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Disparities in adverse event reporting for hospitalized children. | PSNet

psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children

July 27, 2022 - Study Disparities in adverse event reporting for hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Disparities in adverse event reporting for hospitalized children. J Patient Saf. 2022;18(6):e928-e933. doi:10.1097/pts.0000000000001049. Copy Citation F…

Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? | PSNet

psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses

March 24, 2019 - Study Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? Citation Text: Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71…

Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center. | PSNet

psnet.ahrq.gov/issue/development-proactive-process-harmonize-policy-infusion-pump-library-and-electronic-health

October 19, 2022 - Study Development of a proactive process to harmonize policy, infusion pump library, and electronic health record entries for continuous infusions at an academic medical center. Citation Text: Christensen SM, Andrews SR, Fox ER. Development of a proactive process to harmonize policy, inf…

Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet

psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national

October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. Citation Text: Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…

Evaluation of near-miss wrong-patient events in radiology reports. | PSNet

psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports

June 13, 2015 - Study Evaluation of near-miss wrong-patient events in radiology reports. Citation Text: Sadigh G, Loehfelm T, Applegate KE, et al. JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. AJR Am J Roentgenol. 2015;205(2):337-43. doi:10.2214/AJR.14.13339. Copy Ci…

Do calculation errors by nurses cause medication errors in clinical practice? A literature review. | PSNet

psnet.ahrq.gov/issue/do-calculation-errors-nurses-cause-medication-errors-clinical-practice-literature-review

December 14, 2016 - Review Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Citation Text: Wright K. Do calculation errors by nurses cause medication errors in clinical practice? A literature review. Nurse Educ Today. 2010;30(1):85-97. doi:10.1016/j.nedt.2…

Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. | PSNet

psnet.ahrq.gov/issue/towards-diagnostic-excellence-academic-ward-teams-building-conceptual-model-team-dynamics

August 20, 2018 - Study Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. Citation Text: Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in t…

Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. | PSNet

psnet.ahrq.gov/issue/creating-learning-health-system-improving-diagnostic-safety-pragmatic-insights-us-health-care

May 12, 2021 - Study Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care organizations. Citation Text: Giardina TD, Shahid U, Mushtaq U, et al. Creating a learning health system for improving diagnostic safety: pragmatic insights from US health care…

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. | PSNet

psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call

October 28, 2020 - Review Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Citation Text: Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…

Making the business case for patient safety. | PSNet

psnet.ahrq.gov/issue/making-business-case-patient-safety

March 04, 2011 - Commentary Making the business case for patient safety. Citation Text: Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

Shining a Light: Safer Health Care Through Transparency. | PSNet

psnet.ahrq.gov/issue/shining-light-safer-health-care-through-transparency

November 23, 2016 - Book/Report Shining a Light: Safer Health Care Through Transparency. Citation Text: Shining a Light: Safer Health Care Through Transparency. Boston, MA: National Patient Safety Foundation Lucian Leape Institute; January 2015. Copy Citation Save Save to your librar…

Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. | PSNet

psnet.ahrq.gov/issue/awareness-racial-and-ethnic-bias-and-potential-solutions-address-bias-use-health-care

November 16, 2022 - Study Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. Citation Text: Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA H…

Adverse-event-reporting practices by US hospitals: results of a national survey. | PSNet

psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey

December 30, 2014 - Study Adverse-event-reporting practices by US hospitals: results of a national survey. Citation Text: Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.20…

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. | PSNet

psnet.ahrq.gov/issue/adopting-real-time-surveillance-dashboards-component-enterprisewide-medication-safety

June 27, 2018 - Study Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Citation Text: Waitman LR, Phillips IE, McCoy AB, et al. Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy. Jt Comm J Q…

The safety of inpatient health care. | PSNet

psnet.ahrq.gov/issue/safety-inpatient-health-care

May 15, 2024 - Study The safety of inpatient health care. Citation Text: Bates DW, Levine DM, Salmasian H, et al. The safety of inpatient health care. New Engl J Med. 2023;388(2):142-153. doi:10.1056/nejmsa2206117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

Effectiveness and efficiency of root cause analysis in medicine. | PSNet

psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine

July 11, 2012 - Commentary Classic Effectiveness and efficiency of root cause analysis in medicine. Citation Text: Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. Copy Citation Format: …

Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. | PSNet

psnet.ahrq.gov/issue/health-care-professionals-perceptions-unprofessional-behaviour-clinical-workplace

November 03, 2021 - Study Health care professionals' perceptions of unprofessional behaviour in the clinical workplace. Citation Text: Dabekaussen KFAA, Scheepers RA, Heineman E, et al. Health care professionals’ perceptions of unprofessional behaviour in the clinical workplace. PLoS ONE. 2023;18(1):e028044…

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. | PSNet

psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety

July 12, 2016 - Book/Report Classic Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Citation Text: Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours…

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. | PSNet

psnet.ahrq.gov/issue/mixed-method-study-practitioners-perspectives-issues-related-ehr-medication-reconciliation

September 23, 2020 - Study A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system. Citation Text: Rangachari P, Dellsperger KC, Fallaw D, et al. A Mixed-Method Study of Practitioners' Perspectives on Issues Related to EHR Medication Reconcili…

The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. | PSNet

psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and

July 01, 2017 - Study The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. Citation Text: Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…

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