citation Text: Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient,…

Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet

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August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

Communication relating to family members' involvement and understandings about patients' medication management in hospital. | PSNet

psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients

June 16, 2021 - Study Communication relating to family members' involvement and understandings about patients' medication management in hospital. Citation Text: Manias E. Communication relating to family members' involvement and understandings about patients' medication management in hospital. Health Ex…

Quality and safety practices among academic obstetrics and gynecology departments. | PSNet

psnet.ahrq.gov/issue/quality-and-safety-practices-among-academic-obstetrics-and-gynecology-departments

October 19, 2022 - Study Quality and safety practices among academic obstetrics and gynecology departments. Citation Text: Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.00000…

Risk managers, physicians, and disclosure of harmful medical errors. | PSNet

psnet.ahrq.gov/issue/risk-managers-physicians-and-disclosure-harmful-medical-errors

February 15, 2011 - Study Risk managers, physicians, and disclosure of harmful medical errors. Citation Text: Loren DJ, Garbutt J, Dunagan C, et al. Risk managers, physicians, and disclosure of harmful medical errors. Jt Comm J Qual Patient Saf. 2010;36(3):101-8. Copy Citation Format: Google S…

Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. | PSNet

psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role

March 28, 2012 - Study Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. Citation Text: Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of f…

The benefits and harms of open notes in mental health: a Delphi survey of international experts. | PSNet

psnet.ahrq.gov/issue/benefits-and-harms-open-notes-mental-health-delphi-survey-international-experts

July 07, 2021 - Study The benefits and harms of open notes in mental health: a Delphi survey of international experts. Citation Text: Blease CR, Kharko A, Hägglund M, et al. The benefits and harms of open notes in mental health: a Delphi survey of international experts. PLoS ONE. 2021;16(10):e0258056. d…

The impact of mobile technology on teamwork and communication in hospitals: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review

January 29, 2020 - Review Emerging Classic The impact of mobile technology on teamwork and communication in hospitals: a systematic review. Citation Text: Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic…

'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. | PSNet

psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee

November 24, 2021 - Study 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. Citation Text: Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview accounts of allowing t…

Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet

psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school

February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at Harvard Medical School. Citation Text: Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. Copy Citation F…

Nurses' perceptions of causes of medication errors and barriers to reporting. | PSNet

psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting

March 21, 2018 - Study Nurses' perceptions of causes of medication errors and barriers to reporting. Citation Text: Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. Copy Citation Format: …

Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet

psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30

February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

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