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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36434/psn-pdfFebruary 18, 2011 - Protocol-based computer reminders, the quality of care and the non-perfectability of man. February 18, 2011 McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60154/psn-pdfMarch 25, 2020 - Detecting patient deterioration using artificial intelligence in a rapid response system. March 25, 2020 Cho K-J, Kwon O, Kwon J-myoung, et al. Detecting patient deterioration using artificial intelligence in a rapid response system. Crit Care Med. 2020;48(4):e285-e289. doi:10.1097/ccm.0000000000004236. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73621/psn-pdfAugust 25, 2021 - Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. August 25, 2021 Agnoli A, Xing G, Tancredi DJ, et al. Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids. JAMA. 2021;326(5):411-419. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47680/psn-pdfJanuary 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852269/psn-pdfAugust 09, 2023 - Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. August 9, 2023 Hogerwaard M, Stolk M, Dijk L van, et al. Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. BMJ Open Qual. 2023;12(2):e002023.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46862/psn-pdfFebruary 21, 2018 - Considering human factors and developing systems- thinking behaviours to ensure patient safety. February 21, 2018 Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical Human Factors Special Interest Group. Clinical Pharmacist. 2018;10(2). https://psnet.ahrq.gov/issue/considering-human-factors-and-developing-syste… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861767/psn-pdfJanuary 31, 2024 - Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial. January 31, 2024 Carroll AR, Johnson JA, Stassun JC, et al. Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37051/psn-pdfFebruary 24, 2011 - Clinical oversight: conceptualizing the relationship between supervision and safety. February 24, 2011 Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. https://psnet.ahrq.gov/issue/clinical-oversight-c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837735/psn-pdfJuly 27, 2022 - A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. July 27, 2022 Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health Care. 2022;34(3). doi:10.1093/intqhc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72523/psn-pdfDecember 02, 2020 - Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial. December 2, 2020 Delvaux N, Piessens V, Burghgraeve TD, et al. Clinical decision support improves the appropriateness of laboratory test orderi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34829/psn-pdfApril 06, 2011 - Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. April 6, 2011 Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4. https://psnet.ahrq.gov/issue/use-medical-emerg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47250/psn-pdfSeptember 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843460/psn-pdfFebruary 01, 2023 - Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post- induction checklist. February 1, 2023 Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checkli… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34067/psn-pdfJanuary 04, 2017 - Does full disclosure of medical errors affect malpractice liability? The jury is still out. January 4, 2017 Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11. https://psnet.ahrq.gov/issue/does… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41719/psn-pdfNovember 27, 2012 - A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. November 27, 2012 Borchard A, Schwappach DLB, Barbir A, et al. A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39462/psn-pdfApril 21, 2010 - Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. April 21, 2010 Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010;35(2):134-146. doi:10.1097/HMR.0b0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37617/psn-pdfFebruary 03, 2011 - Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients. February 3, 2011 Harbarth S, Fankhauser C, Schrenzel J, et al. Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60352/psn-pdfJanuary 01, 2021 - Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. May 20, 2020 Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):439-451. doi:10.1037/apl0000507. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850910/psn-pdfJune 21, 2023 - Developing electronic clinical quality measures to assess the cancer diagnostic process. June 21, 2023 Murphy DR, Zimolzak AJ, Upadhyay DK, et al. Developing electronic clinical quality measures to assess the cancer diagnostic process. J Am Med Inform Assoc. 2023;30(9):1526-1531. doi:10.1093/jamia/ocad089. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72798/psn-pdfMarch 03, 2021 - Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. March 3, 2021 Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observationa…
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