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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42855/psn-pdfFebruary 06, 2014 - Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. February 6, 2014 Driver TH, Katz PP, Trupin L, et al. Responding to clinicians who fail to follow patient safety practices: perceptions of physicians, nurses, trainees, and patients. J H… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74050/psn-pdfNovember 10, 2021 - Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. November 10, 2021 Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision- making biases on cancer adverse effects among … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39082/psn-pdfJanuary 04, 2010 - Communication practices on 4 Harvard surgical services: a surgical safety collaborative. January 4, 2010 Elbardissi AW, Regenbogen SE, Greenberg CC, et al. Communication practices on 4 Harvard surgical services: a surgical safety collaborative. Ann Surg. 2009;250(6):861-5. doi:10.1097/SLA.0b013e3181afe0db. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48009/psn-pdfMay 15, 2019 - Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. May 15, 2019 Eid SM, Ponor L, Reed DA, et al. Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011 Resident Duty Hour Revision. J Gra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44039/psn-pdfDecember 23, 2016 - Safe use of health information technology. December 23, 2016 Sentinel Event Alert. March 31, 2015;(54):1-6. https://psnet.ahrq.gov/issue/safe-use-health-information-technology The introduction of information technology (IT) has transformed health care, but it is clear that the rapid uptake of IT has profoundly cha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45081/psn-pdfFebruary 14, 2017 - Quasi-experimental evaluation of the effectiveness of a large-scale readmission reduction program. February 14, 2017 Jenq GY, Doyle MM, Belton BM, et al. Quasi-Experimental Evaluation of the Effectiveness of a Large-Scale Readmission Reduction Program. JAMA Intern Med. 2016;176(5):681-90. doi:10.1001/jamainternmed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41526/psn-pdfApril 05, 2013 - Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. April 5, 2013 Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43956/psn-pdfJanuary 01, 2016 - Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger- based automated adverse-event detection. June 21, 2015 Patregnani JT, Spaeder MC, Lemon V, et al. Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated ad… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50368/psn-pdfSeptember 25, 2019 - A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. September 25, 2019 Bourgeois FC, Fossa A, Gerard M, et al. A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers. J Am Med Inform As… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43687/psn-pdfNovember 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42923/psn-pdfSeptember 26, 2017 - Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. September 26, 2017 Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40786/psn-pdfDecember 30, 2014 - Exploring situational awareness in diagnostic errors in primary care. December 30, 2014 Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310. https://psnet.ahrq.gov/issue/exploring-situational-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46507/psn-pdfOctober 11, 2017 - Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. October 11, 2017 Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs. Health Aff (Millwood). 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37544/psn-pdfJune 16, 2011 - Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. June 16, 2011 Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training progr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45302/psn-pdfNovember 28, 2016 - Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. November 28, 2016 Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43388/psn-pdfJuly 30, 2014 - Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. July 30, 2014 Berner ES, Ray MN, Panjamapirom A, et al. Exploration of an automated approach for receiving patient feedback after outpatient acute care visits. J Gen Intern Med. 2014;29(8):1105-12. doi:10.1007/s1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46394/psn-pdfAugust 29, 2018 - Sustained user engagement in health information technology: the long road from implementation to system optimization of computerized physician order entry and clinical decision support systems for prescribing in hospitals in England. August 29, 2018 Cresswell K, Lee L, Mozaffar H, et al. Sustained User Engagement… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45057/psn-pdfJune 22, 2017 - Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England. June 22, 2017 Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack of integration and interfacing of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47835/psn-pdfApril 24, 2019 - Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? April 24, 2019 Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of New Technology While Simultaneousl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47610/psn-pdfMarch 13, 2019 - Patient safety outcomes under flexible and standard resident duty-hour rules. March 13, 2019 Silber JH, Bellini LM, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. 2019;380:905-914. https://psnet.ahrq.gov/issue/patient-safety-outcomes-under-flexible-and-standard-resident-duty-hour-rules Duty hour reform for…
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