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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844765/psn-pdfSeptember 18, 2019 - Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019 Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848036/psn-pdfApril 26, 2023 - Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023 Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone- position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.1097/pts.0000000000001108. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47536/psn-pdfMarch 09, 2019 - Evaluation of wound photography for remote postoperative assessment of surgical site infections. March 9, 2019 Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. doi:10.1001/jamasurg.2018.3861. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74184/psn-pdfMay 05, 2017 - Systematic review of the impact of physician implicit racial bias on clinical decision making. May 5, 2017 Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10.1111/acem.13214. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73980/psn-pdfOctober 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. October 20, 2021 Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. J Patient Saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854385/psn-pdfOctober 11, 2023 - Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. October 11, 2023 Samost-Williams A, Rosen R, Hannenberg A, et al. Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. Ann Surg Open. 2023;4(3):e321. doi:10.1097/as9.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839313/psn-pdfNovember 02, 2022 - The impact of meaningful use and electronic health records on hospital patient safety. November 2, 2022 Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46631/psn-pdfMarch 20, 2018 - Simulation-based education to ensure provider competency within the healthcare system. March 20, 2018 Griswold S, Fralliccardi A, Boulet J, et al. Simulation-based Education to Ensure Provider Competency Within the Health Care System. Acad Emerg Med. 2018;25(2):168-176. doi:10.1111/acem.13322. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836743/psn-pdfMarch 16, 2022 - Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. March 16, 2022 Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis. Am J Surg. 2022;224(1 Pt A):228-238. doi:10.1016/j.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73157/psn-pdfApril 21, 2021 - The impact of power on health care team performance and patient safety: a review of the literature. April 21, 2021 Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. doi:10.1080/00140139.2021.1906454.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47890/psn-pdfJune 15, 2019 - Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. June 15, 2019 Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. J Am Med Inform Ass… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48066/psn-pdfJuly 24, 2019 - What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives. July 24, 2019 Wright B, Faulkner N, Bragge P, et al. What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectiv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47325/psn-pdfJanuary 01, 2020 - What can apologies in the electronic health record tell us about health care quality, processes, and safety? August 29, 2018 Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e187-e193. doi:10.1097/pts.00000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72823/psn-pdfMarch 10, 2021 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. March 10, 2021 Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. J Gen Intern Med.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46559/psn-pdfDecember 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73067/psn-pdfMarch 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74695/psn-pdfJanuary 26, 2022 - Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review. January 26, 2022 Alsabri M, Boudi Z, Lauque D, et al. Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46818/psn-pdfApril 18, 2018 - Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a qualitative study using the theoretical domains framework. April 18, 2018 Mekonnen AB, McLachlan AJ, Brien J-AE, et al. Barriers and facilitators to hospital pharmacists' engagement in medication safety activities: a q… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36700/psn-pdfJuly 20, 2011 - Adverse drug events resulting from patient errors in older adults. July 20, 2011 Field TS, Mazor KM, Briesacher BA, et al. Adverse Drug Events Resulting from Patient Errors in Older Adults. J Am Geriatr Soc. 2007;55(2):271-276. doi:10.1111/j.1532-5415.2007.01047.x. https://psnet.ahrq.gov/issue/adverse-drug-events-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36644/psn-pdfJuly 10, 2008 - Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. July 10, 2008 Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. https://psnet.ahrq.gov/issue/reporting-and-disclos…
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