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psnet.ahrq.gov/node/45169/psn-pdf
June 08, 2016 - High Reliability in Health Care.
June 8, 2016
Joint Commission Center for Transforming Healthcare.
https://psnet.ahrq.gov/issue/high-reliability-health-care
Development of high reliability remains an elusive goal for health care organizations. The Joint Commission
has also advocated for achieving high reliability …
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psnet.ahrq.gov/node/41957/psn-pdf
May 04, 2016 - Safety Considerations for Product Design to Minimize
Medication Errors: Guidance for Industry.
May 4, 2016
Rockville, MD: Center for Drug Evaluation and Research, US Food and Drug Administration; April 2016.
https://psnet.ahrq.gov/issue/safety-considerations-product-design-minimize-medication-errors-guidance-
indu…
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psnet.ahrq.gov/node/35053/psn-pdf
November 18, 2015 - Measured response to identified suicide risk and
violence: what you need to know about psychiatric
patient safety.
November 18, 2015
Yeager KR, Saveanu R, Roberts AR, et al. Brief Treat Crisis Intervent. 2005;5(2):121-141
https://psnet.ahrq.gov/issue/measured-response-identified-suicide-risk-and-violence-what-you-…
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psnet.ahrq.gov/node/45353/psn-pdf
July 20, 2016 - Using the web or an app instead of seeing a doctor?
Caution is advised.
July 20, 2016
Frakt A. New York Times. July 11, 2016.
https://psnet.ahrq.gov/issue/using-web-or-app-instead-seeing-doctor-caution-advised
Patients are increasingly using online symptom checkers for medical information and health care
recommen…
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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…
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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/37855/psn-pdf
August 27, 2009 - Advanced auditory displays and head-mounted displays:
advantages and disadvantages for monitoring by the
distracted anesthesiologist.
August 27, 2009
Sanderson P, Watson MO, Russell WJ, et al. Advanced auditory displays and head-mounted displays:
advantages and disadvantages for monitoring by the distracted anesth…
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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/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/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/issue/special-issue-health-information-technology
August 22, 2007 - June 29, 2022
Scoping review of studies evaluating frailty and its association with medication
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psnet.ahrq.gov/issue/digital-healthcare-research
December 24, 2008 - August 19, 2020
Novel, High-Impact Studies Evaluating Health System and Healthcare Professional
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psnet.ahrq.gov/issue/grants-line-database-gold
December 24, 2008 - September 22, 2021
Novel, High-Impact Studies Evaluating Health System and Healthcare
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psnet.ahrq.gov/issue/hospital-mistakes-kept-secret
September 30, 2009 - June 21, 2017
Medication safety at the interface: evaluating risks associated with discharge