-
psnet.ahrq.gov/node/862985/psn-pdf
February 21, 2024 - A qualitative study of systems-level factors that affect
rural obstetric nurses' work during clinical emergencies.
February 21, 2024
Bernstein SL, Picciolo M, Grills E, et al. A qualitative study of systems-level factors that affect rural obstetric
nurses' work during clinical emergencies. Jt Comm J Qual Patient Sa…
-
psnet.ahrq.gov/node/851886/psn-pdf
August 02, 2023 - Hospitalization due to adverse drug events in older adults
with cancer: a retrospective analysis.
August 2, 2023
Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with
cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101540. doi:10.1016/j.jgo.2023.101540…
-
psnet.ahrq.gov/node/47571/psn-pdf
December 12, 2018 - Enhancing safety culture through improved incident
reporting: a case study in translational research.
December 12, 2018
Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A
Case Study In Translational Research. Health Aff (Millwood). 2018;37(11):1797-1804.
doi:10.1…
-
psnet.ahrq.gov/node/73512/psn-pdf
July 21, 2021 - Secondary traumatic stress in ob-gyn: a mixed methods
analysis assessing physician impact and needs.
July 21, 2021
Kruper A, Domeyer-Klenske A, Treat R, et al. Secondary traumatic stress in ob-gyn: a mixed methods
analysis assessing physician impact and needs. J Surg Educ. 2021;78(3):1024-1034.
doi:10.1016/j.jsurg…
-
psnet.ahrq.gov/node/41211/psn-pdf
January 03, 2017 - He thought the "lady in the door" was the "lady in the
window": a qualitative study of patient identification
practices.
January 3, 2017
Phipps E, Turkel M, Mackenzie ER, et al. He thought the "lady in the door" was the "lady in the window": a
qualitative study of patient identification practices. Jt Comm J Qual P…
-
psnet.ahrq.gov/node/60877/psn-pdf
September 02, 2020 - When bad things happen: training medical students to
anticipate the aftermath of medical errors.
September 2, 2020
Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the
aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591. doi:10.1007/s40596-020-01278-…
-
psnet.ahrq.gov/node/852751/psn-pdf
August 23, 2023 - Automated search methods for identifying wrong patient
order entry-a scoping review.
August 23, 2023
Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping
review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057.
https://psnet.ahrq.gov/issue/automated-s…
-
psnet.ahrq.gov/node/866950/psn-pdf
October 16, 2024 - Impact of team performance on the surgical safety
checklist on patient outcomes: an operating room black
box analysis.
October 16, 2024
Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on
patient outcomes: an operating room black box analysis. Surg Endosc. 2024;38(…
-
psnet.ahrq.gov/node/842761/psn-pdf
January 18, 2023 - Implicit racial bias, health care provider attitudes, and
perceptions of health care quality among African
American college students in Georgia, USA.
January 18, 2023
Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and
perceptions of health care quality among…
-
psnet.ahrq.gov/node/73161/psn-pdf
April 21, 2021 - The randomized AMBORA trial: impact of
pharmacological/pharmaceutical care on medication
safety and patient-reported outcomes during treatment
with new oral anticancer agents.
April 21, 2021
Dürr P, Schlichtig K, Kelz C, et al. The randomized AMBORA trial: impact of
pharmacological/pharmaceutical care on medicati…
-
psnet.ahrq.gov/node/37562/psn-pdf
June 14, 2011 - Effectiveness and efficiency of root cause analysis in
medicine.
June 14, 2011
Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687.
doi:10.1001/jama.299.6.685.
https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine
Application of root c…
-
psnet.ahrq.gov/node/837797/psn-pdf
August 10, 2022 - Toward constructive change after making a medical error:
recovery from situations of error theory as a psychosocial
model for clinician recovery.
August 10, 2022
Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error:
recovery from situations of error theory as a psychos…
-
psnet.ahrq.gov/node/841769/psn-pdf
December 21, 2022 - Negative emotions experienced by healthcare staff
following medication administration errors: a descriptive
study using text-mining and content analysis of incident
data.
December 21, 2022
Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare staff
following medication a…
-
psnet.ahrq.gov/node/47097/psn-pdf
June 26, 2018 - Patterns of potential opioid misuse and subsequent
adverse outcomes in Medicare, 2008 to 2012.
June 26, 2018
Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes
in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7326/M17-3065.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/74718/psn-pdf
February 02, 2022 - Medication-related interventions to improve medication
safety and patient outcomes on transition from adult
intensive care settings: a systematic review and meta-
analysis.
February 2, 2022
Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medication safety
and patient outcom…
-
psnet.ahrq.gov/node/45205/psn-pdf
July 11, 2017 - Performance of the Global Assessment of Pediatric
Patient Safety (GAPPS) tool.
July 11, 2017
Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient
Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076.
https://psnet.ahrq.gov/issue/performance-glo…
-
psnet.ahrq.gov/node/45969/psn-pdf
January 07, 2019 - The surgeon as the second victim? Results of the Boston
Intraoperative Adverse Events Surgeons' Attitude (BISA)
study.
January 7, 2019
Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston
Intraoperative Adverse Events Surgeons' Attitude (BISA) study. J Am Coll Surg. 2017;224(…
-
psnet.ahrq.gov/perspective/context-intervention
August 05, 2020 - The Context Is the Intervention
Dr. John Øvretveit | October 1, 2011
View more articles from the same authors.
Citation Text:
Øvretveit J. The Context Is the Intervention. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department …
-
psnet.ahrq.gov/node/33712/psn-pdf
June 01, 2011 - In Conversation with… Edward Tenner, PhD
June 1, 2011
In Conversation with… Edward Tenner, PhD. PSNet [internet]. 2011.
https://psnet.ahrq.gov/perspective/conversation-edward-tenner-phd
Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and
culture. He received his PhD fro…
-
psnet.ahrq.gov/node/49749/psn-pdf
December 01, 2015 - Hyperglycemia and Switching to Subcutaneous Insulin
December 1, 2015
Wetterneck TB. Hyperglycemia and Switching to Subcutaneous Insulin. PSNet [internet]. 2015.
https://psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
The Case
A 47-year-old man with type 2 diabetes was admitted to the hospita…