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Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet

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September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…

A cognitive task analysis of information management strategies in a computerized provider order entry environment. | PSNet

psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry

May 27, 2011 - Study A cognitive task analysis of information management strategies in a computerized provider order entry environment. Citation Text: Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a computerized provider order entry environme…

Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. | PSNet

psnet.ahrq.gov/issue/organizational-conditions-engagement-quality-and-safety-improvement-longitudinal-qualitative

November 25, 2020 - Study Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. Citation Text: Phipps D, Jones CEL, Parker D, et al. Organizational conditions for engagement in quality and safety improvement: a longitudinal qual…

The value of learning from near misses to improve patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/value-learning-near-misses-improve-patient-safety-scoping-review

April 27, 2022 - Review The value of learning from near misses to improve patient safety: a scoping review. Citation Text: Woodier N, Burnett C, Moppett I. The value of learning from near misses to improve patient safety: a scoping review. J Patient Saf. 2022;19(1):42-47. doi:10.1097/pts.0000000000001078…

Error, stress, and teamwork in medicine and aviation: cross sectional surveys. | PSNet

psnet.ahrq.gov/issue/error-stress-and-teamwork-medicine-and-aviation-cross-sectional-surveys

June 16, 2011 - Study Classic Error, stress, and teamwork in medicine and aviation: cross sectional surveys. Citation Text: Sexton JB. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. BMJ. 2002;320(7237):745-749. doi:10.1136/bmj.320.7237.745. C…

Exploring care left undone in pediatric nursing. | PSNet

psnet.ahrq.gov/issue/exploring-care-left-undone-pediatric-nursing

October 25, 2017 - Study Exploring care left undone in pediatric nursing. Citation Text: Bagnasco A, Rossi S, Dasso N, et al. Exploring care left undone in pediatric nursing. J Patient Saf. 2022;18(6):e903-e911. doi:10.1097/pts.0000000000001044. Copy Citation Format: DOI Google Scholar BibTeX…

Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. | PSNet

psnet.ahrq.gov/issue/effect-multispecialty-faculty-handoff-initiative-safety-culture-and-handoff-quality

March 10, 2019 - Study Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Citation Text: Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. …

Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. | PSNet

psnet.ahrq.gov/issue/shared-understanding-resilient-practices-context-inpatient-suicide-prevention-narrative

December 23, 2020 - Study Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. Citation Text: Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis.…

E-prescribing and medication safety in community settings: a rapid scoping review. | PSNet

psnet.ahrq.gov/issue/e-prescribing-and-medication-safety-community-settings-rapid-scoping-review

January 22, 2025 - Review E-prescribing and medication safety in community settings: a rapid scoping review. Citation Text: Cassidy CE, Boulos L, McConnell E, et al. E-prescribing and medication safety in community settings: a rapid scoping review. Explor Res Clin Soc Pharm. 2023;12:100365. doi:10.1016/j.r…

Liability claims and costs before and after implementation of a medical error disclosure program. | PSNet

psnet.ahrq.gov/issue/liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program

April 24, 2018 - Study Classic Liability claims and costs before and after implementation of a medical error disclosure program. Citation Text: Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure …

Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. | PSNet

psnet.ahrq.gov/issue/controlled-interventions-reduce-burnout-physicians-systematic-review-and-meta-analysis

September 28, 2022 - Review Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. Citation Text: Panagioti M, Panagopoulou E, Bower P, et al. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Intern Med. 2017;177(2…

Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. | PSNet

psnet.ahrq.gov/issue/medical-errors-involving-trainees-study-closed-malpractice-claims-5-insurers

July 10, 2008 - Study Classic Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Citation Text: Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice claims from 5 insurers. Arch Intern Me…

Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. | PSNet

psnet.ahrq.gov/issue/implementation-ed-i-pass-standardized-handoff-tool-pediatric-emergency-department

November 16, 2022 - Study Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. Citation Text: Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. J Healthc Qual. 2023;45(3):140-147…

Detecting and assessing suicide ideation during the COVID-19 pandemic. | PSNet

psnet.ahrq.gov/issue/improvement-brief-detecting-and-assessing-suicide-ideation-during-covid-19-pandemic

October 13, 2021 - Study Detecting and assessing suicide ideation during the COVID-19 pandemic. Citation Text: Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2…

Readmissions, observation, and the Hospital Readmissions Reduction Program. | PSNet

psnet.ahrq.gov/issue/readmissions-observation-and-hospital-readmissions-reduction-program

October 25, 2017 - Study Classic Readmissions, observation, and the Hospital Readmissions Reduction Program. Citation Text: Zuckerman RB, Sheingold SH, Orav J, et al. Readmissions, Observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016;374(16):1543-51. do…

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. | PSNet

psnet.ahrq.gov/issue/secure-multicentre-survey-safety-emergency-care-uk-emergency-departments

June 16, 2009 - Study SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. Citation Text: Flowerdew L, Tipping M. SECUre: a multicentre survey of the safety of emergency care in UK emergency departments. Emerg Med J. 2021;38(10):769-775. doi:10.1136/emermed-2019-2089…

Changes made to orders placed by overnight admitting residents on teaching rounds the next day. | PSNet

psnet.ahrq.gov/issue/changes-made-orders-placed-overnight-admitting-residents-teaching-rounds-next-day

July 07, 2021 - Study Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Citation Text: Chiel L, Freiman E, Yarahuan J, et al. Changes made to orders placed by overnight admitting residents on teaching rounds the next day. Hosp Pediatr. 2021;12(1):e35-e38. do…

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. | PSNet

psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve

October 03, 2011 - Study Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Citation Text: Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …

Nurse sensemaking for responding to patient and family safety concerns. | PSNet

psnet.ahrq.gov/issue/nurse-sensemaking-responding-patient-and-family-safety-concerns

November 02, 2022 - Study Nurse sensemaking for responding to patient and family safety concerns. Citation Text: Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. Copy Citation …

The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. | PSNet

psnet.ahrq.gov/issue/doctor-was-rude-toilets-are-dirty-utilizing-soft-signals-regulation-patient-safety

October 06, 2021 - Study The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. Citation Text: Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 20…

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