-
psnet.ahrq.gov/node/36005/psn-pdf
March 28, 2011 - Active surveillance using electronic triggers to detect
adverse events in hospitalized patients.
March 28, 2011
Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse
events in hospitalized patients. Qual Saf Health Care. 2006;15(3):184-90.
https://psnet.ahrq.gov/is…
-
psnet.ahrq.gov/node/34806/psn-pdf
December 23, 2008 - Identification of in-hospital complications from claims
data. Is it valid?
December 23, 2008
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is
it valid? Med Care. 2000;38(8):785-95.
https://psnet.ahrq.gov/issue/identification-hospital-complications-claims-d…
-
psnet.ahrq.gov/node/47257/psn-pdf
September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting
Tool increases psychiatrist participation in reporting
adverse events.
September 26, 2018
Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases
Psychiatrist Participation in Reporting Adverse Events. J Pa…
-
psnet.ahrq.gov/node/41166/psn-pdf
February 29, 2012 - Triangulating case-finding tools for patient safety
surveillance: a cross-sectional case study of
puncture/laceration.
February 29, 2012
Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a
cross-sectional case study of puncture/laceration. Inj Prev. 2011;17(6)…
-
psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - will be provided and competency assessed; what should be documented and whether and how images can be captured
-
psnet.ahrq.gov/node/837198/psn-pdf
May 25, 2022 - The association of acute COVID-19 infection with Patient
Safety Indicator-12 events in a multisite healthcare
system.
May 25, 2022
Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID?19 infection with Patient Safety
Indicator?12 events in a multisite healthcare system. J Hosp Med. 2022;17(5):350-…
-
psnet.ahrq.gov/node/46847/psn-pdf
March 28, 2018 - Advance care planning documentation practices and
accessibility in the electronic health record: implications
for patient safety.
March 28, 2018
Walker E, McMahan R, Barnes D, et al. Advance Care Planning Documentation Practices and Accessibility
in the Electronic Health Record: Implications for Patient Safety. J …
-
psnet.ahrq.gov/node/44604/psn-pdf
August 02, 2016 - Influencing the Quality, Risk and Safety Movement in
Healthcare: In Conversation with International Leaders.
August 2, 2016
Sears K, Stockley D, Broderick B, eds. Aldershot, UK: Ashgate Publishing; 2015. ISBN: 9781472449276.
https://psnet.ahrq.gov/issue/influencing-quality-risk-and-safety-movement-healthcare-conver…
-
psnet.ahrq.gov/node/47365/psn-pdf
January 01, 2019 - How well do incident reporting systems work on inpatient
psychiatric units?
December 21, 2018
Reilly CA, Cullen SW, Watts B, et al. How Well Do Incident Reporting Systems Work on Inpatient
Psychiatric Units? Jt Comm J Qual Patient Saf. 2019;45(1):63-69. doi:10.1016/j.jcjq.2018.05.002.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/47366/psn-pdf
October 31, 2018 - Patient and family engagement in incident investigations:
exploring hospital manager and incident investigators'
experiences and challenges.
October 31, 2018
Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital
manager and incident investigators' experiences and c…
-
psnet.ahrq.gov/perspective/conversation-eric-j-topol-md
February 26, 2025 - I would like to see the conversation that goes between doctor and patient fully captured and processed
-
psnet.ahrq.gov/node/36280/psn-pdf
May 27, 2011 - Types of unintended consequences related to
computerized provider order entry.
May 27, 2011
Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized
provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56.
https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
-
psnet.ahrq.gov/node/35242/psn-pdf
February 24, 2011 - What can hospitalized patients tell us about adverse
events? Learning from patient-reported incidents.
February 24, 2011
Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events?
Learning from patient-reported incidents. J Gen Intern Med. 2005;20(9):830-6.
https://psnet…
-
psnet.ahrq.gov/node/34642/psn-pdf
June 24, 2015 - Human factor in cardiac surgery: errors and near misses
in a high technology medical domain.
June 24, 2015
Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high
technology medical domain. Ann Thorac Surg. 2001;72(1):300-5.
https://psnet.ahrq.gov/issue/human-factor…
-
psnet.ahrq.gov/node/34952/psn-pdf
November 17, 2011 - Assessing the National Electronic Injury Surveillance
System—Cooperative Adverse Drug Event Surveillance
Project—six sites, United States, January 1–June 15,
2004.
November 17, 2011
Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative
Adverse Drug Event Surveillance pr…
-
psnet.ahrq.gov/node/45107/psn-pdf
May 09, 2017 - Missing clinical and behavioral health data in a large
electronic health record (EHR) system.
May 9, 2017
Madden JM, Lakoma MD, Rusinak D, et al. Missing clinical and behavioral health data in a large electronic
health record (EHR) system. J Am Med Info Asso. 2016;23(6):1143-1149. doi:10.1093/jamia/ocw021.
https:/…
-
psnet.ahrq.gov/node/35448/psn-pdf
September 18, 2009 - Relationship between performance measurement and
accreditation: implications for quality of care and patient
safety.
September 18, 2009
Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and
accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005…
-
psnet.ahrq.gov/node/43809/psn-pdf
February 25, 2015 - Application of the aviation black box principle in pediatric
cardiac surgery: tracking all failures in the pediatric
cardiac operating room.
February 25, 2015
Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric
cardiac surgery: tracking all failures in the pedia…
-
psnet.ahrq.gov/node/47618/psn-pdf
January 30, 2019 - Making care better in the pediatric intensive care unit.
January 30, 2019
Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267-
274. doi:10.21037/tp.2018.09.10.
https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit
Pediatric critical care…
-
psnet.ahrq.gov/node/33792/psn-pdf
September 01, 2015 - I would like to see the conversation that goes between doctor and patient fully
captured and processed