-
psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
October 20, 2021 - Commentary
The perfect storm: exam of a medical error and factors contributing to its possible escalation.
Citation Text:
Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…
-
psnet.ahrq.gov/issue/assessing-potential-adoption-and-usefulness-concurrent-action-oriented-electronic-adverse
October 01, 2014 - Study
Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting.
Citation Text:
Mull HJ, Rosen AK, Shimada SL, et al. Assessing the potential adoption and usefulness of concurrent, action-ori…
-
psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
February 22, 2011 - Study
Classic
Preventable deaths: who, how often, and why?
Citation Text:
Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
-
psnet.ahrq.gov/issue/characteristics-pediatric-chemotherapy-medication-errors-national-error-reporting-database
September 21, 2008 - Study
Characteristics of pediatric chemotherapy medication errors in a national error reporting database.
Citation Text:
Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186-95.…
-
psnet.ahrq.gov/issue/effect-using-same-vs-different-order-second-readings-screening-mammograms-rates-breast-cancer
August 29, 2018 - Study
Effect of using the same vs different order for second readings of screening mammograms on rates of breast cancer detection: a randomized clinical trial.
Citation Text:
Taylor-Phillips S, Wallis MG, Jenkinson D, et al. Effect of Using the Same vs Different Order for Second Readings…
-
psnet.ahrq.gov/issue/incivility-and-clinical-performance-teamwork-and-emotions-randomized-controlled-trial
May 22, 2013 - Study
Incivility and clinical performance, teamwork, and emotions: a randomized controlled trial.
Citation Text:
Johnson SL, Haerling KA, Yuwen W, et al. Incivility and Clinical Performance, Teamwork, and Emotions: A Randomized Controlled Trial. J Nurs Care Qual. 2020;35(1):70-76. doi:10…
-
psnet.ahrq.gov/issue/advancing-interprofessional-patient-safety-education-medical-nursing-and-pharmacy-learners
May 18, 2022 - Commentary
Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations.
Citation Text:
Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during…
-
psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking
August 03, 2022 - Review
Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review.
Citation Text:
Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…
-
psnet.ahrq.gov/issue/differences-outcomes-between-icu-attending-and-senior-resident-physician-led-medical
October 15, 2014 - Study
Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.
Citation Text:
Morris DS, Schweickert W, Holena DN, et al. Differences in outcomes between ICU attending and senior resident physician led medical emergency team resp…
-
psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
October 20, 2021 - Study
Providers' and patients' perspectives on diagnostic errors in the acute care setting.
Citation Text:
Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…
-
psnet.ahrq.gov/issue/identifying-potential-medication-discrepancies-during-medication-reconciliation-post-acute
June 17, 2020 - Study
Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.
Citation Text:
Cook H, Parson J, Brandt N. Identifying Potential Medication Discrepancies During Medication Reconciliation in the Post-Acute Long-Term Care Sett…
-
psnet.ahrq.gov/issue/assessing-legislative-potential-institute-error-transparency-state-comparison-malpractice
March 12, 2014 - Study
Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates.
Citation Text:
Perez B, DiDona T. Assessing Legislative Potential to Institute Error Transparency: A State Comparison of Malpractice Claims Rates. Journal For Healthcare…
-
psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical
March 24, 2021 - Study
A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist.
Citation Text:
Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health C…
-
psnet.ahrq.gov/issue/qualitative-study-systemic-influences-paramedic-decision-making-care-transitions-and-patient
January 08, 2014 - Study
A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety.
Citation Text:
O'Hara R, Johnson M, Siriwardena N, et al. A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. J He…
-
psnet.ahrq.gov/issue/medicares-hospital-acquired-condition-reduction-program-and-community-diversity-united-states
May 13, 2020 - Study
Medicare's Hospital-Acquired Condition Reduction Program and community diversity in the United States: the need to account for racial and ethnic segregation.
Citation Text:
Hamadi H, Tafili A, Apatu E, et al. Medicare' Hospital-Acquired Condition Reduction Program and Community Div…
-
psnet.ahrq.gov/issue/implementation-science-approach-promote-optimal-implementation-adoption-use-and-spread
July 13, 2010 - Study
An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology.
Citation Text:
Dykes PC, Lowenthal G, Faris A, et al. An Implementation Science Approach to Promote Optimal Implementation, Adoption,…
-
psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
January 22, 2014 - Study
Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids.
Citation Text:
Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis …
-
psnet.ahrq.gov/issue/universal-screening-methicillin-resistant-staphylococcus-aureus-hospital-admission-and
January 27, 2021 - Study
Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients.
Citation Text:
Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital ad…
-
psnet.ahrq.gov/issue/pediatric-anesthesiology-fellows-perception-quality-attending-supervision-and-medical-errors
September 07, 2016 - Study
Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors.
Citation Text:
Benzon HA, Hajduk J, De Oliveira GS, et al. Pediatric Anesthesiology Fellows' Perception of Quality of Attending Supervision and Medical Errors. Anesth Analg. 2018;12…
-
psnet.ahrq.gov/issue/transactional-second-victim-model-experiences-affected-healthcare-professionals-acute-somatic
April 20, 2022 - Review
A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis.
Citation Text:
Schiess C, Schwappach DLB, Schwendimann R, et al. A Transactional "Second-Victim" Model-Experiences of Affected H…