-
psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
February 15, 2023 - Study
Association of current opioid use with serious adverse events among older adult survivors of breast cancer.
Citation Text:
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…
-
psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
September 09, 2020 - Study
Association of surgeon-patient sex concordance with postoperative outcomes.
Citation Text:
Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339.
Copy Citat…
-
psnet.ahrq.gov/issue/reduction-race-and-gender-bias-clinical-treatment-recommendations-using-clinician-peer
August 09, 2023 - Study
The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting.
Citation Text:
Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment recommendations using clinician…
-
psnet.ahrq.gov/issue/quality-improvement-initiative-decrease-central-line-associated-bloodstream-infections-during
November 16, 2022 - Commentary
Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.
Citation Text:
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-associated bloodstrea…
-
psnet.ahrq.gov/issue/risk-reduction-adverse-drug-events-through-sequential-implementation-patient-safety
June 03, 2020 - Study
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Citation Text:
Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiat…
-
psnet.ahrq.gov/issue/objective-framework-evaluating-unrecognized-bias-medical-ai-models-predicting-covid-19
July 22, 2020 - Study
An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes.
Citation Text:
Estiri H, Strasser ZH, Rashidian S, et al. An objective framework for evaluating unrecognized bias in medical AI models predicting COVID-19 outcomes. J Am Med I…
-
psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
June 12, 2019 - Commentary
Classic
Potential biases in machine learning algorithms using electronic health record data.
Citation Text:
Gianfrancesco MA, Tamang S, Yazdany J, et al. Potential Biases in Machine Learning Algorithms Using Electronic Health Record Data. JAMA Intern …
-
psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid-19-pandemic
May 05, 2021 - Study
Emerging Classic
Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.
Citation Text:
Andel SA, Tedone AM, Shen W, et al. Safety implications of different forms of understaffing among nurses during the COVID‐19 …
-
psnet.ahrq.gov/issue/race-ethnicity-and-60-day-outcomes-after-hospitalization-covid-19
January 12, 2022 - Study
Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19.
Citation Text:
Robinson-Lane SG, Sutton NR, Chubb H, et al. Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19. J Am Med Dir Assoc. 2021;22(11):2245-2250. doi:10.1016/j.jamda.2021.08.023…
-
psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - Study
Emerging Classic
Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare.
Citation Text:
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality measurement on n…
-
psnet.ahrq.gov/issue/breast-cancer-treatment-delays-socioeconomic-and-health-care-access-latent-classes-black-and
May 18, 2022 - Study
Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.
Citation Text:
Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women.…
-
psnet.ahrq.gov/issue/171-billion-problem-annual-cost-measurable-medical-errors
May 26, 2021 - Study
Classic
The $17.1 billion problem: the annual cost of measurable medical errors.
Citation Text:
Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hl…
-
psnet.ahrq.gov/issue/optimizing-measurement-misdiagnosis-related-harms-using-symptom-disease-pair-analysis
July 21, 2021 - Commentary
Optimizing measurement of misdiagnosis-related harms using symptom-disease pair analysis of diagnostic error (SPADE): comparison groups to maximize SPADE validity.
Citation Text:
Liberman AL, Wang Z, Zhu Y, et al. Optimizing measurement of misdiagnosis-related harms using symp…
-
psnet.ahrq.gov/node/866934/psn-pdf
October 09, 2024 - How America’s health care system fails women in pain.
October 9, 2024
Neklason A. How America’s health care system fails women in pain. The Hill. September 23, 2024;
https://psnet.ahrq.gov/issue/how-americas-health-care-system-fails-women-pain
Appropriate treatment of pain is a complicated process vulnerable to rac…
-
psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
April 24, 2018 - Commentary
Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.
Citation Text:
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…
-
psnet.ahrq.gov/issue/mentoring-staff-members-patient-safety-leaders-clarian-safe-passage-program
January 10, 2011 - Commentary
Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.
Citation Text:
Rapala K. Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program. Crit Care Nurs Clin North Am. 2005;17(2):121-126, ix.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
July 08, 2015 - Commentary
Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service.
Citation Text:
Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Il…
-
psnet.ahrq.gov/node/862621/psn-pdf
February 14, 2024 - Toward the eradication of medical diagnostic errors.
February 14, 2024
Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602.
doi:10.1126/science.adn9602.
https://psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors
Artificial intelligence (AI) is being touted…
-
psnet.ahrq.gov/node/847732/psn-pdf
April 19, 2023 - Saving Moms.
April 19, 2023
Boswell B. KCET: April 2023.
https://psnet.ahrq.gov/issue/saving-moms
Increasing attention is being placed on addressing inequities in maternal health care. This video shares
stories of mothers experiencing harm during pregnancy and steps being taken to minimize the impact of
implicit …
-
psnet.ahrq.gov/node/73711/psn-pdf
September 15, 2021 - A crisis within a crisis.
September 15, 2021
Ellis NT, Broaddus A. CNN. August 25, 2021.
https://psnet.ahrq.gov/issue/crisis-within-crisis
Maternal safety is an ongoing challenge worldwide. This news feature examines how the COVID pandemic
has revealed disparities and implicit biases that impact the mat…