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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46124/psn-pdfApril 17, 2018 - Improving the safety of health information technology requires shared responsibility: it is time we all step up. April 17, 2018 Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healthc (Amst). 2017;6(1):7-12. doi:10.1016/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35462/psn-pdfFebruary 18, 2011 - Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. February 18, 2011 Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N Engl J Med. 2003;348(22):2218-27. https://psnet.ahrq.gov/issue/effe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44580/psn-pdfJanuary 13, 2016 - Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. January 13, 2016 Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US Food and Drug Administration; December 15, 2015. https://psnet.ahrq.gov/issue/computeriz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34671/psn-pdfJune 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. June 15, 2011 Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850158/psn-pdfJune 07, 2023 - Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. June 7, 2023 Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveilla… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60550/psn-pdfJune 03, 2020 - Clinical efficacy of combined surgical patient safety system and the World Health Organization's checklists in surgery: a nonrandomized clinical trial. June 3, 2020 Storesund A, Haugen AS, Flaatten H, et al. Clinical Efficacy of Combined Surgical Patient Safety System and the World Health Organization’s Checklists… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73497/psn-pdfJuly 14, 2021 - Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. July 14, 2021 Strid EN, Wåhlin C, Ros A, et al. Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865812/psn-pdfMay 08, 2024 - The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping review. May 8, 2024 Graafsma J, Murphy RM, van de Garde EMW, et al. The use of artificial intelligence to optimize medication alerts generated by clinical decision support systems: a scoping r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38096/psn-pdfJanuary 02, 2017 - Handoffs causing patient harm: a survey of medical and surgical house staff. January 2, 2017 Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. https://psnet.ahrq.gov/issue/handoffs-causing-patient-harm-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40441/psn-pdfJuly 02, 2014 - A novel approach to increase residents' involvement in reporting adverse events. July 2, 2014 Scott DR, Weimer M, English C, et al. A novel approach to increase residents' involvement in reporting adverse events. Acad Med. 2011;86(6):742-746. doi:10.1097/ACM.0b013e318217e12a. https://psnet.ahrq.gov/issue/novel-app… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40102/psn-pdfJuly 05, 2013 - Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. July 5, 2013 Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J Hosp Med. 2011;6(2):68-72. doi:10.1002/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46134/psn-pdfSeptember 24, 2017 - Sources of unsafe primary care for older adults: a mixed- methods analysis of patient safety incident reports. September 24, 2017 Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764389/psn-pdfMarch 02, 2022 - Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study. March 2, 2022 Morisawa T, Saitoh M, Otsuka S, et al. Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36833/psn-pdfMarch 03, 2011 - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. March 3, 2011 Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838631/psn-pdfOctober 19, 2022 - An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022 Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations: cultivating organization wide quali… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44237/psn-pdfNovember 03, 2015 - Surgical never events and contributing human factors. November 3, 2015 Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors Never even… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854258/psn-pdfOctober 04, 2023 - A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. October 4, 2023 Phillips KK, Mecca MC, Baim?Lance AM, et al. A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings… -
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/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…
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