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psnet.ahrq.gov/node/37913/psn-pdf
July 31, 2008 - Reliability of a revised NOTECHS scale for use in surgical
teams.
July 31, 2008
Sevdalis N, Davis R, Koutantji M, et al. Reliability of a revised NOTECHS scale for use in surgical teams.
Am J Surg. 2008;196(2):184-90. doi:10.1016/j.amjsurg.2007.08.070.
https://psnet.ahrq.gov/issue/reliability-revised-notechs-scale…
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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/37003/psn-pdf
September 14, 2011 - Does incorporating medications in the surveyors'
interpretive guidelines reduce the use of potentially
inappropriate medications in nursing homes?
September 14, 2011
Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive
Guidelines Reduce the Use of Potentially Inappropria…
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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/45755/psn-pdf
December 21, 2016 - Can computers help doctors reduce diagnostic errors?
December 21, 2016
Shryock T. Med Econ. December 5, 2016.
https://psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
Computerized decision support and advanced computing are being used to augment various processes in
health care, such as med…
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psnet.ahrq.gov/node/43489/psn-pdf
September 03, 2014 - Did hospital engagement networks actually improve care?
September 3, 2014
Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med.
2014;371(8):691-693. doi:10.1056/NEJMp1405800.
https://psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
In this commentary,…
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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/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/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/72514/psn-pdf
November 25, 2020 - AI is wrestling with a replication crisis.
November 25, 2020
Heaven WD. MIT Technology Review. November 12, 2020.
https://psnet.ahrq.gov/issue/ai-wrestling-replication-crisis
Lack of transparency of research and development processes are thought to undermine the value of
artificial intelligence (AI) and trust in i…
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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/36543/psn-pdf
July 14, 2010 - Creating safety culture on nursing units: human
performance and organizational system factors that make
a difference.
July 14, 2010
Moody RF, Pesut DJ, Harrington CF. Creating Safety Culture on Nursing Units. J Patient Saf. 2008;2(4).
doi:10.1097/01.jps.0000242978.40424.24.
https://psnet.ahrq.gov/issue/creating-s…
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psnet.ahrq.gov/node/42273/psn-pdf
December 29, 2014 - Assessing patient safety culture in hospitals across
countries.
December 29, 2014
Wagner C, Smits M, Sorra J, et al. Assessing patient safety culture in hospitals across countries. Int J Qual
Health Care. 2013;25(3):213-21. doi:10.1093/intqhc/mzt024.
https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-ho…
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psnet.ahrq.gov/node/41815/psn-pdf
July 02, 2014 - Examining the diagnostic justification abilities of fourth-
year medical students.
July 2, 2014
Williams RG, Klamen DL. Examining the diagnostic justification abilities of fourth-year medical students.
Acad Med. 2012;87(8):1008-14. doi:10.1097/ACM.0b013e31825cfcff.
https://psnet.ahrq.gov/issue/examining-diagnostic…
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psnet.ahrq.gov/node/42666/psn-pdf
January 08, 2015 - Safety in home care: a mapping review of the
international literature.
January 8, 2015
Harrison MB, Keeping-Burke L, Godfrey CM, et al. Safety in home care: a mapping review of the
international literature. Int J Evid Based Healthc. 2013;11(3). doi:10.1111/1744-1609.12027.
https://psnet.ahrq.gov/issue/safety-home-…
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psnet.ahrq.gov/node/38340/psn-pdf
April 19, 2011 - What is the scale of prescribing errors committed by
junior doctors? A systematic review.
April 19, 2011
Ross S, Bond C, Rothnie H, et al. What is the scale of prescribing errors committed by junior doctors? A
systematic review. Br J Clin Pharmacol. 2009;67(6):629-40. doi:10.1111/j.1365-2125.2008.03330.x.
https://…
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psnet.ahrq.gov/node/37926/psn-pdf
July 30, 2008 - Adaptive coordination in cardiac anaesthesia: a study of
situational changes in coordination patterns using a new
observation system.
July 30, 2008
Manser T, Howard SK, Gaba DM. Adaptive coordination in cardiac anaesthesia: a study of situational
changes in coordination patterns using a new observation system. Erg…
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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/43646/psn-pdf
January 01, 2021 - Patient Safety Systems Chapter.
January 1, 2021
In: 2021 Comprehensive Accreditation Manual for Hospitals. CAMH. Oakbrook Terrace, IL: Joint
Commission; January 2021:PS1-PS46.
https://psnet.ahrq.gov/issue/patient-safety-systems-chapter
This chapter provides information about how organizations can re-design existin…
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psnet.ahrq.gov/node/60961/psn-pdf
September 30, 2020 - Identifying psychiatric diagnostic errors with the Safer Dx
Instrument.
September 30, 2020
Fletcher TL, Helm A, Vaghani V, et al. Identifying psychiatric diagnostic errors with the Safer Dx Instrument.
Int J Qual Health Care. 2020;32(6):405-411. doi:10.1093/intqhc/mzaa066.
https://psnet.ahrq.gov/issue/identifying-…