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Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet

psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm

September 20, 2011 - Book/Report Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Citation Text: Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…

Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. | PSNet

psnet.ahrq.gov/issue/changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review

April 06, 2011 - Review Classic Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. JAMA. 2003;2…

Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. | PSNet

psnet.ahrq.gov/issue/patient-and-clinician-experiences-uncertainty-diagnostic-process-current-understanding-and

March 11, 2020 - Commentary Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. Citation Text: Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding a…

Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet

psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report

January 15, 2020 - Commentary Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. Citation Text: Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi…

Strategies for learning from failure. | PSNet

psnet.ahrq.gov/issue/strategies-learning-failure

September 25, 2024 - Commentary Classic Strategies for learning from failure. Citation Text: Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

Optimizing Pediatric Patient Safety in the Emergency Care Setting. | PSNet

psnet.ahrq.gov/issue/optimizing-pediatric-patient-safety-emergency-care-setting

March 15, 2023 - Organizational Policy/Guidelines Optimizing Pediatric Patient Safety in the Emergency Care Setting. Citation Text: Joseph MM, Mahajan P, Snow SK, et al. Optimizing Pediatric Patient Safety in the Emergency Care Setting. Pediatrics. 2022;150(5):e2022059673. doi:10.1542/peds.2022-059673. …

The foundational science of learning health systems. | PSNet

psnet.ahrq.gov/issue/foundational-science-learning-health-systems

June 26, 2019 - Commentary The foundational science of learning health systems. Citation Text: Kilbourne AM, Borsky AE, O'Brien RW, et al. The foundational science of learning health systems. Health Serv Res. 2024;59(6):e14374. doi:10.1111/1475-6773.14374. Copy Citation Format: DOI Google …

Learning from errors and resilience. | PSNet

psnet.ahrq.gov/issue/learning-errors-and-resilience

December 18, 2019 - Review Learning from errors and resilience. Citation Text: Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

Americans' Experiences With Medical Errors and Views on Patient Safety. | PSNet

psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety

January 06, 2015 - Book/Report Classic Americans' Experiences With Medical Errors and Views on Patient Safety. Citation Text: Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…

The hidden curricula of medical education: a scoping review. | PSNet

psnet.ahrq.gov/issue/hidden-curricula-medical-education-scoping-review

January 13, 2021 - Review The hidden curricula of medical education: a scoping review. Citation Text: Lawrence C, Mhlaba T, Stewart KA, et al. The Hidden Curricula of Medical Education: A Scoping Review. Acad Med. 2018;93(4):648-656. doi:10.1097/ACM.0000000000002004. Copy Citation Format: DOI…

Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. | PSNet

psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky

May 12, 2021 - Study Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. Citation Text: Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting ris…

Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. | PSNet

psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment

May 25, 2010 - Commentary Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. Citation Text: Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Aca…

Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet

psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa

February 15, 2023 - Study Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Citation Text: Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.339…

Improving the quality of health care: what's taking so long? | PSNet

psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long

April 06, 2016 - Commentary Classic Improving the quality of health care: what's taking so long? Citation Text: Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809. Copy Citation Format: …

Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. | PSNet

psnet.ahrq.gov/issue/intravenous-smart-pumps-usability-issues-intravenous-medication-administration-error-and

July 31, 2019 - Review Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety. Citation Text: Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018;30…

Antimicrobial stewardship: another focus for patient safety? | PSNet

psnet.ahrq.gov/issue/antimicrobial-stewardship-another-focus-patient-safety

May 29, 2024 - Review Antimicrobial stewardship: another focus for patient safety? Citation Text: Tamma PD, Holmes A, Ashley ED. Antimicrobial stewardship: another focus for patient safety? Curr Opin Infect Dis. 2014;27(4):348-55. doi:10.1097/QCO.0000000000000077. Copy Citation Format: DO…

Between surveillance and subjectification: professionals and the governance of quality and patient safety in English hospitals. | PSNet

psnet.ahrq.gov/issue/between-surveillance-and-subjectification-professionals-and-governance-quality-and-patient

April 21, 2015 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend

Relationship between preventable hospital deaths and other measures of safety: an exploratory study. | PSNet

psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study

November 12, 2014 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend

Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. | PSNet

psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare

September 24, 2018 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend

Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive

August 12, 2014 - qualitative study of concerns that influence the willingness of English National Health Service staff to recommend

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