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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36804/psn-pdfAugust 26, 2011 - Patterns of communication breakdowns resulting in injury to surgical patients. August 26, 2011 Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40. https://psnet.ahrq.gov/issue/patterns-communication-brea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47007/psn-pdfMay 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi… -
Mittman_Respondent_Elwyn 3 (pdf file)
effectivehealthcare.ahrq.gov/sites/default/files/investing_mittman_respondent.pdfJanuary 01, 2009 - Mittman_Respondent_Elwyn 3 Source: Eisenberg Center Conference Series 2009, Translating Information Into Action: Improving Quality of Care Through Interactive Media, Effective Health Care Program Web site (http://www.effectivehealthcare.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42619/psn-pdfJanuary 23, 2019 - High-reliability health care: getting there from here. January 23, 2019 Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023. https://psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here Aviation is often cited as an … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44513/psn-pdfSeptember 23, 2015 - Improving Diagnosis in Health Care. September 23, 2015 Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care The National Academy of Me… -
digital.ahrq.gov/ahrq-laboratory-exchange-meetingJanuary 01, 2023 - AHRQ Laboratory Exchange Meeting Communities across the Nation are developing health information exchange (HIE) initiatives to improve quality of care. Ambulatory care providers treating patients need quick and easy access to a range of medical information, such as medication histories and l…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46163/psn-pdfDecember 06, 2017 - Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. December 6, 2017 Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Diagnosis (Berl). 2017;4(4):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841152/psn-pdfDecember 07, 2022 - Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022 Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60299/psn-pdfMay 06, 2020 - Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. May 6, 2020 Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47044/psn-pdfApril 18, 2018 - Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. April 18, 2018 Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver Assistance to Patient Safety. New Engl J Med. 2018;378(14):1271-1273. doi:10.1056/NEJMp1716891. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866271/psn-pdfJuly 10, 2024 - A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction. July 10, 2024 Fu S, Wang L, He H, et al. A taxonomy for advancing systematic error analysis in multi-site electronic health record-based clinical concept extraction. J Am Med Inform Assoc. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45701/psn-pdfDecember 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. December 21, 2016 Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. https://psnet.ahrq.gov/issue/clinical-deci… -
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/73349/psn-pdfJanuary 01, 2022 - The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. June 2, 2021 Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital durin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43635/psn-pdfNovember 12, 2014 - Electronic medical record: a balancing act of patient safety, privacy and health care delivery. November 12, 2014 Gummadi S, Housri N, Zimmers TA, et al. Electronic medical record: a balancing act of patient safety, privacy and health care delivery. Am J Med Sci. 2014;348(3):238-243. doi:10.1097/MAJ.00000000000002… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45902/psn-pdfOctober 13, 2018 - Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. October 13, 2018 Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. doi:10.1093/jamia/ocw185. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44590/psn-pdfNovember 11, 2015 - Physician motivation: listening to what pay-for- performance programs and quality improvement collaboratives are telling us. November 11, 2015 Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Telling Us. Jt Comm J Qual Patient S… -
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/44746/psn-pdfJanuary 20, 2016 - Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. January 20, 2016 Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842758/psn-pdfJanuary 18, 2023 - Paediatric family activated rapid response interventions; qualitative systematic review. January 18, 2023 Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):103363. doi:10.1016/j.iccn.2022.10336…
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