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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47415/psn-pdfDecember 05, 2018 - Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? December 5, 2018 Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:10.1515/dx-2018-0030. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45701/psn-pdfDecember 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. December 21, 2016 Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. https://psnet.ahrq.gov/issue/clinical-deci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845651/psn-pdfNovember 17, 2016 - Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patient within a 3-week period. November 17, 2016 Herzog R, Elgort DR, Flanders AE, et al. Variability in diagnostic error rates of 10 MRI centers performing lumbar spine MRI examinations on the same patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74725/psn-pdfFebruary 02, 2022 - A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022 Moore MR, Mitchell SJ, Weller JM, et al. A retrospective audit of postoperative days alive and out of hospital, including before and after implemen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34671/psn-pdfJune 15, 2011 - Confidential clinician-reported surveillance of adverse events among medical inpatients. June 15, 2011 Weingart SN, Ship AN, Aronson MD. Confidential clinician-reported surveillance of adverse events among medical inpatients. J Gen Intern Med. 2003;15(7). doi:10.1046/j.1525-1497.2000.06269.x. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35050/psn-pdfMay 27, 2011 - High rates of adverse drug events in a highly computerized hospital. May 27, 2011 Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50836/psn-pdfJanuary 29, 2020 - Developing a cancer-specific trigger tool to identify treatment-related adverse events using administrative data. January 29, 2020 Weingart SN, Nelson J, Koethe B, et al. Developing a cancer?specific trigger tool to identify treatment? related adverse events using administrative data. Cancer Med. 2020;9(4):1462-14… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44814/psn-pdfFebruary 24, 2018 - Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. February 24, 2018 Paine CW, Goel V, Ely E, et al. Systematic Review of Physiologic Monitor Alarm Characteristics and Pragmatic Interventions to Reduce Alarm Frequency. J Hosp Med. 2016;11(2):136-14… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866559/psn-pdfAugust 21, 2024 - Exploring the impact of pharmacist-supported medication reviews in dementia care: experiences of general practitioners and nurses. August 21, 2024 Carlqvist C, Ekstedt M, Lehnbom EC. Exploring the impact of pharmacist-supported medication reviews in dementia care: experiences of general practitioners and nurses. B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866312/psn-pdfJuly 17, 2024 - Development of patient safety measures to identify inappropriate diagnosis of common infections. July 17, 2024 White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-1411. doi:10.1093/cid/ciae044. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50736/psn-pdfDecember 11, 2019 - Prevalence and nature of medication errors and preventable adverse drug events in paediatric and neonatal intensive care settings: a systematic review. December 11, 2019 Alghamdi AA, Keers RN, Sutherland A, et al. Prevalence and Nature of Medication Errors and Preventable Adverse Drug Events in Paediatric and Neon… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866398/psn-pdfJuly 31, 2024 - An effective program to reduce malpractice claims and payments in a large orthopaedic practice. July 31, 2024 Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):1286-1292. doi:10.2106/jbjs.23.00973.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36549/psn-pdfMarch 21, 2017 - Patients' concerns about medical errors during hospitalization. March 21, 2017 Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. https://psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hosp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40994/psn-pdfDecember 18, 2014 - Implementing medication reconciliation in outpatient pediatrics. December 18, 2014 Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. https://psnet.ahrq.gov/issue/implementing-medication-reconciliat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841148/psn-pdfDecember 07, 2022 - How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? December 7, 2022 Kim S, Lynn MR, Baernholdt MB, et al. How does workplace violence-reporting culture affect Workplace violence, nurse burnout, and patient safety? J Nurs Care Qual. 2022;38(1):11-18. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45902/psn-pdfOctober 13, 2018 - Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. October 13, 2018 Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs? A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. doi:10.1093/jamia/ocw185. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860724/psn-pdfJanuary 17, 2024 - Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? January 17, 2024 Kneifati-Hayek JZ, Geist E, Applebaum JR, et al. Retrospective cohort study of wrong-patient imaging order errors: how many reach the patient? BMJ Qual Saf. 2024;33(2):132-135. doi:10.1136/bmjqs-2023- 016… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47806/psn-pdfJanuary 01, 2021 - Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. February 27, 2019 Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health Care Delivery Research: An Ongoing … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838631/psn-pdfOctober 19, 2022 - An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022 Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations: cultivating organization wide quali… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44237/psn-pdfNovember 03, 2015 - Surgical never events and contributing human factors. November 3, 2015 Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors Never even…
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