U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Scott IA, Soon J, Elshaug AG, Lindner R. Med J Aust. 2017;206:407-411.
Scott IA ; Soon J ; Elshaug AG; et al. Countering cognitive biases in minimising low value care. Med J Aust. 2017; 206: 407-411
Heuristics and cognitive biases can contribute to uninformed decision making. This review explores how biases affect overuse and suggests patient stories, huddles, and shared decision making as strategies to mitigate cognitive biases in health care.
Second Victim Train-the-Trainer Workshop.
Center for Patient Safety and University of Missouri. November 10, 2017; Saint Luke's North Hospital, Barry Road, Kansas City, MO.
Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation.
Wolf DA, Drake SA, Snow FK. Am J Forensic Med Pathol. 2017 Aug 31; [Epub ahead of print].
Improving patient care through improved caregiver support.
Headley M. Patient Saf Qual Healthc. August 21, 2017.
Recognizing and responding to the "toxic" work environment: worker safety, patient safety, and abuse/neglect in nursing homes.
Pickering CEZ, Nurenberg K, Schiamberg L. Qual Health Res. 2017 Aug 1; [Epub ahead of print].
Improving the Working Environment for Safe Surgical Care.
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017.
Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective.
Bsharat S, Drach-Zahavy A. J Adv Nurs. 2017;73:2118-2128.
Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives on contributing and protective factors.
True G, Frasso R, Cullen SW, Hermann RC, Marcus SC. Gen Hosp Psychiatry. 2017;48:65-71.
Impact of a successful speaking up program on health-care worker hand hygiene behavior.
Linam MW, Honeycutt MD, Gilliam CH, Wisdom CM, Deshpande JK. Pediatr Qual Saf. 2017;2:e035.
Specialist physicians' attitudes and practice patterns regarding disclosure of pre-referral medical errors.
Dossett LA, Kauffmann RM, Lee JS, et al. Ann Surg. 2017 Jul 24; [Epub ahead of print].
The aging physician and the medical profession: a review.
Dellinger EP, Pellegrini CA, Gallagher TH. JAMA Surg. 2017 Jul 19; [Epub ahead of print].
Piece of my mind. Stories doctors tell.
Moniz T, Lingard L, Watling C. JAMA. 2017;318:124-125.
Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care.
Dyrbye LN, Shanafelt TD, Sinsky CA, et al. Washington, DC: National Academy of Medicine; July 5, 2017.
Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-EF.
Electronic health record alert–related workload as a predictor of burnout in primary care providers.
Gregory ME, Russo E, Singh H. Appl Clin Inform. 2017;8:686-697.
Rude providers jeopardize patient safety. So stop it.
Thew J. HealthLeaders Media. June 14, 2017.
Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences.
Woodruff E. Baltimore Sun. June 9, 2017.
Assumptions of quality medicine: the role of uncertainty.
Scott-Wittenborn N, Schneider JS. JAMA Otolaryngol Head Neck Surg. 2017 Jun 1; [Epub ahead of print].
Bridging the gap between work-as-imagined and work-as-done.
Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83.
Debiasing health-related judgments and decision making: a systematic review.
Ludolph R, Schulz PJ. Med Decis Making. 2017 Jun 1; [Epub ahead of print].
Disruptive and Unprofessional Behavior
Applying lessons from social psychology to transform the culture of error disclosure.
Han J, LaMarra D, Vapiwala N. Med Educ. 2017 May 18; [Epub ahead of print].
Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports.
Riblet N, Shiner B, Watts BV, Mills P, Rusch B, Hemphill RR. J Nerv Ment Dis. 2017;205:436-442.
Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment.
Yaghmour NA, Brigham TP, Richter T, et al. Acad Med. 2017;92:976-983.
Workplace factors associated with burnout of family physicians.
Rassolian M, Peterson LE, Fang B, et al. JAMA Intern Med. 2017;177:1036-1038.
Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims analysis.
Schulz CM, Burden A, Posner KL, et al. Anesthesiology. 2017;127:326-337.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364