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Closed medical negligence claims can drive patient safety and reduce litigation. | PSNet

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February 05, 2020 - Review Closed medical negligence claims can drive patient safety and reduce litigation. Citation Text: Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5. Copy …

Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. | PSNet

psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error

June 14, 2011 - Study Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. Citation Text: Raab SS, Grzybicki DM, Sudilovsky D, et al. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. Am J Clin Pathol. 2006;126(…

Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. | PSNet

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February 24, 2021 - Commentary Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. Citation Text: Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Inter…

Interruptions and medication administration in critical care. | PSNet

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December 08, 2021 - Review Interruptions and medication administration in critical care. Citation Text: Bower R, Jackson C, Manning JC. Interruptions and medication administration in critical care. Nurs Crit Care. 2015;20(4):183-95. doi:10.1111/nicc.12185. Copy Citation Format: DOI Google Scho…

A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. | PSNet

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July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…

A model for medication safety event detection. | PSNet

psnet.ahrq.gov/issue/model-medication-safety-event-detection

May 14, 2008 - Commentary A model for medication safety event detection. Citation Text: Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

Medication errors—new approaches to prevention. | PSNet

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November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

Missed breast cancers at US-guided core needle biopsy: how to reduce them. | PSNet

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March 25, 2020 - Review Missed breast cancers at US-guided core needle biopsy: how to reduce them. Citation Text: Youk JH, Kim E-K, Kim MJ, et al. Missed breast cancers at US-guided core needle biopsy: how to reduce them. Radiographics. 2007;27(1):79-94. Copy Citation Format: Google Schol…

Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. | PSNet

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June 11, 2014 - Study Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Citation Text: Urban R, Paloumpi E, Rana N, et al. Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. Int J…

Assessing and improving safety climate in a large cohort of intensive care units. | PSNet

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September 20, 2011 - Study Assessing and improving safety climate in a large cohort of intensive care units. Citation Text: Sexton B, Berenholtz SM, Goeschel CA, et al. Assessing and improving safety climate in a large cohort of intensive care units. Crit Care Med. 2011;39(5):934-9. doi:10.1097/CCM.0b013e3…

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. | PSNet

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April 13, 2011 - Study Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. Citation Text: Vermaire D, Caruso MC, Lesko A, et al. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. BMJ Qual Saf. 20…

The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. | PSNet

psnet.ahrq.gov/issue/design-and-conduct-project-redde-cluster-randomized-trial-reduce-diagnostic-errors-pediatric

April 08, 2018 - Study The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. Citation Text: Bundy DG, Singh H, Stein RE, et al. The design and conduct of Project RedDE: A cluster-randomized trial to reduce diagnostic errors in pediatric…

Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. | PSNet

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July 11, 2018 - Book/Report Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Citation Text: Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…

Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. | PSNet

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November 27, 2012 - Commentary Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Citation Text: Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient s…

Nurses' behaviors and visual scanning patterns may reduce patient identification errors. | PSNet

psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors

December 12, 2012 - Study Nurses' behaviors and visual scanning patterns may reduce patient identification errors. Citation Text: Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. | PSNet

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May 20, 2009 - Commentary Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Citation Text: Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual…

Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. | PSNet

psnet.ahrq.gov/issue/managing-alarms-acute-care-across-life-span-electrocardiography-and-pulse-oximetry

April 01, 2019 - Organizational Policy/Guidelines Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Citation Text: Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry. Crit Care Nurse. 2018;38(2):e16-e20. doi:10.4037/ccn2018…

Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet

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February 15, 2011 - Commentary Debriefing medical teams: 12 evidence-based best practices and tips. Citation Text: Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. Copy Citation Format: Google…

Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. | PSNet

psnet.ahrq.gov/issue/health-care-associated-infections-hospitals-overview-state-reporting-programs-and-individual

June 07, 2008 - Book/Report Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. Citation Text: Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Ho…

The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. | PSNet

psnet.ahrq.gov/issue/story-behind-story-physician-skepticism-about-relying-clinical-information-technologies

July 14, 2010 - Study The story behind the story: physician skepticism about relying on clinical information technologies to reduce medical errors. Citation Text: McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about relying on clinical information tec…

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