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We are not there yet: a qualitative system probing study of a hospital rapid response system. | PSNet

psnet.ahrq.gov/issue/we-are-not-there-yet-qualitative-system-probing-study-hospital-rapid-response-system

March 15, 2023 - Study We are not there yet: a qualitative system probing study of a hospital rapid response system. Citation Text: Olsen SL, Søreide E, Hansen BS. We are not there yet: a qualitative system probing study of a hospital rapid response system. J Patient Saf. 2022;18(7):717-721. doi:10.1097/…

Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. | PSNet

psnet.ahrq.gov/issue/misuse-abuse-and-medication-errors-adverse-events-associated-opioids-systematic-review

January 15, 2025 - Review Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Citation Text: Gustafsson M, Silva V, Valeiro C, et al. Misuse, abuse and medication errors' adverse events associated with opioids--a systematic review. Pharmaceuticals (Basel). 2024…

Another medical malpractice crisis?: Try something different. | PSNet

psnet.ahrq.gov/issue/another-medical-malpractice-crisis-try-something-different

November 11, 2020 - Commentary Another medical malpractice crisis?: Try something different. Citation Text: Sage WM, Boothman RC, Gallagher TH. Another medical malpractice crisis?: Try something different. JAMA. 2020;324(14):1395-1396. doi:10.1001/jama.2020.16557. Copy Citation Format: DOI Goo…

Teaching medical error disclosure to physicians-in-training: a scoping review. | PSNet

psnet.ahrq.gov/issue/teaching-medical-error-disclosure-physicians-training-scoping-review

June 09, 2015 - Review Teaching medical error disclosure to physicians-in-training: a scoping review. Citation Text: Stroud L, Wong BM, Hollenberg E, et al. Teaching medical error disclosure to physicians-in-training: a scoping review. Acad Med. 2013;88(6):884-92. doi:10.1097/ACM.0b013e31828f898f. Cop…

Organizational factors associated with high performance in quality and safety in academic medical centers. | PSNet

psnet.ahrq.gov/issue/organizational-factors-associated-high-performance-quality-and-safety-academic-medical

January 03, 2017 - Study Classic Organizational factors associated with high performance in quality and safety in academic medical centers. Citation Text: Keroack MA, Youngberg BJ, Cerese JL, et al. Organizational factors associated with high performance in quality and safety in…

Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. | PSNet

psnet.ahrq.gov/issue/association-between-primary-care-physician-diagnostic-knowledge-and-death-hospitalisation-and

May 27, 2020 - Study Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. Citation Text: Gray BM, Vandergrift JL, McCoy R…

Absence or presence: silent discourse in the operating room and impact on surgical team action. | PSNet

psnet.ahrq.gov/issue/absence-or-presence-silent-discourse-operating-room-and-impact-surgical-team-action

June 23, 2021 - Study Absence or presence: silent discourse in the operating room and impact on surgical team action. Citation Text: Brommelsiek M, Said T, Gray M, et al. Absence or presence: silent discourse in the operating room and impact on surgical team action. Am J Surg. 2021;221(5):980-986. doi:1…

The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. | PSNet

psnet.ahrq.gov/issue/impact-trained-assistance-error-rates-anaesthesia-simulation-based-randomised-controlled

January 28, 2009 - Study The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. Citation Text: Weller JM, Merry AF, Robinson BJ, et al. The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. …

The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. | PSNet

psnet.ahrq.gov/issue/urgent-need-improve-health-care-quality-institute-medicine-national-roundtable-health-care

May 27, 2015 - Commentary Classic The urgent need to improve health care quality. Institute of Medicine National Roundtable on Health Care Quality. Citation Text: Chassin MR, Galvin RW. The urgent need to improve health care quality. Institute of Medicine National Roundtable o…

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. | PSNet

psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical

March 24, 2021 - Study A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. Citation Text: Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health C…

The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey. | PSNet

psnet.ahrq.gov/issue/association-patient-safety-climate-and-nurse-related-organizational-factors-selected-patient

January 22, 2014 - Study The association of patient safety climate and nurse-related organizational factors with selected patient outcomes: a cross-sectional survey. Citation Text: Ausserhofer D, Schubert M, Desmedt M, et al. The association of patient safety climate and nurse-related organizational fact…

Errors in after-hours phone consultations: a simulation study. | PSNet

psnet.ahrq.gov/issue/errors-after-hours-phone-consultations-simulation-study

March 21, 2017 - Study Errors in after-hours phone consultations: a simulation study. Citation Text: Joffe E, Turley JP, Hwang KO, et al. Errors in after-hours phone consultations: a simulation study. BMJ Qual Saf. 2014;23(5):398-405. doi:10.1136/bmjqs-2013-002243. Copy Citation Format: DOI…

Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff

July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. | PSNet

psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error

March 11, 2013 - Study A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Citation Text: Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…

The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet

psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist

March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. Citation Text: Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…

Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet

psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study

February 20, 2019 - Study Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. Citation Text: Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…

Assuring safe patient care in a level III NICU in anticipation of hospital closure. | PSNet

psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure

April 22, 2016 - Study Assuring safe patient care in a level III NICU in anticipation of hospital closure. Citation Text: Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7. Copy Citation…

Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. | PSNet

psnet.ahrq.gov/issue/effect-rapid-response-system-patients-shock-time-treatment-and-mortality-during-5-years

October 19, 2022 - Study Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Citation Text: Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care M…

Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. | PSNet

psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health

June 28, 2011 - Review Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. Citation Text: Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…

Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. | PSNet

psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse

March 15, 2017 - Study Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. Citation Text: Malicki J, Bly R, Bulot M, et al. Patient safety in external beam radiotherapy - guidelines on risk asses…

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