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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39679/psn-pdfJanuary 19, 2011 - Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being. January 19, 2011 Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers to assess the effects of involveme… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46890/psn-pdfDecember 21, 2018 - Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. December 21, 2018 Tawfik DS, Profit J, Morgenthaler TI, et al. Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors. Mayo Clin Proc. 2018;93(11):1571-1580. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46956/psn-pdfJanuary 23, 2019 - Impact of a national QI programme on reducing electronic health record notifications to clinicians. January 23, 2019 Shah T, Patel-Teague S, Kroupa L, et al. Impact of a national QI programme on reducing electronic health record notifications to clinicians. BMJ Qual Saf. 2018;28(1):10-14. doi:10.1136/bmjqs-2017-007… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44388/psn-pdfOctober 14, 2015 - Implementation of the Centers for Medicare & Medicaid Services' nonpayment policy for preventable hospital- acquired conditions in rural and nonrural US hospitals. October 14, 2015 Bae S-H, Yoder LH. Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy for Preventable Hospital-Acquired… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45797/psn-pdfOctober 31, 2017 - Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures. October 31, 2017 Weingart SN, Stoffel EM, Chung DC, et al. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. The Joint Commission Journal on Quality and Patient Safety. 2016;43(1)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40013/psn-pdfJuly 24, 2011 - Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? July 24, 2011 Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? J Patient Saf. 2010;6(4):221-5. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48130/psn-pdfAugust 07, 2019 - Adverse events in long-term care residents transitioning from hospital back to nursing home. August 7, 2019 Kapoor A, Field T, Handler S, et al. Adverse Events in Long-term Care Residents Transitioning From Hospital Back to Nursing Home. JAMA Intern Med. 2019;179(9):1254-1261. doi:10.1001/jamainternmed.2019.2005. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41175/psn-pdfDecember 31, 2014 - Design and implementation of an automated email notification system for results of tests pending at discharge. December 31, 2014 Dalal A, Schnipper JL, Poon EG, et al. Design and implementation of an automated email notification system for results of tests pending at discharge. J Am Med Inform Assoc. 2012;19(4):52… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46232/psn-pdfFebruary 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. February 10, 2018 Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45419/psn-pdfJune 29, 2017 - Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. June 29, 2017 Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48137/psn-pdfJuly 17, 2019 - Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices. July 17, 2019 Patel MR, Friese CR, Mendelsohn-Victor K, et al. Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety Across Diverse Medical Oncology Pra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38816/psn-pdfJuly 29, 2009 - Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. July 29, 2009 Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infection, and Critical Care. 2009;67(1).… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43253/psn-pdfMay 01, 2015 - Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. May 1, 2015 Washington, DC: VA Office of the Inspector General; May 28, 2014. Report No. 14-02603-178. https://psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43652/psn-pdfAugust 04, 2015 - Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. August 4, 2015 Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern Med. 2014;161(8):562-7. doi:10.73… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45911/psn-pdfJune 27, 2018 - Use of unsolicited patient observations to identify surgeons with increased risk for postoperative complications. June 27, 2018 Cooper WO, Guillamondegui O, Hines J, et al. Use of Unsolicited Patient Observations to Identify Surgeons With Increased Risk for Postoperative Complications. JAMA Surg. 2017;152(6):522-5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45310/psn-pdfJanuary 03, 2017 - Minding the gaps: assessing communication outcomes of electronic preconsultation exchange. January 3, 2017 Price EL, Sewell JL, Chen AH, et al. Minding the Gaps: Assessing Communication Outcomes of Electronic Preconsultation Exchange. Jt Comm J Qual Patient Saf. 2016;42(8):341-54. https://psnet.ahrq.gov/issue/mind… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43419/psn-pdfOctober 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. October 20, 2014 McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47634/psn-pdfJanuary 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019 Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; 2018. R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43629/psn-pdfMay 01, 2015 - Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. May 1, 2015 Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health Aff (Millwood). 2014;33(10):1832-40.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33621/psn-pdfNovember 01, 2005 - Rapid Response Teams: Lessons from the Early Experience November 1, 2005 Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience Perspective Health care organizations throughout the world have ide…
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