-
psnet.ahrq.gov/node/39749/psn-pdf
August 11, 2010 - An evaluation of information transfer through the
continuum of surgical care: a feasibility study.
August 11, 2010
Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical
care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:10.1097/SLA.0b013e3181e986df.
http…
-
psnet.ahrq.gov/node/44126/psn-pdf
May 13, 2015 - SAFER Electronic Health Records: Safety Assurance
Factors for EHR Resilience.
May 13, 2015
Sittig DF, Singh H, eds. Waretown, NJ: Apple Academic Press; 2015. ISBN: 9781771881173.
https://psnet.ahrq.gov/issue/safer-electronic-health-records-safety-assurance-factors-ehr-resilience
Implementation of electronic health…
-
psnet.ahrq.gov/node/35022/psn-pdf
June 22, 2009 - The investigation and analysis of critical incidents and
adverse events in healthcare.
June 22, 2009
Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents
and adverse events in healthcare. Health Technol Assess. 2005;9(19):1-143, iii.
https://psnet.ahrq.gov/issue/in…
-
psnet.ahrq.gov/node/41738/psn-pdf
June 10, 2018 - Inappropriate use of pharmacy bulk packages of IV
contrast media increases risk of infections.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 20, 2012;17:1,3-4.
https://psnet.ahrq.gov/issue/inappropriate-use-pharmacy-bulk-packages-iv-contrast-media-increases-risk-
infections
This articl…
-
psnet.ahrq.gov/node/858324/psn-pdf
December 13, 2023 - Many people of color worry good health care is tied to
their appearance.
December 13, 2023
DeGuzman C. KFF Health News. December 5, 2023
https://psnet.ahrq.gov/issue/many-people-color-worry-good-health-care-tied-their-appearance
Racial and ethnic bias permeates medical interactions to detract from safe and effecti…
-
psnet.ahrq.gov/node/38346/psn-pdf
April 01, 2010 - Human factors engineering in healthcare systems: the
problem of human error and accident management.
April 1, 2010
Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and
accident management. Int J Med Inform. 2010;79(4):e1-17. doi:10.1016/j.ijmedinf.2008.10.005.
http…
-
psnet.ahrq.gov/node/848825/psn-pdf
May 10, 2023 - Laura Levis' death outside ER has changed hospital
signage, lighting in Mass.
May 10, 2023
Mullins L, Menard F. WBUR. April 27, 2023.
https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
Incomplete information and building design problems can reduce access to care an…
-
psnet.ahrq.gov/node/33926/psn-pdf
March 07, 2005 - The problems of detecting medication errors in hospitals.
March 7, 2005
Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst
Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360.
https://psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
Perhaps the f…
-
psnet.ahrq.gov/node/35767/psn-pdf
July 20, 2010 - An innovative application of Bayesian disease mapping
methods to patient safety research: a Canadian adverse
medical event study.
July 20, 2010
MacNab YC, Kmetic A, Gustafson P, et al. An innovative application of Bayesian disease mapping
methods to patient safety research: a Canadian adverse medical event study. …
-
psnet.ahrq.gov/node/47320/psn-pdf
September 05, 2018 - Patient safety climate: a study of Southern California
healthcare organizations.
September 5, 2018
Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare
Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004.
https://psnet.ahrq.gov/issue/patient-safety…
-
psnet.ahrq.gov/node/37966/psn-pdf
January 15, 2009 - Adopting electronic medical records in primary care:
lessons learned from health information systems
implementation experience in seven countries.
January 15, 2009
Ludwick DA, Doucette J. Adopting electronic medical records in primary care: lessons learned from health
information systems implementation experience …
-
psnet.ahrq.gov/node/35043/psn-pdf
June 22, 2009 - Human factors engineering: a tool for medical device
evaluation in hospital procurement decision-making.
June 22, 2009
Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement
decision-making. J Biomed Inform. 2005;38(3):213-9.
https://psnet.ahrq.gov/issue/human-factors-e…
-
psnet.ahrq.gov/node/36671/psn-pdf
January 18, 2011 - Increasing vigilance on the medical/surgical floor to
improve patient safety.
January 18, 2011
Jacobs JL, Apatov N, Glei M. Increasing vigilance on the medical/surgical floor to improve patient safety. J
Adv Nurs. 2007;57(5). doi:10.1111/j.1365-2648.2006.04161.x.
https://psnet.ahrq.gov/issue/increasing-vigilance-m…
-
psnet.ahrq.gov/node/850936/psn-pdf
June 29, 2023 - After Roe: Challenges in the Provision of Lifesaving Care.
June 21, 2023
Washington DC; National Academies of Science, Engineering and Medicine: June 29, 2023.
https://psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care
Delay in access to obstetric care hinders safe treatment for patients experienci…
-
psnet.ahrq.gov/node/45285/psn-pdf
September 14, 2016 - Improving pathologists' communication skills.
September 14, 2016
Dintzis SM. Improving Pathologists' Communication Skills. AMA J Ethics. 2016;18(8):802-8.
doi:10.1001/journalofethics.2016.18.8.medu1-1608.
https://psnet.ahrq.gov/issue/improving-pathologists-communication-skills
Despite increasing recognition that e…
-
psnet.ahrq.gov/node/838929/psn-pdf
October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care.
October 26, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
-
psnet.ahrq.gov/node/45951/psn-pdf
October 31, 2017 - A systematic review of team training in health care: ten
questions.
October 31, 2017
Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten
Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004.
https://psnet.ahrq.gov/issue/systematic-rev…
-
psnet.ahrq.gov/node/36664/psn-pdf
May 27, 2011 - A prospective hazard and improvement analytic approach
to predicting the effectiveness of medication error
interventions.
May 27, 2011
Karnon J, McIntosh A, Dean JE, et al. A prospective hazard and improvement analytic approach to
predicting the effectiveness of medication error interventions. Saf Sci. 2006;45(4).…
-
psnet.ahrq.gov/node/47504/psn-pdf
December 21, 2018 - Health apps and health policy: what is needed?
December 21, 2018
Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA.
2018;320(19):1975-1976. doi:10.1001/jama.2018.14378.
https://psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed
Mobile health care applications are incre…
-
psnet.ahrq.gov/node/35235/psn-pdf
September 27, 2017 - What is the measure of a safe hospital? Medication errors
missed by risk management, clinical staff, and surveyors.
September 27, 2017
Grasso BC, Rothschild JM, Jordan CW, et al. What is the measure of a safe hospital? Medication errors
missed by risk management, clinical staff, and surveyors. J Psychiatr Pract. 20…