-
psnet.ahrq.gov/node/867447/psn-pdf
January 08, 2025 - The influence of hospital physician integration on culture
of patient safety.
January 8, 2025
Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J
Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280.
https://psnet.ahrq.gov/issue/influence-hospital-phy…
-
psnet.ahrq.gov/node/50869/psn-pdf
February 05, 2020 - How can patient-held lists of medication enhance patient
safety? A mixed-methods study with a focus on user
experience.
February 5, 2020
Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A
mixed-methods study with a focus on user experience. BMJ Qual Saf. 2020…
-
psnet.ahrq.gov/node/867534/psn-pdf
March 10, 2025 - Pulse oximeters for medical purposes - non-clinical and
clinical performance testing, labeling, and premarket
submission recommendations.
January 15, 2025
Pulse oximeters for medical purposes - non-clinical and clinical performance testing, labeling, and
premarket submission recommendations. Food and Drug Administ…
-
psnet.ahrq.gov/node/841486/psn-pdf
January 26, 2018 - Do words matter? Stigmatizing language and the
transmission of bias in the medical record.
January 26, 2018
P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission
of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2.
http…
-
psnet.ahrq.gov/node/61019/psn-pdf
October 14, 2020 - Clinical deterioration and hospital?acquired
complications in adult patients with isolation precautions
for infection control: a systematic review.
October 14, 2020
Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital?acquired complications in adult
patients with isolation precautions for inf…
-
psnet.ahrq.gov/node/44022/psn-pdf
May 28, 2015 - Initiatives to identify and mitigate medication errors in
England.
May 28, 2015
Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England.
Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3.
https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…
-
psnet.ahrq.gov/node/48087/psn-pdf
July 10, 2019 - The rise of human factors: optimising performance of
individuals and teams to improve patients' outcomes.
July 10, 2019
Casali G, Cullen W, Lock G. The rise of human factors: optimising performance of individuals and teams to
improve patients' outcomes. J Thorac Dis. 2019;11(Suppl 7):S998-S1008. doi:10.21037/jtd.20…
-
psnet.ahrq.gov/node/839823/psn-pdf
November 09, 2022 - Prescribing decision making by medical residents on
night shifts: a qualitative study.
November 9, 2022
Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a
qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14845.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/73122/psn-pdf
April 07, 2021 - My life was upended for 35 years by a cancer diagnosis. A
doctor just told me I was misdiagnosed.
April 7, 2021
Henigson J. Washington Post. March 26, 2021.
https://psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was-
misdiagnosed
Misdiagnoses can persist due to heuri…
-
psnet.ahrq.gov/node/40381/psn-pdf
May 25, 2011 - Medication errors in the homes of children with chronic
conditions.
May 25, 2011
Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions.
Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479.
https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…
-
psnet.ahrq.gov/node/46485/psn-pdf
October 18, 2017 - Medical team training improves team performance: AOA
critical issues.
October 18, 2017
Carpenter JE, Bagian JP, Snider RG, et al. Medical Team Training Improves Team Performance: AOA
Critical Issues. J Bone Joint Surg Am. 2017;99(18):1604-1610. doi:10.2106/JBJS.16.01290.
https://psnet.ahrq.gov/issue/medical-team-t…
-
psnet.ahrq.gov/node/73857/psn-pdf
September 22, 2021 - A theoretical model of flow disruptions for the anesthesia
team during cardiovascular surgery.
September 22, 2021
Boquet A, Cohen T, Diljohn F, et al. A theoretical model of flow disruptions for the anesthesia team during
cardiovascular surgery. J Patient Saf. 2021;17(6):e534-e539. doi:10.1097/pts.0000000000000406.…
-
psnet.ahrq.gov/node/60303/psn-pdf
May 06, 2020 - Using safety culture results to guide the merger of four
general practices in the UK.
May 6, 2020
Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general
practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/47759/psn-pdf
February 06, 2019 - California doctors alarmed as state links their opioid
prescriptions to deaths.
February 6, 2019
Dembosky A. All Things Considered and KQED. January 23, 2019.
https://psnet.ahrq.gov/issue/california-doctors-alarmed-state-links-their-opioid-prescriptions-deaths
Policy, practice, and communication strategies have be…
-
psnet.ahrq.gov/node/42722/psn-pdf
November 13, 2013 - Patient safety perspectives of providers and nurses: the
experience of a rural ambulatory care practice using an
EHR with e-prescribing.
November 13, 2013
Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience
of a rural ambulatory care practice using an EHR with…
-
psnet.ahrq.gov/node/60349/psn-pdf
May 20, 2020 - Health care provider factors associated with patient-
reported adverse events and harm.
May 20, 2020
Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported
adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290.
doi:10.1016/j.jcjq.2020.02.004.
https:…
-
psnet.ahrq.gov/node/836918/psn-pdf
April 13, 2022 - How to scale up quality and safety program with the home
care accreditation.
April 13, 2022
Brunelli L, Cristofori V, Battistella C, et al. How to scale up quality and safety program with the home care
accreditation. Int J Integr Care. 2022;22(1):19. doi:10.5334/ijic.5698.
https://psnet.ahrq.gov/issue/how-scale-qu…
-
psnet.ahrq.gov/node/838069/psn-pdf
September 14, 2022 - Experience of learning from everyday work in daily safety
huddles: a multi-method study.
September 14, 2022
Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-
method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-08462-9.
https://psnet.ahrq.…
-
psnet.ahrq.gov/node/72729/psn-pdf
February 10, 2021 - Exploring the theory, barriers and enablers for patient and
public involvement across health, social care and patient
safety: a systematic review of reviews.
February 10, 2021
Ocloo J, Garfield S, Franklin BD, et al. Exploring the theory, barriers and enablers for patient and public
involvement across health, soci…
-
psnet.ahrq.gov/node/863746/psn-pdf
March 06, 2024 - What's going well: a qualitative analysis of positive
patient and family feedback in the context of the
diagnostic process.
March 6, 2024
Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family
feedback in the context of the diagnostic process. Diagnosis (Berl)…