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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46135/psn-pdfJuly 11, 2017 - Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. July 11, 2017 Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):1208-1215. doi:10.1097/CCM.0000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47524/psn-pdfJune 19, 2019 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. June 19, 2019 Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essential For Progress In Patient Safety. Health Aff (Millwood). 2018;37(11):1821-18… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867438/psn-pdfJanuary 08, 2025 - Safety management within the scope of teaching practical clinical skills: framing errors for cardiopulmonary resuscitation training - a multi-arm randomized controlled equivalence trial. January 8, 2025 Schmidt M, Schauwinhold MT, Loeffler LAK, et al. Safety management within the scope of teaching practical clini… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46667/psn-pdfFebruary 22, 2018 - Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care. February 22, 2018 Grant S, Guthrie B. Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary car… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46074/psn-pdfDecember 22, 2017 - A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study. December 22, 2017 Gilmartin-Thomas JF-M, Smith F, Wolfe R, et al. A comparison of medication administration errors from original medication pa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43664/psn-pdfSeptember 01, 2016 - Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. September 1, 2016 Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive ob… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45210/psn-pdfSeptember 27, 2016 - Increased risk of burnout for physicians and nurses involved in a patient safety incident. September 27, 2016 Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1097/MLR.0000000000000582. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42342/psn-pdfDecember 31, 2014 - The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. December 31, 2014 Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors asso… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47921/psn-pdfJune 18, 2019 - Using incident reports to assess communication failures and patient outcomes. June 18, 2019 Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2019.02.006. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38941/psn-pdfNovember 25, 2009 - Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. November 25, 2009 Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient Saf. 2009;5(3):145-152. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45402/psn-pdfNovember 01, 2017 - Potentially preventable 30-day hospital readmissions at a children's hospital. November 1, 2017 Toomey SL, Peltz A, Loren S, et al. Potentially Preventable 30-Day Hospital Readmissions at a Children's Hospital. Pediatrics. 2016;138(2). doi:10.1542/peds.2015-4182. https://psnet.ahrq.gov/issue/potentially-preventabl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49564/psn-pdfJuly 01, 2008 - Dependence vs. Pain July 1, 2008 Gordon AJ. Dependence vs. Pain . PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dependence-vs-pain Case Objectives Define opioid dependence and opioid withdrawal syndrome. Describe the treatment of opioid withdrawal syndrome including the use of the Clinical Opioid Withdra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49849/psn-pdfJanuary 01, 2019 - Spotlight: Mistaken Attribution, Diagnostic Misstep January 1, 2019 Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep Case Objectives List the patient safety events that are unique to in… -
psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstepJuly 01, 2011 - SPOTLIGHT CASE Spotlight: Mistaken Attribution, Diagnostic Misstep Citation Text: Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citat…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49601/psn-pdfApril 01, 2010 - Nosy Business April 1, 2010 Orlandi RR. Nosy Business. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/nosy-business The Case A 59-year-old man with a history of idiopathic thrombocytopenic purpura (ITP) presented to the emergency department (ED) with epistaxis (a "nose bleed"). He reported no previous h… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.pptOctober 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case October 2007 Do Not Disturb! Source and Credits This presentation is based on the October 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: F. Daniel Duffy, MD, University of Oklahoma, and… -
psnet.ahrq.gov/web-mm/misleading-complaintDecember 01, 2009 - Misleading Complaint Citation Text: Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46012/psn-pdfDecember 21, 2017 - Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records. December 21, 2017 Walker S, Mason A, Quan P, et al. Mortality risks associated with emergency admissions during weekends and public holidays: an analysis of electronic health records.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48009/psn-pdfMay 15, 2019 - Associations between in-hospital mortality, health care utilization, and inpatient costs with the 2011 resident duty hour revision. May 15, 2019 Eid SM, Ponor L, Reed DA, et al. Associations Between In-Hospital Mortality, Health Care Utilization, and Inpatient Costs With the 2011 Resident Duty Hour Revision. J Gra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44369/psn-pdfJuly 16, 2018 - The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. July 16, 2018 Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implemen…
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