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psnet.ahrq.gov/node/35179/psn-pdf
June 06, 2016 - Patient safety in cataract surgery.
June 6, 2016
Kelly SP, Astbury NJ. Patient safety in cataract surgery. Eye (Lond). 2006;20(3):275-82.
https://psnet.ahrq.gov/issue/patient-safety-cataract-surgery
The authors evaluate patient safety issues involved with cataract surgery and provide several
recommendations for sa…
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psnet.ahrq.gov/node/36944/psn-pdf
July 08, 2008 - Pharmacist medication assessments in a surgical
preadmission clinic.
July 8, 2008
Kwan Y, Fernandes O, Nagge JJ, et al. Pharmacist medication assessments in a surgical preadmission
clinic. Arch Intern Med. 2007;167(10):1034-40.
https://psnet.ahrq.gov/issue/pharmacist-medication-assessments-surgical-preadmission-cl…
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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/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/hospital-mistakes-kept-secret
September 30, 2009 - June 21, 2017
Medication safety at the interface: evaluating risks associated with discharge
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psnet.ahrq.gov/node/38393/psn-pdf
October 03, 2017 - Adverse Health Care Events Reporting System: What
Have We Learned?
October 3, 2017
St. Paul, MN: Minnesota Department of Health; January 2009.
https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
Through a qualitative evaluation of the Minnesota statewide reporting initiati…
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psnet.ahrq.gov/node/44652/psn-pdf
November 11, 2015 - Developing a principle-based approach to safe
medication practices.
November 11, 2015
Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices
This commentary describes the development, implementation, and evaluation of n…
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psnet.ahrq.gov/node/35952/psn-pdf
August 02, 2010 - Manage staff fatigue to improve patient safety.
August 2, 2010
Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2.
https://psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety
The author discusses three steps for reducing staff fatigue. Part I of …
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psnet.ahrq.gov/node/37552/psn-pdf
April 01, 2010 - Hospital responses to the Leapfrog Group in local
markets.
April 1, 2010
Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care
Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499.
https://psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets
Th…
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psnet.ahrq.gov/node/39137/psn-pdf
June 07, 2016 - The rise of patient safety organizations.
June 7, 2016
Ivill DS, Kearbey AH. New York Law J. November 2, 2009.
https://psnet.ahrq.gov/issue/rise-patient-safety-organizations
This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection
and evaluation, work product designa…
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psnet.ahrq.gov/node/38074/psn-pdf
June 04, 2018 - Questions and Answers on FDA's Adverse Event
Reporting System (FAERS).
October 3, 2017
Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018.
https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers
This FAQ provides information on and access to …
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psnet.ahrq.gov/node/42241/psn-pdf
May 01, 2013 - Special Issue on Teamwork.
May 1, 2013
Salas E, Rosen MA, eds. BMJ Qual Saf. 2013;22(5):369-448.
https://psnet.ahrq.gov/issue/special-issue-teamwork
Articles in this special issue explore theory-driven and simulation-based approaches to improve teamwork
in health care.
https://psnet.ahrq.gov/issue/special-…
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psnet.ahrq.gov/node/42650/psn-pdf
October 16, 2013 - The cost of disruptive and unprofessional behaviors in
health care.
October 16, 2013
Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health
care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009.
https://psnet.ahrq.gov/issue/cost-disruptive-and-unprofessi…
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psnet.ahrq.gov/node/36482/psn-pdf
February 17, 2011 - Dangerous deception--hiding the evidence of adverse
drug events.
February 17, 2011
Avorn J. Dangerous deception--hiding the evidence of adverse drug effects. N Engl J Med.
2006;355(21):2169-71.
https://psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
This commentary discusses the recen…
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psnet.ahrq.gov/node/40981/psn-pdf
December 18, 2014 - Improving reporting of outpatient pediatric medical
errors.
December 18, 2014
Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors.
PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477.
https://psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
This…
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psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
August 21, 2016 - The initial head CT and skeletal survey provide critical information in screening and evaluating for … after a missed diagnosis of NAT – of these, 6 children later died and 10 survived with handicap. 9 Evaluating … A study evaluating discrepancies in head CT readings between referring community radiologists and fellowship-trained … Skeletal surveys and head CTs, critical for screening and evaluating for NAT, should generally be interpreted
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psnet.ahrq.gov/node/35120/psn-pdf
November 03, 2015 - Clinical impact associated with corrected results in
clinical microbiology testing.
November 3, 2015
Yuan S, Astion ML, Schapiro J, et al. Clinical impact associated with corrected results in clinical
microbiology testing. J Clin Microbiol. 2005;43(5):2188-93.
https://psnet.ahrq.gov/issue/clinical-impact-associate…
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psnet.ahrq.gov/node/50720/psn-pdf
December 04, 2019 - Flu shot mix-up at Oklahoma facility leaves 10
hospitalized
December 4, 2019
The Associated Press. NBC News. November 8, 2019.
https://psnet.ahrq.gov/issue/flu-shot-mix-oklahoma-facility-leaves-10-hospitalized
Patients at residential care facilities are particularly vulnerable to harm from medication errors. This …
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psnet.ahrq.gov/node/35058/psn-pdf
June 22, 2009 - Predicting and preventing adverse drug reactions in the
very old.
June 22, 2009
Merle L, Laroche M-L, Dantoine T, et al. Predicting and preventing adverse drug reactions in the very old.
Drugs Aging. 2005;22(5):375-92.
https://psnet.ahrq.gov/issue/predicting-and-preventing-adverse-drug-reactions-very-old
The auth…