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Showing results for "references".

  1. Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/diagnostic-delays-and-errors-head-and-neck-cancer-patients-opportunities-improvement
    March 14, 2022 - Study Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. Citation Text: Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. do…

  2. Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. | PSNet

    psnet.ahrq.gov/issue/adverse-events-associated-procedural-sedation-and-analgesia-pediatric-emergency-department
    June 12, 2019 - Study Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs. Citation Text: Roback MG, Wathen JE, Bajaj L, et al. Adverse events associated with procedural sedation and analgesia in a pediatric emer…

  3. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. | PSNet

    psnet.ahrq.gov/issue/rates-new-or-missed-colorectal-cancers-after-colonoscopy-and-their-risk-factors-population
    August 28, 2024 - Study Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Citation Text: Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. G…

  4. "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. | PSNet

    psnet.ahrq.gov/issue/apologies-pathologists-why-when-and-how-say-sorry-after-committing-medical-error
    September 04, 2024 - Commentary "Apologies" for pathologists: why, when, and how to say "sorry" after committing a medical error. Citation Text: Dewar R, Parkash V, Forrow L, et al. "Apologies" from pathologists: why, when, and how to say "sorry" after committing a medical error. Int J Surg Pathol. 2014;22(3…

  5. The health implications of apologizing after an adverse event. | PSNet

    psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
    October 05, 2015 - Commentary The health implications of apologizing after an adverse event. Citation Text: Allan A, McKillop D. The health implications of apologizing after an adverse event. Int J Qual Health Care. 2010;22(2):126-31. doi:10.1093/intqhc/mzq001. Copy Citation Format: DOI Goo…

  6. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. | PSNet

    psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
    January 14, 2011 - Review Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Citation Text: Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …

  7. Errors in thyroid gland fine-needle aspiration. | PSNet

    psnet.ahrq.gov/issue/errors-thyroid-gland-fine-needle-aspiration
    March 28, 2012 - Study Errors in thyroid gland fine-needle aspiration. Citation Text: Raab SS, Vrbin CM, Grzybicki DM, et al. Errors in Thyroid Gland Fine-Needle Aspiration. Am J Clin Pathol. 2007;125(6). doi:10.1309/7rqe37k6439t4pb4. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  8. A chemotherapy incident reporting and improvement system. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
    November 16, 2022 - Study A chemotherapy incident reporting and improvement system. Citation Text: France DJ, Miles P, Cartwright J, et al. A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  9. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. | PSNet

    psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
    December 12, 2018 - Commentary Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. Citation Text: Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. Copy Citation …

  10. Missing clinical information during primary care visits. | PSNet

    psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
    March 28, 2011 - Study Missing clinical information during primary care visits. Citation Text: Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

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

    psnet.ahrq.gov/issue/inpatient-notes-reducing-diagnostic-error-new-horizon-opportunities-hospital-medicine
    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…

  12. Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. | PSNet

    psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
    May 30, 2019 - Book/Report Classic Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Citation Text: Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…

  13. Error in medicine. | PSNet

    psnet.ahrq.gov/issue/error-medicine
    November 02, 2014 - Commentary Classic Error in medicine. Citation Text: Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  14. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet

    psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
    November 18, 2015 - Book/Report Classic The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Citation Text: The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN…

  15. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. | PSNet

    psnet.ahrq.gov/issue/evaluation-12-strategies-obtaining-second-opinions-improve-interpretation-breast
    November 03, 2015 - Study Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. Citation Text: Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histo…

  16. Quality improvement and safety in pediatric emergency medicine. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
    March 12, 2025 - Review Quality improvement and safety in pediatric emergency medicine. Citation Text: Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. Copy Citation Format: …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72586/psn-pdf
    December 23, 2020 - Clinical Professor  Betty Irene Moore School of Nursing  UC Davis Health  hrspero@ucdavis.edu    References

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33579/psn-pdf
    September 15, 2024 - Systems Approach September 15, 2024 Systems Approach. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/systems-approach PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

  19. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet

    psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
    January 23, 2017 - Study The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. Citation Text: Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) …

  20. Team situation awareness and the anticipation of patient progress during ICU rounds. | PSNet

    psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
    May 06, 2009 - Study Team situation awareness and the anticipation of patient progress during ICU rounds. Citation Text: Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.0…
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