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psnet.ahrq.gov/node/50807/psn-pdf
January 15, 2020 - Artificial intelligence is rushing into patient care - and
could raise risks.
January 15, 2020
Szabo L. Scientific American and Kaiser Health News. December 24, 2019.
https://psnet.ahrq.gov/issue/artificial-intelligence-rushing-patient-care-and-could-raise-risks
Artificial intelligence (AI) has the potential to im…
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psnet.ahrq.gov/node/35147/psn-pdf
June 22, 2009 - Accuracy of adverse-drug-event reports collected using
an automated dispensing system.
June 22, 2009
Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing
system. Am J Health Syst Pharm. 2005;62(13):1375-80.
https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-repo…
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psnet.ahrq.gov/node/35317/psn-pdf
July 14, 2009 - Accreditation Council on Graduate Medical Education
technical skills competency compliance: urologic surgical
skills.
July 14, 2009
Hammond L, Ketchum J, Schwartz BF. Accreditation Council on Graduate Medical Education Technical
Skills Competency Compliance: Urologic Surgical Skills. J Am Coll Surg. 2005;201(3).
…
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psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Deploying and measuring a risk and patient safety
program.
February 1, 2017
Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J
Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266.
https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…
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psnet.ahrq.gov/node/50607/psn-pdf
December 01, 2020 - Digital Health and Patient Safety.
December 1, 2020
Health Informatics J. 2020;26:181-189;576-591;683-718;1017-1042;2295-2299;3123-3162.
https://psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand
This special collection examines the use of novel health information technology (HIT) to p…
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psnet.ahrq.gov/node/866359/psn-pdf
June 01, 2022 - Diagnostic Safety Toolkit.
June 1, 2022
Diagnostic Safety Toolkit.
https://psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
Effective communication is critical as patients shift from one level of care to another as their diagnosis
evolves. This toolkit is designed to help academic medical centers initiate conversa…
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psnet.ahrq.gov/node/34753/psn-pdf
March 28, 2005 - Report on the Medical Insurance Feasibility Study.
March 28, 2005
Mills DH. San Francisco, CA: California Medical Association; 1977.
https://psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
Escalating professional liability costs prompted this study on the nature of adverse outcomes related to
medic…
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psnet.ahrq.gov/node/35255/psn-pdf
April 06, 2011 - Safety Climate Survey: reliability of results from a
multicenter ICU survey.
April 6, 2011
Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in
Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316.
https://psnet.ahrq.gov/issue/safety-climate-survey-reliability…
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psnet.ahrq.gov/node/41272/psn-pdf
April 06, 2012 - Closed medical negligence claims can drive patient safety
and reduce litigation.
April 6, 2012
Pegalis SE, Bal S. Closed medical negligence claims can drive patient safety and reduce litigation. Clin
Orthop Relat Res. 2012;470(5):1398-404. doi:10.1007/s11999-012-2308-5.
https://psnet.ahrq.gov/issue/closed-medical-…
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psnet.ahrq.gov/node/48025/psn-pdf
June 19, 2019 - Accuracy of a popular online symptom checker for
ophthalmic diagnoses.
June 19, 2019
Shen C, Nguyen M, Gregor A, et al. Accuracy of a Popular Online Symptom Checker for Ophthalmic
Diagnoses. JAMA Ophthalmol. 2019;137(6):690-692. doi:10.1001/jamaophthalmol.2019.0571.
https://psnet.ahrq.gov/issue/accuracy-popular-on…
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psnet.ahrq.gov/node/47144/psn-pdf
June 13, 2018 - Canadian Anesthesia Incident Reporting System.
June 13, 2018
Canadian Anaesthesiologists Society.
https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. This website
provides a secure tool for submitting…
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psnet.ahrq.gov/node/60885/psn-pdf
September 02, 2020 - Becoming a High Reliability Organization.
September 2, 2020
VHA Forum. Summer 2020;1-12.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
High reliability attainment is a stated goal for health care organizations. This special issue covers
established initiatives at the United States Veterans He…
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psnet.ahrq.gov/node/35254/psn-pdf
April 06, 2011 - Adverse events and near miss reporting in the NHS.
April 6, 2011
Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care.
2005;14(4). doi:10.1136/qshc.2004.010553.
https://psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
This study evaluated the utility of a volu…
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psnet.ahrq.gov/node/38812/psn-pdf
April 12, 2011 - Management of test results in family medicine offices.
April 12, 2011
Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam
Med. 2009;7(4):343-51. doi:10.1370/afm.961.
https://psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
This study evaluated co…
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psnet.ahrq.gov/node/35302/psn-pdf
July 14, 2009 - Technology induced error and usability: the relationship
between usability problems and prescription errors when
using a handheld application.
July 14, 2009
Kushniruk AW, Triola MM, Borycki EM, et al. Technology induced error and usability: The relationship
between usability problems and prescription errors when u…
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psnet.ahrq.gov/node/45006/psn-pdf
April 06, 2016 - Quality and Patient Safety.
April 6, 2016
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/quality-and-patient-safety
The Agency for Healthcare Research and Quality has provided access to patient safety research,
information, and tools for nearly two decades. This website offers a wide rang…
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psnet.ahrq.gov/node/35181/psn-pdf
June 23, 2009 - Communication during trauma resuscitation: do we know
what is happening?
June 23, 2009
Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is
happening? Injury. 2005;36(8):905-11.
https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…
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psnet.ahrq.gov/node/50553/psn-pdf
October 16, 2019 - Impact of an electronic health record transition on
chemotherapy error reporting
October 16, 2019
Hess E, Palmer SE, Stivers A, et al. Impact of an electronic health record transition on chemotherapy error
reporting. J Oncol Pharm Pract. 2019:1078155219870590. doi:10.1177/1078155219870590.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/42560/psn-pdf
September 18, 2013 - Intra-operative monitoring—many alarms with minor
impact.
September 18, 2013
de Man FR, Greuters S, Boer C, et al. Intra-operative monitoring--many alarms with minor impact.
Anaesthesia. 2013;68(8):804-10. doi:10.1111/anae.12289.
https://psnet.ahrq.gov/issue/intra-operative-monitoring-many-alarms-minor-impact
The…
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psnet.ahrq.gov/node/41762/psn-pdf
May 03, 2017 - Improving the Measurement of Surgical Site Infection
Risk Stratification/Outcome Detection: Final Contract
Report.
May 3, 2017
Price CS, Savitz LA. Rockville, MD: Agency for Healthcare Research and Quality; March 2012. AHRQ
Publication No. 12-0046-EF.
https://psnet.ahrq.gov/issue/improving-measurement-surgical-si…