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"First, know thyself": cognition and error in medicine. | PSNet

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March 09, 2022 - Review "First, know thyself": cognition and error in medicine. Citation Text: Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8. Copy Citation Format: DOI Google Schola…

Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. | PSNet

psnet.ahrq.gov/issue/frequency-medication-error-pediatric-anesthesia-systematic-review-and-meta-analytic-estimate

December 11, 2024 - Review Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate. Citation Text: Feinstein MM, Pannunzio AE, Castro P. Frequency of medication error in pediatric anesthesia: A systematic review and meta-analytic estimate. Paediatr Anaesth. 2018…

Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet

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October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…

Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. | PSNet

psnet.ahrq.gov/issue/stress-and-burnout-among-surgeons-understanding-and-managing-syndrome-and-avoiding-adverse

June 28, 2010 - Review Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Citation Text: Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences.…

Framework for direct observation of performance and safety in healthcare. | PSNet

psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare

November 15, 2023 - Commentary Framework for direct observation of performance and safety in healthcare. Citation Text: Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. …

Do safety checklists improve teamwork and communication in the operating room? A systematic review. | PSNet

psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review

January 19, 2016 - Review Do safety checklists improve teamwork and communication in the operating room? A systematic review. Citation Text: Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …

Surgical adverse outcome reporting as part of routine clinical care. | PSNet

psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care

March 23, 2011 - Study Surgical adverse outcome reporting as part of routine clinical care. Citation Text: Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458. Copy Citation …

Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. | PSNet

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September 07, 2011 - Study Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre. Citation Text: Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the…

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. | PSNet

psnet.ahrq.gov/issue/theory-based-instrument-evaluate-team-communication-operating-room-balancing-measurement

June 23, 2010 - Commentary A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. Citation Text: Lingard LA, Regehr G, Espin S, et al. A theory-based instrument to evaluate team communication in the operating room: balancing …

Resident Duty Hours Across Borders: An International Perspective. | PSNet

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February 27, 2019 - Special or Theme Issue Resident Duty Hours Across Borders: An International Perspective. Citation Text: Resident Duty Hours Across Borders: An International Perspective. Imrie KR, Frank JR, Parshuram CS, eds. BMC Med Educ. 2014;14(suppl1):S1-S18. Copy Citation Save …

Apparent cause analysis: a safety tool. | PSNet

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June 27, 2018 - Study Apparent cause analysis: a safety tool. Citation Text: Parikh K, Hochberg E, Cheng JJ, et al. Apparent cause analysis: a safety tool. Pediatrics. 2020;145(5):e20191819. doi:10.1542/peds.2019-1819. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

A system analysis of a suboptimal surgical experience. | PSNet

psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience

March 23, 2011 - Study A system analysis of a suboptimal surgical experience. Citation Text: Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. Copy Citation Format: DOI Google Scholar PubMed BibTe…

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. | PSNet

psnet.ahrq.gov/issue/foundations-teaching-surgeons-address-contributions-systems-operating-room-team-conflict

December 21, 2014 - Study Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Citation Text: Rogers DA, Lingard LA, Boehler ML, et al. Foundations for teaching surgeons to address the contributions of systems to operating room team conflict. Am J Surg.…

Intraoperative surgical performance measurement and outcomes: choose your tools carefully. | PSNet

psnet.ahrq.gov/issue/intraoperative-surgical-performance-measurement-and-outcomes-choose-your-tools-carefully

June 17, 2015 - Commentary Intraoperative surgical performance measurement and outcomes: choose your tools carefully. Citation Text: Aggarwal R. Intraoperative Surgical Performance Measurement and Outcomes: Choose Your Tools Carefully. JAMA Surg. 2017;152(11):995-996. doi:10.1001/jamasurg.2017.0837. C…

Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. | PSNet

psnet.ahrq.gov/issue/unexpected-intraoperative-patient-death-imperatives-family-and-surgeon-centered-care

August 04, 2021 - Commentary Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Citation Text: Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. do…

Multidisciplinary crisis simulations: the way forward for training surgical teams. | PSNet

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July 31, 2008 - Study Multidisciplinary crisis simulations: the way forward for training surgical teams. Citation Text: Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. Copy Citation Form…

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. | PSNet

psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach

March 03, 2011 - Study Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. Citation Text: Moorthy K, Munz Y, Forrest D, et al. Surgical Crisis Management Skills Training and Assessment. Ann Surg. 2006;244(1). doi:10.1097/01.sl…

Random safety auditing, root cause analysis, failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis

April 11, 2011 - Commentary Random safety auditing, root cause analysis, failure mode and effects analysis. Citation Text: Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008. Copy Citation Fo…

Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors

December 31, 2014 - Study Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. Citation Text: Teefey SA, Middleton WD, Payne WT, et al. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. AJR Am J Roentgenol. 2005;184(6…

Nature, causes and consequences of unintended events in surgical units. | PSNet

psnet.ahrq.gov/issue/nature-causes-and-consequences-unintended-events-surgical-units

September 07, 2016 - Study Nature, causes and consequences of unintended events in surgical units. Citation Text: van Wagtendonk I, Smits M, Merten H, et al. Nature, causes and consequences of unintended events in surgical units. Br J Surg. 2010;97(11):1730-40. doi:10.1002/bjs.7201. Copy Citation Form…

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