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Identifying and addressing preventable process errors in trauma care. | PSNet

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June 17, 2015 - Study Identifying and addressing preventable process errors in trauma care. Citation Text: Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. Copy Citation Form…

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. | PSNet

psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care

October 19, 2012 - Study Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Citation Text: Hu Y-Y, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;…

A model for developing high-reliability teams. | PSNet

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September 01, 2018 - Commentary A model for developing high-reliability teams. Citation Text: Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x. Copy Citation Format: DOI Google Scholar Pub…

Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. | PSNet

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June 19, 2024 - Study Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. Citation Text: Suzuki K, Ohida T, Kaneita Y, et al. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. J Adv Nurs. 2005;52(4):445-53. Copy Citation Format: …

Placing Diagnosis Errors on the Policy Agenda. | PSNet

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October 31, 2014 - Book/Report Placing Diagnosis Errors on the Policy Agenda. Citation Text: Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014. Copy Citation Save Save…

The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. | PSNet

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January 09, 2019 - Commentary The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. Citation Text: Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Educa…

Using simulation to improve patient safety: dawn of a new era. | PSNet

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October 29, 2017 - Commentary Using simulation to improve patient safety: dawn of a new era. Citation Text: Cheng A, Grant V, Auerbach M. Using simulation to improve patient safety: dawn of a new era. JAMA Pediatr. 2015;169(5):419-20. doi:10.1001/jamapediatrics.2014.3817. Copy Citation Format: …

Simulation, mastery learning and healthcare. | PSNet

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November 09, 2011 - Commentary Simulation, mastery learning and healthcare. Citation Text: Dunn W, Dong Y, Zendejas B, et al. Simulation, Mastery Learning and Healthcare. Am J Med Sci. 2017;353(2):158-165. doi:10.1016/j.amjms.2016.12.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet

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September 23, 2020 - Review Impact of hospital accreditation on quality improvement in healthcare: a systematic review. Citation Text: Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…

Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet

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May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …

View from the cockpit: what the airline industry can teach us about patient safety. | PSNet

psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-patient-safety

January 08, 2020 - Commentary View from the cockpit: what the airline industry can teach us about patient safety. Citation Text: Doucette JN. View from the cockpit: what the airline industry can teach us about patient safety. Nursing (Brux). 2006;36(11):50-53. Copy Citation Format: Google S…

Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. | PSNet

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August 11, 2015 - Commentary Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. Citation Text: Ilgen JS, Humbert AJ, Kuhn G, et al. Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs. Acad Emerg Med. 20…

Creating a safer operating room: groups, team dynamics and crew resource management principles. | PSNet

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June 11, 2008 - Review Emerging Classic Creating a safer operating room: groups, team dynamics and crew resource management principles. Citation Text: Wakeman D, Langham MR. Creating a safer operating room: Groups, team dynamics and crew resource management principles. Semin Pe…

We know what they did wrong, but not why: the case for 'frame-based' feedback. | PSNet

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December 21, 2014 - Newspaper/Magazine Article We know what they did wrong, but not why: the case for 'frame-based' feedback. Citation Text: Rudolph JW, Raemer D, Shapiro J. We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. Clin Teach. 2013;10(3):186-189. doi:10.1111/j.1743-498x.2…

Physical Diagnosis: A Lost Art? | PSNet

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January 17, 2018 - Although few studies examine physical diagnosis skills over successive generations of physicians, skill … skills in North America will ever come back to their apogee, when this art form was practiced with great skill … Without leadership in this area from regulatory organizations and specialty societies, this skill set

Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet

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January 29, 2018 - Almost Fatal Medication Error June 1, 2018 Clinical scenarios: enhancing the skill

Safety culture and complications after bariatric surgery. | PSNet

psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariatric-surgery

August 02, 2015 - August 2, 2015 Surgical skill and complication rates after bariatric surgery.

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet

psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective

March 28, 2012 - February 15, 2010 Surgical skill is predicted by the ability to detect errors.

Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? | PSNet

psnet.ahrq.gov/issue/chief-resident-indirect-supervision-training-safety-study-chief-resident-general-surgery

December 16, 2011 - May 1, 2019 Association of a surgical task during training with team skill acquisition

Nurses' and patients' appraisals show patient safety in hospitals remains a concern. | PSNet

psnet.ahrq.gov/issue/nurses-and-patients-appraisals-show-patient-safety-hospitals-remains-concern

October 16, 2012 - December 9, 2020 Nursing skill mix in European hospitals: cross-sectional study of the

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