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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44739/psn-pdf
    January 13, 2016 - Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. January 13, 2016 Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. doi:10.3399/bjgp15X687889. https…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74081/psn-pdf
    November 17, 2021 - The influence of the availability heuristic on physicians in the emergency department. November 17, 2021 Ly DP. The influence of the availability heuristic on physicians in the emergency department. Ann Emerg Med. 2021;78(5):650-657. doi:10.1016/j.annemergmed.2021.06.012. https://psnet.ahrq.gov/issue/influence-ava…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44149/psn-pdf
    June 03, 2015 - Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. June 3, 2015 Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;19 Suppl 1:S59-70. doi:10.1111/hdi.12248. …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43903/psn-pdf
    April 21, 2015 - Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills. April 21, 2015 Arora S, Hull L, Fitzpatrick M, et al. Crisis management on surgical wards: a simulation-based approach to enhancing technical, teamwork, and patient interaction skills.…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850175/psn-pdf
    June 07, 2023 - Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. June 7, 2023 Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585. https://psnet.ahrq.gov/issue/explicitly-addressi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46676/psn-pdf
    December 13, 2017 - Diagnostic errors by medical students: results of a prospective qualitative study. December 13, 2017 Braun LT, Zwaan L, Kiesewetter J, et al. Diagnostic errors by medical students: results of a prospective qualitative study. BMC Med Educ. 2017;17(1):191. doi:10.1186/s12909-017-1044-7. https://psnet.ahrq.gov/issue/…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839324/psn-pdf
    November 02, 2022 - The impact of COVID-19 workflow changes on radiation oncology incident reporting. November 2, 2022 Volpini ME, Lekx?Toniolo K, Mahon R, et al. The impact of COVID?19 workflow changes on radiation oncology incident reporting. J Appl Clin Med Phys. 2022;23(11):e13742. doi:10.1002/acm2.13742. https://psnet.ahrq.gov/i…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44772/psn-pdf
    January 13, 2016 - Post event debriefs: a commitment to learning how to better care for patients and staff. January 13, 2016 Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. https://psnet.ahrq.gov/issue/post-eve…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865681/psn-pdf
    April 24, 2024 - DOD Should Improve Its Process for Clinical Adverse Actions against Providers. April 24, 2024 Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24- 106107. https://psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers Health care o…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37699/psn-pdf
    February 22, 2011 - The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review. February 22, 2011 Wolfstadt JI, Gurwitz JH, Field T, et al. The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46050/psn-pdf
    August 03, 2017 - Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. August 3, 2017 Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. JAMA Pediatr. 2017;171(6):524-531. …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61051/psn-pdf
    October 21, 2020 - Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). October 21, 2020 ISMP Medication Safety Alert! Acute Care Edition. October 8, 2020;25(20):1-4 https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safe…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73674/psn-pdf
    September 08, 2021 - Perceptions of working conditions and safety concerns in community pharmacy. September 8, 2021 Clabaugh M, Beal JL, Illingworth Plake KS. Perceptions of working conditions and safety concerns in community pharmacy. J Am Pharm Assoc (2003). 2021;61(6):761-771. doi:10.1016/j.japh.2021.06.011. https://psnet.ahrq.gov/…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44371/psn-pdf
    September 09, 2015 - Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. September 9, 2015 Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0000000000001830. https://psnet…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44691/psn-pdf
    December 02, 2015 - Quality and safety in orthopaedics: learning and teaching at the same time: AOA critical issues. December 2, 2015 Black KP, Armstrong AD, Hutzler L, et al. Quality and Safety in Orthopaedics: Learning and Teaching at the Same Time: AOA Critical Issues. J Bone Joint Surg Am. 2015;97(21):1809-15. doi:10.2106/JBJS.O.0…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43906/psn-pdf
    May 13, 2015 - Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. May 13, 2015 Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43134/psn-pdf
    September 04, 2015 - Evaluating the accuracy of electronic pediatric drug dosing rules. September 4, 2015 Kirkendall E, Spooner A, Logan JR. Evaluating the accuracy of electronic pediatric drug dosing rules. J Am Med Inform Assoc. 2014;21(e1):e43-9. doi:10.1136/amiajnl-2013-001793. https://psnet.ahrq.gov/issue/evaluating-accuracy-elec…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34894/psn-pdf
    July 10, 2008 - Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. July 10, 2008 Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. A…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44651/psn-pdf
    December 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46752/psn-pdf
    July 19, 2018 - Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and working memory capacity: a prospective, direct observation study. July 19, 2018 Westbrook JI, Raban MZ, Walter SR, et al. Task errors by emergency physicians are associated with interruptions, multitasking, fatigue and…
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