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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44395/psn-pdf
    August 12, 2015 - How well do health professionals interpret diagnostic information? A systematic review. August 12, 2015 Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjopen-2015-008155. https://psnet.ahrq…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46354/psn-pdf
    November 21, 2017 - Controlled trial to improve resident sign-out in a medical intensive care unit. November 21, 2017 Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. https://psnet.ahrq.gov/issue/contr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47685/psn-pdf
    January 16, 2019 - Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. January 16, 2019 O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:10.1136/bmjqs-2018-008216. https://ps…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45228/psn-pdf
    June 29, 2016 - An innovative approach to the surgical time out: a patient- focused model. June 29, 2016 Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient- Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. https://psnet.ahrq.gov/issue/innovative-approach-su…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35265/psn-pdf
    February 03, 2011 - A 38-year-old woman with fetal loss and hysterectomy. February 3, 2011 Sachs BP. A 38-Year-Old Woman With Fetal Loss and Hysterectomy. JAMA. 2005;294(7):833-840. doi:10.1001/jama.294.7.833. https://psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy Part of a series in JAMA entitled Clinical Crossro…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73589/psn-pdf
    August 11, 2021 - Suicide and suicide attempts on hospital grounds and clinic areas. August 11, 2021 Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356. https://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hos…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47217/psn-pdf
    June 27, 2018 - Drug shortages roundtable: minimizing the impact on patient care. June 27, 2018 Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048. https://psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care This commenta…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47503/psn-pdf
    October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45841/psn-pdf
    March 01, 2017 - Monitoring the anaesthetist in the operating theatre—professional competence and patient safety. March 1, 2017 Larsson J. Monitoring the anaesthetist in the operating theatre - professional competence and patient safety. Anaesthesia. 2017;72 Suppl 1:76-83. doi:10.1111/anae.13743. https://psnet.ahrq.gov/issue/monit…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47979/psn-pdf
    May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60286/psn-pdf
    April 29, 2020 - With Covid-19 delaying routine care, chronic disease startups brace for a slew of complications. April 29, 2020 Brodwin E. STAT. April 14, 2020. https://psnet.ahrq.gov/issue/covid-19-delaying-routine-care-chronic-disease-startups-brace-slew- complications Patients with cancer and other chronic disorder treatment …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37444/psn-pdf
    January 02, 2008 - My brother's keeper: must a physician disclose another's medical error and potential negligence? January 2, 2008 Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10.1016/j.jclinane.2007.05.005. https://p…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43585/psn-pdf
    July 16, 2015 - At risk care plans: a way to reduce readmissions and adverse events. July 16, 2015 Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45993/psn-pdf
    January 01, 2021 - 30-day potentially avoidable readmissions due to adverse drug events. May 3, 2017 Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346. https://psnet.ahrq.gov/issue/30-day-potentially-a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44118/psn-pdf
    May 19, 2018 - Inadequate preoperative team briefings lead to more intraoperative adverse events. May 19, 2018 Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. https://psnet.ahrq.gov/issue/inadequate-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836726/psn-pdf
    March 09, 2022 - OpenNotes and patient safety: a perilous voyage into uncharted waters. March 9, 2022 Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2. https://psnet.ahrq.gov/issue/opennotes-and-patient-safety-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37737/psn-pdf
    January 06, 2017 - Can patient safety be measured by surveys of patient experiences? January 6, 2017 Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274. https://psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-e…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45713/psn-pdf
    November 22, 2017 - Assigning responsibility to close the loop on radiology test results. November 22, 2017 Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl). 2017;4(3):173-177. doi:10.1515/dx-2017-0019. https://psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-t…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74753/psn-pdf
    February 09, 2022 - The morbidity and mortality conference: opportunities for enhancing patient safety. February 9, 2022 Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pts.0000000000000765. https://psnet.ah…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61089/psn-pdf
    January 01, 2021 - Cognitive bias impact on management of postoperative complications, medical error, and standard of care. November 4, 2020 Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative complications, medical error, and standard of care. J Surg Res. 2021;258:47-53. doi:10.1016/j…
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