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The many faces of error disclosure: a common set of elements and a definition. | PSNet

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December 16, 2009 - Study Classic The many faces of error disclosure: a common set of elements and a definition. Citation Text: Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…

Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. | PSNet

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July 12, 2023 - Commentary Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. Citation Text: Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…

Dashboards for visual display of patient safety data: a systematic review. | PSNet

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November 11, 2020 - Review Dashboards for visual display of patient safety data: a systematic review. Citation Text: Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437. …

Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events. | PSNet

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December 18, 2017 - Review Patients' views of adverse events in primary and ambulatory care: a systematic review to assess methods and the content of what patients consider to be adverse events. Citation Text: Lang S, Garrido MV, Heintze C. Patients' views of adverse events in primary and ambulatory care: a…

Towards a framework for managing risk associated with technology-induced error. | PSNet

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May 10, 2013 - Commentary Towards a framework for managing risk associated with technology-induced error. Citation Text: Borycki EM, Kushniruk AW. Towards a Framework for Managing Risk Associated with Technology-Induced Error. Stud Health Technol Inform. 2017;234:42-48. Copy Citation Format: …

Governing the quality and safety of healthcare: a conceptual framework. | PSNet

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September 03, 2011 - Commentary Governing the quality and safety of healthcare: a conceptual framework. Citation Text: Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020. Copy Citation …

The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. | PSNet

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July 02, 2014 - Study The etiology of diagnostic errors: a controlled trial of System 1 versus System 2 reasoning. Citation Text: Norman GR, Sherbino J, Dore KL, et al. The etiology of diagnostic errors: a controlled trial of system 1 versus system 2 reasoning. Acad Med. 2014;89(2):277-84. doi:10.1097…

Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet

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October 28, 2020 - Commentary Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. Citation Text: Singh H, Upadhyay DK, Torretti D. Developing Health Care Organizations That Pursue Learning and Exploration of Diagnostic Excellence: An Action Pl…

IDEA4PS: the development of a research-oriented learning healthcare system. | PSNet

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April 24, 2018 - Commentary IDEA4PS: the development of a research-oriented learning healthcare system. Citation Text: Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.…

Using computerized virtual cases to explore diagnostic error in practicing physicians. | PSNet

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August 20, 2018 - Study Using computerized virtual cases to explore diagnostic error in practicing physicians. Citation Text: Trowbridge RL, Reilly JB, Clauser JC, et al. Using computerized virtual cases to explore diagnostic error in practicing physicians. Diagnosis (Berl). 2018;5(4):229-233. doi:10.1515…

Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet

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November 18, 2020 - Book/Report Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. Citation Text: Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…

Learning from excellence in healthcare: a new approach to incident reporting. | PSNet

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August 31, 2022 - Commentary Learning from excellence in healthcare: a new approach to incident reporting. Citation Text: Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021. …

Blink or think: can further reflection improve initial diagnostic impressions? | PSNet

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November 28, 2012 - Study Blink or think: can further reflection improve initial diagnostic impressions? Citation Text: Hess BJ, Lipner RS, Thompson V, et al. Blink or think: can further reflection improve initial diagnostic impressions? Acad Med. 2015;90(1):112-118. doi:10.1097/ACM.0000000000000550. Copy…

Are personal health records (PHRs) facilitating patient safety? A scoping review. | PSNet

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February 09, 2022 - Review Are personal health records (PHRs) facilitating patient safety? A scoping review. Citation Text: Joseph AL, Monkman H, Kushniruk AW, et al. Are personal health records (PHRs) facilitating patient safety? A scoping review. Stud Health Technol Inform. 2022;2022:535-539. doi:10.3233/…

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. | PSNet

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December 14, 2022 - Study Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Citation Text: Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…

Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. | PSNet

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January 23, 2017 - Commentary Classic Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Citation Text: McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic…

Misdiagnosis in the emergency department: time for a system solution. | PSNet

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March 25, 2020 - Commentary Misdiagnosis in the emergency department: time for a system solution. Citation Text: Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. Copy Citation Format: DOI Goo…

Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. | PSNet

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August 18, 2021 - Commentary Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. Citation Text: Crowley N. Person-first treatment strategies: weight bias and impact on mental health of people living with obesity. Prim Care. 2023;50(1):89-101. doi:10.10…

The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. | PSNet

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April 12, 2019 - Commentary The causes of errors in clinical reasoning: cognitive biases, knowledge deficits, and dual process thinking. Citation Text: Norman GR, Monteiro SD, Sherbino J, et al. The Causes of Errors in Clinical Reasoning: Cognitive Biases, Knowledge Deficits, and Dual Process Thinking. A…

Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. | PSNet

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November 16, 2022 - Commentary Emerging Classic Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. Citation Text: Holmes SM, Hansen H, Jenks A, et al. Misdiagnosis, mistreatment, and harm - when medical care ignores social forces. N Engl J Med. 2020;382…

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