-
psnet.ahrq.gov/node/38062/psn-pdf
March 04, 2011 - Steering patients to safer hospitals? The effect of a tiered
hospital network on hospital admissions.
March 4, 2011
Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered
hospital network on hospital admissions. Health Serv Res. 2008;43(5 Pt 2):1849-68. doi:10.1111/j.1…
-
psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - Nontechnical skills in pediatric surgery: factors
influencing operative performance.
April 20, 2016
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J
Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
https://psnet.ahrq.gov/issue/nontechnical-skil…
-
psnet.ahrq.gov/node/42911/psn-pdf
February 12, 2014 - Computerized physician order entry: promise, perils, and
experience.
February 12, 2014
Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist.
2014;4(1):26-33. doi:10.1177/1941874413495701.
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-peril…
-
psnet.ahrq.gov/node/39230/psn-pdf
January 13, 2010 - Common formats allow uniform collection and reporting
of patient safety data by patient safety organizations.
January 13, 2010
Clancy CM. Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient
Safety Organizations. Am J Med Qual. 2009;25(1):73-75. doi:10.1177/1062860609352438.
http…
-
psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - Measuring the Success of the Regional Medication Safety
Program for Hospitals.
March 7, 2005
Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005.
https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
The Regional Medication Safety Prog…
-
psnet.ahrq.gov/node/40535/psn-pdf
July 22, 2011 - A framework for classifying patient safety practices:
results from an expert consensus process.
July 22, 2011
Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an
expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10.1136/bmjqs.2010.049296.
https://psn…
-
psnet.ahrq.gov/node/44111/psn-pdf
October 21, 2015 - Analysis of medication prescribing errors in critically ill
children.
October 21, 2015
Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur
J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4.
https://psnet.ahrq.gov/issue/analysis-medication-p…
-
psnet.ahrq.gov/web-mm/critical-opportunity-lost
February 17, 2017 - Critical Opportunity Lost
Citation Text:
Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…
-
psnet.ahrq.gov/web-mm/errors-sepsis-management
November 03, 2015 - Case Objectives Define sepsis, severe sepsis, and septic shock.
-
psnet.ahrq.gov/node/40132/psn-pdf
May 25, 2011 - Information needs in operating room teams: what is right,
what is wrong, and what is needed?
May 25, 2011
Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is
wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:10.1007/s00464-010-1486-z.
https://psn…
-
psnet.ahrq.gov/node/39605/psn-pdf
December 17, 2010 - The effect of facility complexity on perceptions of safety
climate in the operating room: size matters.
December 17, 2010
Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the
operating room: size matters. Am J Med Qual. 2010;25(6):457-61. doi:10.1177/106286061…
-
psnet.ahrq.gov/node/45272/psn-pdf
October 12, 2016 - Recognising and responding to 'cutting corners' when
providing nursing care: a qualitative study.
October 12, 2016
Jones A, Johnstone M-J, Duke M. Recognising and responding to 'cutting corners' when providing nursing
care: a qualitative study. J Clin Nurs. 2016;25(15-16):2126-33. doi:10.1111/jocn.13352.
https://p…
-
psnet.ahrq.gov/node/35237/psn-pdf
November 29, 2009 - Improving nurse-to-patient staffing ratios as a cost-
effective safety intervention.
November 29, 2009
Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective
safety intervention. Med Care. 2005;43(8):785-91.
https://psnet.ahrq.gov/issue/improving-nurse-patient-…
-
psnet.ahrq.gov/node/45020/psn-pdf
May 11, 2016 - Trends in Potentially Preventable Inpatient Hospital
Admissions and Emergency Department Visits.
May 11, 2016
Fingar KR, Barrett ML, Elixhauser A, et al. HCUP Statistical Brief #195. Rockville, MD: Agency for
Healthcare Research and Quality; November 2015.
https://psnet.ahrq.gov/issue/trends-potentially-preventabl…
-
psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - https://psnet.ahrq.gov/web-mm/do-not-disturb
Case Objectives
Define professionalism.
-
psnet.ahrq.gov/node/49846/psn-pdf
November 01, 2018 - Define supervision in the context of clinical training.
-
psnet.ahrq.gov/node/40470/psn-pdf
December 21, 2014 - Prospective evaluation of consultant surgeon sleep
deprivation and outcomes in more than 4000 consecutive
cardiac surgical procedures.
December 21, 2014
Chu MWA, Stitt LW, Fox SA, et al. Prospective evaluation of consultant surgeon sleep deprivation and
outcomes in more than 4000 consecutive cardiac surgical proce…
-
psnet.ahrq.gov/node/33993/psn-pdf
March 02, 2011 - Improving patient care. My right knee.
March 2, 2011
Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5.
https://psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
Dr. Donald Berwick writes this compelling piece as a personal reflection on the current deficiencies in
health…
-
psnet.ahrq.gov/node/41247/psn-pdf
April 06, 2012 - Development of a pragmatic measure for evaluating and
optimizing rapid response systems.
April 6, 2012
Bonafide CP, Roberts KE, Priestley MA, et al. Development of a pragmatic measure for evaluating and
optimizing rapid response systems. Pediatrics. 2012;129(4):e874-81. doi:10.1542/peds.2011-2784.
https://psnet.ah…
-
psnet.ahrq.gov/node/47065/psn-pdf
June 20, 2018 - The complexity, diversity, and science of primary care
teams.
June 20, 2018
Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol.
2018;73(4):451-467. doi:10.1037/amp0000244.
https://psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams
Teamwork is …