-
psnet.ahrq.gov/node/47492/psn-pdf
August 07, 2019 - Pediatric clinician perspectives on communicating
diagnostic uncertainty.
August 7, 2019
Meyer AND, Giardina TD, Khanna A, et al. Pediatric clinician perspectives on communicating diagnostic
uncertainty. Int J Health Care Qual. 2019;31(9):g107-g112. doi:10.1093/intqhc/mzz061.
https://psnet.ahrq.gov/issue/pediatric…
-
psnet.ahrq.gov/node/39898/psn-pdf
February 01, 2011 - Improving reliability of clinical care practices for
ventilated patients in the context of a patient safety
improvement initiative.
February 1, 2011
Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the
context of a patient safety improvement initiative.…
-
psnet.ahrq.gov/node/60935/psn-pdf
September 23, 2020 - Resilience from a stakeholder perspective: the role of
next of kin in cancer care.
September 23, 2020
Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer
care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/43852/psn-pdf
December 02, 2015 - Narrativizing nursing students' experiences with medical
errors during clinicals.
December 2, 2015
Noland CM, Carmack HJ. Narrativizing Nursing Students' Experiences With Medical Errors During
Clinicals. Qual Health Res. 2015;25(10):1423-34. doi:10.1177/1049732314562892.
https://psnet.ahrq.gov/issue/narrativizing-…
-
psnet.ahrq.gov/node/60041/psn-pdf
March 11, 2020 - Supplement on Deepening our Understanding of Quality
in Australia (DUQuA).
March 11, 2020
Int J Qual Health Care. 2020;32(Supp1):1-105.
https://psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua
Quality and safety are often intertwined in large improvement efforts. This special iss…
-
psnet.ahrq.gov/node/40064/psn-pdf
July 08, 2013 - Hand Hygiene Project: Best Practices from Hospitals
Participating in the Joint Commission Center for
Transforming Healthcare Project.
July 8, 2013
Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.
https://psnet.ahrq.gov/issue/hand-hygiene-project-best-practices-hospitals-part…
-
psnet.ahrq.gov/node/43123/psn-pdf
August 04, 2015 - Redesigning surgical decision making for high-risk
patients.
August 4, 2015
Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J
Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538.
https://psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patient…
-
psnet.ahrq.gov/node/44495/psn-pdf
September 30, 2015 - Impact of laws aimed at healthcare-associated infection
reduction: a qualitative study.
September 30, 2015
Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated
infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.1136/bmjqs-2014-
003921.
htt…
-
psnet.ahrq.gov/node/45139/psn-pdf
May 25, 2016 - Alarm management: promoting safety and establishing
guidelines.
May 25, 2016
Criscitelli T. Alarm Management: Promoting Safety and Establishing Guidelines. AORN J. 2016;103(5):518-
21. doi:10.1016/j.aorn.2016.03.008.
https://psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
Alarms…
-
psnet.ahrq.gov/node/848829/psn-pdf
May 10, 2023 - Lessons from the Covid War: An Investigative Report.
May 10, 2023
Covid Crisis Group. New York: Public Affairs; 2023. ISBN?: ?9781541703803.
https://psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
The transfer of failure experiences to generate learning and improve service is a complicated responsibilit…
-
psnet.ahrq.gov/node/34744/psn-pdf
January 07, 2019 - Judgment under Uncertainty: Heuristics and Biases.
January 7, 2019
Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press;
1982. ISBN: 0521284147.
https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
Judgement is an inherently human activity tha…
-
psnet.ahrq.gov/node/854639/psn-pdf
October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us
to Thrive.
October 18, 2023
Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069.
https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive
Despite the harm that failure can cause, its value as a learning opportunity, if exam…
-
psnet.ahrq.gov/node/43846/psn-pdf
January 21, 2015 - Quantifying and monitoring overdiagnosis in cancer
screening: a systematic review of methods.
January 21, 2015
Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a
systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773.
https://psnet.ahrq.gov/issue/qua…
-
psnet.ahrq.gov/node/43334/psn-pdf
July 16, 2014 - Changing our culture: adopting the military aviation
safety system.
July 16, 2014
Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg.
2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070.
https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…
-
psnet.ahrq.gov/node/60554/psn-pdf
June 03, 2020 - Artificial intelligence in health care: accountability and
safety.
June 3, 2020
Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health
Organ. 2020;98(4):251-256. doi:10.2471/blt.19.237487.
https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-ac…
-
psnet.ahrq.gov/node/73971/psn-pdf
October 13, 2021 - Safety culture as a patient safety practice for alarm
fatigue.
October 13, 2021
Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA.
2021;326(12):1207-1208. doi:10.1001/jama.2021.8316.
https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…
-
psnet.ahrq.gov/node/836864/psn-pdf
April 06, 2022 - Improving the specificity of drug-drug interaction alerts:
can it be done?
April 6, 2022
Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am
J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045.
https://psnet.ahrq.gov/issue/improving-specif…
-
psnet.ahrq.gov/node/45910/psn-pdf
March 08, 2017 - Electronically Generated Medication Administration and
Electronic Medication Administration Records for the
Prevention of Medication Transcription Errors: Review of
Clinical Effectiveness and Safety.
March 8, 2017
Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016.
https://psnet.ahrq.gov/issue…
-
www.ahrq.gov/sites/default/files/2024-01/crystal-report.pdf
January 01, 2024 - Final Progress Report: Improving Medication Safety in Nursing Home Dementia Care
Title of Project: Improving Medication Safety in Nursing Home Dementia Care
Principal Investigator: Stephen Crystal, Ph.D.
Team Members: Stephen Crystal, Richard Hermida, Olga Jarrin, Marsha Rosenthal, Beth Angell,
Sharon Cook, Shere…
-
www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary25/folic-acid-to-prevent-neural-tube-defects-preventive-medication-2009
May 15, 2009 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
archived
Final Evidence Summary
Folic Acid to Prevent Neural Tube Defects: Preventive Medication
May 15, 2009
Recommendations made by the USPSTF are independent of the …