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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849612/psn-pdfMay 31, 2023 - Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously. May 31, 2023 Stafford K. AP News. May 23, 2023. https://psnet.ahrq.gov/issue/why-do-so-many-black-women-die-pregnancy-one-reason-doctors-dont-take- them-seriously Racial inequities and implicit bias undermine safe maternal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863765/psn-pdfMarch 06, 2024 - Patient safety and artificial intelligence in clinical care. March 6, 2024 Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43532/psn-pdfJune 23, 2017 - The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. June 23, 2017 Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an organizational resource for asses… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43731/psn-pdfDecember 03, 2014 - Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. December 3, 2014 Resler J, Hackworth J, Mayo E, et al. Detection of missed injuries in a pediatric trauma center with the addition of acute care pediatric nurse practitioners. J Trauma Nurs. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45940/psn-pdfOctober 31, 2017 - Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. October 31, 2017 Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clini… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44663/psn-pdfSeptember 27, 2016 - Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. September 27, 2016 Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. J Hosp Med. 2016;11(9):620-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47626/psn-pdfFebruary 13, 2019 - The effect of a clinical decision support for pending laboratory results at emergency department discharge. February 13, 2019 Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Emerg Med. 2019;56(1):109-113. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43845/psn-pdfSeptember 26, 2016 - Disrupting diagnostic reasoning: do interruptions, instructions, and experience affect the diagnostic accuracy and response time of residents and emergency physicians? September 26, 2016 Monteiro SD, Sherbino JD, Ilgen JS, et al. Disrupting diagnostic reasoning: do interruptions, instructions, and experience affe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43907/psn-pdfApril 27, 2015 - Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. April 27, 2015 Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. JAMA. 2015;313… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47304/psn-pdfOctober 24, 2018 - Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. October 24, 2018 Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.1515/dx-2018-0014. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47020/psn-pdfJanuary 16, 2019 - Unintended harm associated with the Hospital Readmissions Reduction Program. January 16, 2019 Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmiss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36199/psn-pdfMarch 28, 2011 - Time of day effects on the incidence of anesthetic adverse events. March 28, 2011 Wright MC, Phillips-Bute B, Mark JB, et al. Time of day effects on the incidence of anesthetic adverse events. Qual Saf Health Care. 2006;15(4):258-63. https://psnet.ahrq.gov/issue/time-day-effects-incidence-anesthetic-adverse-events… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866557/psn-pdfAugust 21, 2024 - Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. August 21, 2024 Abo-Zahhad M, El-Malek AHA, Sayed MS, et al. Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. BioData Min. 2024;17… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60813/psn-pdfJanuary 01, 2021 - Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. August 19, 2020 Daliri S, Boujarfi S, el Mokaddam A, et al. Medication-related interventions delivered both in hospital and following discharge: a systematic review and meta-analysis. BMJ Qua… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61032/psn-pdfOctober 14, 2020 - System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. October 14, 2020 Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development. OECD Publishing, Paris, France; 2020. OECD Health Working Papers, No. 120. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854830/psn-pdfJanuary 01, 2024 - The effect of evidence in crisis learning: based on a perspective integration framework. October 25, 2023 Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1468-5973.12506. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861292/psn-pdfJanuary 24, 2024 - Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024 Washington DC: VA Office of the Inspector General; January 4, 2024; Report no. 22-02294-42. https://psnet.ahrq.gov/issue/deficiencies-community-care-n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48124/psn-pdfJuly 31, 2019 - Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. July 31, 2019 Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design and clinical role tailoring: a systematic review. J Am Med Inform Assoc. 2019… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44156/psn-pdfNovember 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. November 10, 2015 Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47628/psn-pdfMarch 13, 2019 - Prescribing in 2019: what are the safety concerns? March 13, 2019 Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. https://psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns Medication errors present challenges to …
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