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Sharing the process of diagnostic decision making. | PSNet

psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making

January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …

Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. | PSNet

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November 16, 2022 - Study Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. Citation Text: Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …

A pediatric medical emergency team manages a complex child with hypoxia and a worried parent. | PSNet

psnet.ahrq.gov/issue/pediatric-medical-emergency-team-manages-complex-child-hypoxia-and-worried-parent

September 09, 2008 - Commentary A pediatric medical emergency team manages a complex child with hypoxia and a worried parent. Citation Text: Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185. …

Empowering patient safety outreach through interprofessional partnerships: educating our communities. | PSNet

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August 17, 2022 - Commentary Empowering patient safety outreach through interprofessional partnerships: educating our communities. Citation Text: Walton L, Childs C, Egeland M, et al. Empowering Patient Safety Outreach Through Interprofessional Partnerships: Educating Our Communities. J Hosp Librariansh. …

Error and cognitive bias in diagnostic radiology. | PSNet

psnet.ahrq.gov/issue/error-and-cognitive-bias-diagnostic-radiology

August 07, 2013 - Commentary Error and cognitive bias in diagnostic radiology. Citation Text: Tee QX, Nambiar M, Stuckey S. Error and cognitive bias in diagnostic radiology. J Med Imaging Radiat Oncol. 2022;66(2):202-207. doi:10.1111/1754-9485.13320. Copy Citation Format: DOI Google Scholar …

Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. | PSNet

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September 07, 2021 - Book/Report Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. Citation Text: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Acad…

Report on the Burden of Endemic Health Care–Associated Infection Worldwide. | PSNet

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November 02, 2022 - Book/Report Report on the Burden of Endemic Health Care–Associated Infection Worldwide. Citation Text: Report on the Burden of Endemic Health Care–Associated Infection Worldwide. Allegranzi B, Nejad SB, Castillejos GG, Kilpatrick C, Kelley E, Mathai E; Clean Care is Safer Care Team. …

Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. | PSNet

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May 29, 2015 - Study Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. Citation Text: Meyer AND, Payne VL, Meeks DW, et al. Physicians' diagnostic accuracy, confidence, and resource requests: a vignette study. JAMA Intern Med. 2013;173(21):1952-1958. doi:10.1001/jama…

Patient safety in North America: beyond "operate through your initials" and "sign your site." | PSNet

psnet.ahrq.gov/issue/patient-safety-north-america-beyond-operate-through-your-initials-and-sign-your-site

March 18, 2009 - Meeting/Conference Proceedings Patient safety in North America: beyond "operate through your initials" and "sign your site." Citation Text: Wong DA, Lewis B, Herndon JH, et al. Patient Safety in North America: Beyond “Operate Through Your Initials” and “Sign Your Site”*. doi:10.2106/jb…

Operating room fires. | PSNet

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March 14, 2022 - Review Emerging Classic Operating room fires. Citation Text: Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. | PSNet

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March 11, 2015 - Study Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. Citation Text: Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:1…

Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. | PSNet

psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective

November 11, 2020 - Commentary Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Citation Text: Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bj…

Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. | PSNet

psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management

October 06, 2011 - Commentary Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. Citation Text: Singh R, Singh A, Fox C, et al. Computer visualisation of patient safety in primary care: a systems approach adapted from management sci…

Human factors engineering in healthcare systems: the problem of human error and accident management. | PSNet

psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management

June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…

Disruptive behaviors among physicians. | PSNet

psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians

August 14, 2014 - Commentary Disruptive behaviors among physicians. Citation Text: Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. | PSNet

psnet.ahrq.gov/issue/who-responsible-safe-introduction-new-surgical-technology-important-legal-precedent-da-vinci

April 15, 2015 - Commentary Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials. Citation Text: Pradarelli J, Thornton JP, Dimick JB. Who Is Responsible for the Safe Introduction of New Surgical Technology?: An Imp…

What have we learned about interventions to reduce medical errors? | PSNet

psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors

June 26, 2019 - Review What have we learned about interventions to reduce medical errors? Citation Text: Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…

What went right: lessons for the intensivist from the crew of US Airways Flight 1549. | PSNet

psnet.ahrq.gov/issue/what-went-right-lessons-intensivist-crew-us-airways-flight-1549

February 23, 2009 - Commentary What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Citation Text: Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549. Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377. Copy Citation…

Work-arounds observed by fourth-year nursing students. | PSNet

psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students

July 30, 2014 - Study Work-arounds observed by fourth-year nursing students. Citation Text: Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. Copy Citation Format: DOI Google Scholar Pu…

Current issues in patient safety in surgery: a review. | PSNet

psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review

July 26, 2017 - Review Current issues in patient safety in surgery: a review. Citation Text: Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4. Copy Citation Format: DOI Google Scholar …

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