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psnet.ahrq.gov/issue/national-scorecard-rates-hospital-acquired-conditions-2010-2015-interim-data-national-efforts
December 24, 2008 - Book/Report
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health Care Safer.
Citation Text:
National Scorecard on Rates of Hospital-Acquired Conditions 2010 to 2015: Interim Data From National Efforts to Make Health C…
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psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety
November 20, 2013 - Study
The "physician-led chart audit": engaging providers in fortifying a culture of safety.
Citation Text:
Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…
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psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants
August 02, 2015 - Study
Adverse events from cough and cold medications after a market withdrawal of products labeled for infants.
Citation Text:
Shehab N, Schaefer MK, Kegler SR, et al. Adverse events from cough and cold medications after a market withdrawal of products labeled for infants. Pediatrics. 20…
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psnet.ahrq.gov/issue/changes-rates-autopsy-detected-diagnostic-errors-over-time-systematic-review
April 06, 2011 - Review
Classic
Changes in rates of autopsy-detected diagnostic errors over time: a systematic review.
Citation Text:
Shojania KG, Burton EC, McDonald KM, et al. Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. JAMA. 2003;2…
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psnet.ahrq.gov/node/841788/psn-pdf
December 21, 2022 - From heart disease to IUDs: how doctors dismiss
women’s pain.
December 21, 2022
Bever L. Washington Post. December 13, 2022.
https://psnet.ahrq.gov/issue/heart-disease-iuds-how-doctors-dismiss-womens-pain
Gender and racial bias contributes to inadequate and delayed care. This story focuses on women who
have exper…
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psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
May 12, 2021 - Study
Missed acute myocardial infarction in the emergency department-standardizing measurement of misdiagnosis-related harms using the SPADE method.
Citation Text:
Sharp AL, Baecker A, Nassery N, et al. Missed acute myocardial infarction in the emergency department–standardizing measurem…
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psnet.ahrq.gov/node/42476/psn-pdf
September 27, 2016 - Lives and Dollars Lost Calculator.
September 27, 2016
Leapfrog Group.
https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
This Web site provides resources to help employers and purchasers estimate latent costs related to unsafe
care.
https://psnet.ahrq.gov/issue/lives-and-dollars-lost-calculator
https:…
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psnet.ahrq.gov/node/49478/psn-pdf
April 01, 2005 - Compare and Contrast
April 1, 2005
Cho KC, Chertow GM. Compare and Contrast. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/compare-and-contrast
Case Objectives
Define contrast nephropathy (CN)
List risk factors for CN
Implement pharmacologic strategies for CN prophylaxis
Follow an algorithm for CN risk …
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psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national-survey-denmark
December 01, 2011 - Study
Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark.
Citation Text:
Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-up: Results from a national survey in Denmark. Ca…
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psnet.ahrq.gov/issue/pediatric-patient-safety-events-during-hospitalization-approaches-accounting-institution
December 23, 2012 - Study
Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects.
Citation Text:
Slonim A, Marcin JP, Turenne W, et al. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. He…
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psnet.ahrq.gov/node/40077/psn-pdf
July 10, 2012 - Improvement Cymru.
July 10, 2012
NHS Wales.
https://psnet.ahrq.gov/issue/improvement-cymru
This national program draws from other large collaborative efforts to engage health care organizations
across Wales in reducing preventable harm. It was rebranded from the 1000 Lives campaign in 2018.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/35307/psn-pdf
July 14, 2009 - Color coding to reduce errors.
July 14, 2009
Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs. 2005;105(8):68-71.
https://psnet.ahrq.gov/issue/color-coding-reduce-errors
The authors present a color-coding system that helps estimate the weight of a child in a critical situation so
practition…
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psnet.ahrq.gov/node/39704/psn-pdf
July 21, 2010 - Identifying medication errors in surgical prescription
charts.
July 21, 2010
Simons J. Identifying medication errors in surgical prescription charts. Paediatr Nurs. 2010;22(5):20-4.
https://psnet.ahrq.gov/issue/identifying-medication-errors-surgical-prescription-charts
This study used manual chart review to estima…
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psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
March 05, 2008 - Study
Medication overdoses leading to emergency department visits among children.
Citation Text:
Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018.
Cop…
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psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care
September 01, 2016 - Study
Overrides of medication alerts in ambulatory care.
Citation Text:
Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med. 2009;169(3):305-311. doi:10.1001/archinternmed.2008.551.
Copy Citation
Format:
DOI Google Schol…
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psnet.ahrq.gov/issue/adverse-events-hospitalized-pediatric-patients
July 11, 2017 - Study
Emerging Classic
Adverse events in hospitalized pediatric patients.
Citation Text:
Stockwell DC, Landrigan CP, Toomey SL, et al. Adverse Events in Hospitalized Pediatric Patients. Pediatrics. 2018;142(2):e20173360. doi:10.1542/peds.2017-3360.
Copy Citati…
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psnet.ahrq.gov/issue/sustaining-reductions-central-line-associated-bloodstream-infections-michigan-intensive-care
June 16, 2011 - Study
Sustaining reductions in central line-associated bloodstream infections in Michigan intensive care units: a 10-year analysis.
Citation Text:
Pronovost P, Watson S, Goeschel CA, et al. Sustaining Reductions in Central Line-Associated Bloodstream Infections in Michigan Intensive Care…
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psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events
February 27, 2009 - Study
Classic
National surveillance of emergency department visits for outpatient adverse drug events.
Citation Text:
Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 200…
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psnet.ahrq.gov/issue/temporal-trends-rates-patient-harm-resulting-medical-care
April 04, 2011 - Study
Classic
Temporal trends in rates of patient harm resulting from medical care.
Citation Text:
Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJ…
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psnet.ahrq.gov/issue/us-emergency-department-visits-outpatient-adverse-drug-events-2013-2014
February 23, 2018 - Study
Classic
US emergency department visits for outpatient adverse drug events, 2013–2014.
Citation Text:
Shehab N, Lovegrove MC, Geller AI, et al. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA. 2016;316(20):2115-2125. doi:1…