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Building collaborative teams in neonatal intensive care. | PSNet

psnet.ahrq.gov/issue/building-collaborative-teams-neonatal-intensive-care

August 14, 2019 - Study Building collaborative teams in neonatal intensive care. Citation Text: Brodsky D, Gupta M, Quinn M, et al. Building collaborative teams in neonatal intensive care. BMJ Qual Saf. 2013;22(5):374-82. doi:10.1136/bmjqs-2012-000909. Copy Citation Format: DOI Google Scho…

From tasks to processes: the case for changing health information technology to improve health care. | PSNet

psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health-care

February 10, 2015 - Commentary From tasks to processes: the case for changing health information technology to improve health care. Citation Text: Walker JM, Carayon P. From tasks to processes: the case for changing health information technology to improve health care. Health Aff (Millwood). 2009;28(2):467-…

Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? | PSNet

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July 14, 2021 - Commentary Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? Citation Text: Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10…

Resident shift handoff strategies in US internal medicine residency programs. | PSNet

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July 02, 2014 - Study Resident shift handoff strategies in US internal medicine residency programs. Citation Text: Wray CM, Chaudhry S, Pincavage A, et al. Resident Shift Handoff Strategies in US Internal Medicine Residency Programs. JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786. Copy Cita…

Threats to safety during sedation outside of the operating room and the death of Michael Jackson. | PSNet

psnet.ahrq.gov/issue/threats-safety-during-sedation-outside-operating-room-and-death-michael-jackson

January 25, 2012 - Commentary Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Citation Text: Webster CS, Mason KP, Shafer SL. Threats to safety during sedation outside of the operating room and the death of Michael Jackson. Curr Opin Anaesthesiol. 2016;29 S…

Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. | PSNet

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July 03, 2014 - Study Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. Citation Text: Mamede S, Splinter TAW, Van Gog T, et al. Exploring the role of salient distracting clinical features…

Effect of outcome on physician judgments of appropriateness of care. | PSNet

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June 23, 2015 - Review Classic Effect of outcome on physician judgments of appropriateness of care. Citation Text: Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60. Copy Citation Format: …

Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

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March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

Uncharted territory: measuring costs of diagnostic errors outside the medical record. | PSNet

psnet.ahrq.gov/issue/uncharted-territory-measuring-costs-diagnostic-errors-outside-medical-record

September 20, 2011 - Study Uncharted territory: measuring costs of diagnostic errors outside the medical record. Citation Text: Schwartz A, Weiner SJ, Weaver FM, et al. Uncharted territory: measuring costs of diagnostic errors outside the medical record. BMJ Qual Saf. 2012;21(11):918-24. doi:10.1136/bmjqs-…

Errors as allies: error management training in health professions education. | PSNet

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January 22, 2016 - Commentary Errors as allies: error management training in health professions education. Citation Text: King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. Copy Citatio…

Relating faults in diagnostic reasoning with diagnostic errors and patient harm. | PSNet

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April 30, 2014 - Study Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6. Copy…

Communicating with patients about medical errors: a review of the literature. | PSNet

psnet.ahrq.gov/issue/communicating-patients-about-medical-errors-review-literature

December 23, 2008 - Review Classic Communicating with patients about medical errors: a review of the literature. Citation Text: Mazor KM, Simon SR, Gurwitz JH. Communicating with patients about medical errors: a review of the literature. Arch Intern Med. 2004;164(15):1690-7. Co…

Cognitive testing of older clinicians prior to recredentialing. | PSNet

psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing

January 08, 2020 - Commentary Cognitive testing of older clinicians prior to recredentialing. Citation Text: Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. Copy Citation Format: DOI Google Scholar B…

Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. | PSNet

psnet.ahrq.gov/issue/acute-stroke-chameleons-university-hospital-risk-factors-circumstances-and-outcomes

March 05, 2025 - Study Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. Citation Text: Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0…

Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet

psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis

November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident report analysis. Citation Text: Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. BMJ Open Qual. 2019;8(…

Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. | PSNet

psnet.ahrq.gov/issue/does-inappropriate-selectivity-information-use-relate-diagnostic-errors-and-patient-harm

July 02, 2014 - Study Does inappropriate selectivity in information use relate to diagnostic errors and patient harm? The diagnosis of patients with dyspnea. Citation Text: Zwaan L, Thijs A, Wagner C, et al. Does inappropriate selectivity in information use relate to diagnostic errors and patient harm?…

Measuring to improve medication reconciliation in a large subspecialty outpatient practice. | PSNet

psnet.ahrq.gov/issue/measuring-improve-medication-reconciliation-large-subspecialty-outpatient-practice

February 02, 2011 - Study Measuring to improve medication reconciliation in a large subspecialty outpatient practice. Citation Text: Kern E, Dingae MB, Langmack EL, et al. Measuring to Improve Medication Reconciliation in a Large Subspecialty Outpatient Practice. Jt Comm J Qual Patient Saf. 2017;43(5):212-2…

Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. | PSNet

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July 16, 2015 - Study Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Citation Text: Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/…

A review of significant events analysed in general practice: implications for the quality and safety of patient care. | PSNet

psnet.ahrq.gov/issue/review-significant-events-analysed-general-practice-implications-quality-and-safety-patient

October 29, 2008 - Study A review of significant events analysed in general practice: implications for the quality and safety of patient care. Citation Text: McKay J, Bradley N, Lough M, et al. A review of significant events analysed in general practice: implications for the quality and safety of patient…

Data consistency in a voluntary medical incident reporting system. | PSNet

psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system

August 21, 2024 - Study Data consistency in a voluntary medical incident reporting system. Citation Text: Gong Y. Data consistency in a voluntary medical incident reporting system. J Med Syst. 2011;35(4):609-15. doi:10.1007/s10916-009-9398-y. Copy Citation Format: DOI Google Scholar PubMed…

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