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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60556/psn-pdfJune 03, 2020 - The impact of technology on prescribing errors in pediatric intensive care: a before and after study. June 3, 2020 Howlett MM, Butler E, Lavelle KM, et al. The impact of technology on prescribing errors in pediatric intensive care: a before and after study. Appl Clin Inform. 2020;11(02). doi:10.1055/s-0040-1709508.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837797/psn-pdfAugust 10, 2022 - Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. August 10, 2022 Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situations of error theory as a psychos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42001/psn-pdfAugust 02, 2015 - Diagnostic inaccuracy of smartphone applications for melanoma detection. August 2, 2015 Wolf JA, Moreau JF, Akilov O, et al. Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 2013;149(4):422-426. doi:10.1001/jamadermatol.2013.2382. https://psnet.ahrq.gov/issue/diagnostic-inacc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40477/psn-pdfMarch 23, 2012 - Adverse drug events in U.S. adult ambulatory medical care. March 23, 2012 Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x. https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34698/psn-pdfJanuary 04, 2017 - Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. January 4, 2017 DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37706/psn-pdfDecember 23, 2016 - Preventing pediatric medication errors. December 23, 2016 Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4. https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk and to p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74866/psn-pdfFebruary 23, 2022 - Eliminating explicit and implicit biases in health care: evidence and research needs. February 23, 2022 Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620- 10352… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46309/psn-pdfDecember 22, 2018 - Effects of the I-PASS nursing handoff bundle on communication quality and workflow. December 22, 2018 Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37207/psn-pdfSeptember 09, 2008 - Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. September 9, 2008 Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61040/psn-pdfJanuary 01, 2021 - Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic. October 21, 2020 Ferrara G, De Vincentiis L, Ambrosini-Spaltro A, et al. Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60670/psn-pdfJuly 08, 2020 - Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. July 8, 2020 Taylor M, Kepner S, Gardner LA, et al. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. Patient Saf. 2020;2(2):16-27. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837033/psn-pdfMay 04, 2022 - Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. May 4, 2022 Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. JAMA… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865875/psn-pdfMay 15, 2024 - Digital health interventions and patient safety in abdominal surgery: a systematic review and meta- analysis. May 15, 2024 Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal surgery: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(4):e248555. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60658/psn-pdfJuly 08, 2020 - Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. July 8, 2020 Neves AL, Freise L, Laranjo L, et al. Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-anal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44680/psn-pdfFebruary 24, 2018 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. February 24, 2018 McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74757/psn-pdfFebruary 09, 2022 - Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.1001/jamanetworkopen.2021.44531. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866249/psn-pdfJuly 10, 2024 - Implementation of a health information technology safety classification system in the Veterans Health Administration's Informatics Patient Safety Office. July 10, 2024 Kato D, Lucas J, Sittig DF. Implementation of a health information technology safety classification system in the Veterans Health Administration’s … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865806/psn-pdfMay 08, 2024 - Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patients with complex care needs. May 8, 2024 Hedqvist A?T, Praetorius G, Ekstedt M, et al. Entangled in complexity: an ethnographic study of organizational adaptability and safe care transitions for patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45350/psn-pdfOctober 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50832/psn-pdfJanuary 01, 2021 - Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study. January 29, 2020 Nowotny BM, Davies-Tuck M, Scott B, et al. Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quant…
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