AHRQ Search | Home Page

Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. | PSNet

psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer

May 23, 2013 - Study Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. Citation Text: Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…

Implementation of a standardized tool for root cause analysis selection. | PSNet

psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection

November 06, 2024 - Study Implementation of a standardized tool for root cause analysis selection. Citation Text: Wahlstedt E, Levy BE, Scott E, et al. Implementation of a standardized tool for root cause analysis selection. J Patient Saf. 2025;21(2):101-105. doi:10.1097/pts.0000000000001291. Copy Citatio…

The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. | PSNet

psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review

October 30, 2013 - Review The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Citation Text: Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…

Do emergency physicians attribute drug-related emergency department visits to medication-related problems? | PSNet

psnet.ahrq.gov/issue/do-emergency-physicians-attribute-drug-related-emergency-department-visits-medication-related

April 22, 2011 - Study Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Citation Text: Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Ann Emerg Med…

The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

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…

Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. | PSNet

psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications

March 14, 2022 - Study Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. Citation Text: O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complicat…

Preventable deaths: who, how often, and why? | PSNet

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…

Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. | PSNet

psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons

May 18, 2022 - Study Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. Citation Text: Adelani MA, Hong Z, Miller AN. Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. J Am Acad Orthop Surg. 2023;31(16):893-9…

Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. | PSNet

psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue-key-enablers

November 27, 2013 - Study Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. Citation Text: Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-…

An organization-specific and modifiable inpatient safety composite measure. | PSNet

psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure

June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses. | PSNet

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…

Assessing legislative potential to institute error transparency: a state comparison of malpractice claims rates. | PSNet

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…

A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. | PSNet

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…

An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology. | PSNet

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,…

Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. | PSNet

psnet.ahrq.gov/issue/problem-based-training-improves-recognition-patient-hazards-advanced-medical-students-during

September 11, 2024 - Study Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. Citation Text: Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advance…

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. | PSNet

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…

A transactional "second-victim" model—experiences of affected healthcare professionals in acute-somatic inpatient settings: a qualitative metasynthesis. | PSNet

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…

A piece of my mind. From shame to guilt to love. | PSNet

psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love

January 02, 2017 - Commentary A piece of my mind. From shame to guilt to love. Citation Text: Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-2508. doi:10.1001/jama.2015.11521. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. | PSNet

psnet.ahrq.gov/issue/classifying-safety-events-related-diagnostic-imaging-safety-reporting-system-using-human

November 02, 2018 - Study Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. Citation Text: Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Frame…

Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. | PSNet

psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study

March 24, 2021 - Study Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. Citation Text: Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjope…

Search AHRQ

Results