-
psnet.ahrq.gov/node/38255/psn-pdf
December 03, 2008 - The effect of clinical experience on the error rate of
emergency physicians.
December 3, 2008
Berk WA, Welch RD, Levy PD, et al. The effect of clinical experience on the error rate of emergency
physicians. Ann Emerg Med. 2008;52(5):497-501. doi:10.1016/j.annemergmed.2008.01.329.
https://psnet.ahrq.gov/issue/effect…
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psnet.ahrq.gov/node/39510/psn-pdf
September 24, 2016 - Interruptions and distractions in healthcare: review and
reappraisal.
September 24, 2016
Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual
Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2009.033282.
https://psnet.ahrq.gov/issue/interruptions-and-distr…
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psnet.ahrq.gov/node/47340/psn-pdf
February 22, 2019 - Understanding test results follow-up in the ambulatory
setting: analysis of multiple perspectives.
February 22, 2019
Ai A, Desai S, Shellman A, et al. Understanding Test Results Follow-Up in the Ambulatory Setting: Analysis
of Multiple Perspectives. Jt Comm J Qual Patient Saf. 2018;44(11):674-682.
doi:10.1016/j.jc…
-
psnet.ahrq.gov/node/60520/psn-pdf
May 27, 2020 - Epidemiology of and risk factors for coronavirus infection
in health care workers: a living rapid review.
May 27, 2020
Chou R, Dana T, Buckley DI, et al. Epidemiology of and risk factors for coronavirus infection in health care
workers: a living rapid review. Ann Intern Med. 2020;173(2):120-136. doi:10.7326/m20-163…
-
psnet.ahrq.gov/node/853069/psn-pdf
August 30, 2023 - Estimating breast cancer overdiagnosis after screening
mammography among older women in the United States.
August 30, 2023
Richman IB, Long JB, Soulos PR, et al. Estimating breast cancer overdiagnosis after screening
mammography among older women in the United States. Ann Intern Med. 2023;176(9):1172-1180.
doi:10.…
-
psnet.ahrq.gov/node/72469/psn-pdf
November 18, 2020 - Weekend effect on in-hospital mortality for ischemic and
hemorrhagic stroke in US rural and urban hospitals.
November 18, 2020
Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic
and hemorrhagic stroke in US rural and urban hospitals. J Stroke Cerebrovasc Dis. 2020;2…
-
psnet.ahrq.gov/node/843415/psn-pdf
February 01, 2023 - Explaining the negative effects of patient participation in
patient safety: an exploratory qualitative study in an
academic tertiary healthcare centre in the Netherlands.
February 1, 2023
Van der Voorden M, Ahaus K, Franx A. Explaining the negative effects of patient participation in patient
safety: an exploratory…
-
psnet.ahrq.gov/node/862997/psn-pdf
February 21, 2024 - What kinds of insights do Safety-I and Safety-II
approaches provide? A critical reflection on the use of
SHERPA and FRAM in healthcare.
February 21, 2024
Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches
provide? A critical reflection on the use of SHERPA and FRAM i…
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psnet.ahrq.gov/node/866745/psn-pdf
September 18, 2024 - State of the Science and Future Directions to Improve
Diagnostic Safety in Older Adults.
September 18, 2024
Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic
Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024.
AHRQ Pu…
-
psnet.ahrq.gov/node/47886/psn-pdf
April 24, 2019 - Clinical impact of intraoperative electronic health record
downtime on surgical patients.
April 24, 2019
Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record
downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933. doi:10.1093/jamia/ocz029.
https:…
-
psnet.ahrq.gov/node/39106/psn-pdf
June 30, 2011 - Uncomfortable prescribing decisions in hospitals: the
impact of teamwork.
June 30, 2011
Lewis PJ, Tully MP. Uncomfortable prescribing decisions in hospitals: the impact of teamwork. J R Soc
Med. 2009;102(11):481-8. doi:10.1258/jrsm.2009.090150.
https://psnet.ahrq.gov/issue/uncomfortable-prescribing-decisions-hospi…
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psnet.ahrq.gov/node/60033/psn-pdf
March 11, 2020 - Interventions to reduce adverse drug event-related
outcomes in older adults: a systematic review and meta-
analysis.
March 11, 2020
Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in
Older Adults: A Systematic Review and Meta-analysis. Drugs Aging. 2020;37(2):91-…
-
psnet.ahrq.gov/node/43173/psn-pdf
June 04, 2014 - Barriers to the implementation of checklists in the office-
based procedural setting.
June 4, 2014
Shapiro FE, Fernando RJ, Urman RD. Barriers to the implementation of checklists in the office-based
procedural setting. J Healthc Risk Manag. 2014;33(4):35-43. doi:10.1002/jhrm.21141.
https://psnet.ahrq.gov/issue/bar…
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psnet.ahrq.gov/node/839323/psn-pdf
November 02, 2022 - Comparison of quality measures from US hospitals with
physician vs nonphysician chief executive officers.
November 2, 2022
See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs
nonphysician chief executive officers. JAMA Netw Open. 2022;5(10):e2236621.
doi:10.1001/j…
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psnet.ahrq.gov/node/50736/psn-pdf
December 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…
-
psnet.ahrq.gov/node/866076/psn-pdf
June 05, 2024 - Locum doctor working and quality and safety: a
qualitative study in English primary and secondary care.
June 5, 2024
Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in
English primary and secondary care. BMJ Qual Saf. 2024;33(6):354-362. doi:10.1136/bmjqs-20…
-
psnet.ahrq.gov/node/33928/psn-pdf
June 23, 2015 - Anesthesia safety: model or myth? A review of the
published literature and analysis of current original data.
June 23, 2015
Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current
original data. Anesthesiology. 2002;97(6):1609-17.
https://psnet.ahrq.gov/issue/anes…
-
psnet.ahrq.gov/node/47346/psn-pdf
February 22, 2019 - The prevalence of dose errors among paediatric patients
in hospital wards with and without health information
technology: a systematic review and meta-analysis.
February 22, 2019
Gates PJ, Meyerson SA, Baysari M, et al. The Prevalence of Dose Errors Among Paediatric Patients in
Hospital Wards with and without Heal…
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psnet.ahrq.gov/node/851200/psn-pdf
July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and
Facility Leaders' Response at the Charlie Norwood VA
Medical Center in Augusta, Georgia.
July 5, 2023
Washington DC: Department of Veterans Affairs, Office of Inspector General; May 10, 2023.
Report no. 22-01116-110.
https://psnet.ahrq.gov/issue/defi…
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psnet.ahrq.gov/node/837500/psn-pdf
June 22, 2022 - Analysis of hospital-level readmission rates and variation
in adverse events among patients with pneumonia in the
United States.
June 22, 2022
Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in
adverse events among patients with pneumonia in the United States. JAM…