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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45970/psn-pdf
    March 22, 2017 - A learning health care system using computer-aided diagnosis. March 22, 2017 Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. https://psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis Although…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43758/psn-pdf
    March 17, 2015 - A patient safety checklist for the cardiac catheterisation laboratory. March 17, 2015 Cahill TJ, Clarke SC, Simpson IA, et al. A patient safety checklist for the cardiac catheterisation laboratory. Heart. 2015;101(2):91-3. doi:10.1136/heartjnl-2014-306927. https://psnet.ahrq.gov/issue/patient-safety-checklist-card…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838194/psn-pdf
    September 28, 2022 - Measure Dx: implementing pathways to discover and learn from diagnostic errors. September 28, 2022 Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068. https://psnet.ahrq.gov/issue/meas…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846157/psn-pdf
    March 15, 2023 - Patient perception of fall risk and fall risk screening scores. March 15, 2023 Solares NP, Calero P, Connelly CD. Patient perception of fall risk and fall risk screening scores. J Nurs Care Qual. 2023;38(2):100-106. doi:10.1097/ncq.0000000000000645. https://psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fal…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48104/psn-pdf
    August 28, 2019 - The computer will see you now. August 28, 2019 Whitaker P. New Statesman. August 2, 2019;148:38-43. https://psnet.ahrq.gov/issue/computer-will-see-you-now Artificial intelligence (AI) and advanced computing technologies can enhance clinical decision-making. Exploring the strengths and weaknesses of artificial inte…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46831/psn-pdf
    April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46458/psn-pdf
    May 30, 2018 - Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. May 30, 2018 Edbrooke-Childs J, Hayes J, Sharples E, et al. Development of the Huddle Observation Tool for structured case management discussions to improve situation aw…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38904/psn-pdf
    September 02, 2009 - Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. September 2, 2009 Mihai R, Scott SD, Cook TM. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(8):829-35. doi:10.1111/j.1365-2044.20…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37135/psn-pdf
    October 04, 2011 - Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. October 4, 2011 Forster AJ, O'Rourke K, Shojania KG, et al. Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event class…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40002/psn-pdf
    January 19, 2011 - Considerations for the design of safe and effective consumer health IT applications in the home. January 19, 2011 Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67. doi:10.1136/qshc.2010.041897. ht…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37098/psn-pdf
    October 04, 2011 - How residents think and make medical decisions: implications for education and patient safety. October 4, 2011 Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discussion 553-4. https://psnet.ahrq.gov/…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43512/psn-pdf
    September 29, 2017 - Interruptions and multi-tasking: moving the research agenda in new directions. September 29, 2017 Westbrook JI. Interruptions and multi-tasking: moving the research agenda in new directions. BMJ Qual Saf. 2014;23(11):877-9. doi:10.1136/bmjqs-2014-003372. https://psnet.ahrq.gov/issue/interruptions-and-multi-tasking…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40237/psn-pdf
    February 23, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses. February 23, 2011 Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876. ht…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73498/psn-pdf
    July 14, 2021 - Leaving a discontinued FentaNYL infusion attached to the patient leads to a tragic error July 14, 2021 ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2. https://psnet.ahrq.gov/issue/leaving-discontinued-fentanyl-infusion-attached-patient-leads-tragic-error High-alert medication misadministration i…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45619/psn-pdf
    August 16, 2017 - Checking the lists: a systematic review of electronic checklist use in health care. August 16, 2017 Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. https://psnet.ahrq.gov/issue/checking-lists-s…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34870/psn-pdf
    April 18, 2016 - Unintended medication discrepancies at the time of hospital admission. April 18, 2016 Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44057/psn-pdf
    June 03, 2015 - Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. June 3, 2015 Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437. https://psnet.ahrq.gov/issue/measuring-nursing-error-p…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42660/psn-pdf
    October 16, 2013 - Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. October 16, 2013 Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Acad…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44227/psn-pdf
    November 19, 2018 - A scholarly pathway in quality improvement and patient safety. November 19, 2018 Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015;90(10):1358-62. doi:10.1097/ACM.0000000000000772. https://psnet.ahrq.gov/issue/scholarly-pathway-quality-improvement-and-patient-safety…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35749/psn-pdf
    May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…
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