-
psnet.ahrq.gov/node/46249/psn-pdf
July 12, 2017 - Zero preventable deaths after traumatic injury: an
achievable goal.
July 12, 2017
Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8.
doi:10.1097/ta.0000000000001425.
https://psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
Criti…
-
www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/lets-talk-about-it-discussion-guides/lets-talk-about-it-starting-aspirin-prevent-heart-disease-and-stroke-discussion-guide-healthcare-professionals-and-patients
April 09, 2025 - Let's Talk About It: Starting Aspirin to Prevent Heart Disease and Stroke Discussion Guide for Healthcare Professionals and Patients
Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
Download English PDF Download Spanish…
-
digital.ahrq.gov/principal-investigator/czaja-sara
January 01, 2023 - Czaja, Sara
Improving Meaningful Access of Internet Health Information for Older Adults - Final Report
Citation
Czaja S. Improving Meaningful Access of Internet Health Information for Older Adults - Final Report. (Prepared by the University of Miami under Grant No. R21 HS01883…
-
psnet.ahrq.gov/node/866444/psn-pdf
August 07, 2024 - Documenting Diagnosis: Exploring the Impact of
Electronic Health Records on Diagnostic Safety.
August 7, 2024
Miller K, Ratwani R, Hose B-Z, et al. Documenting Diagnosis: Exploring The Impact Of Electronic Health
Records On Diagnostic Safety. Rockville, MD: Agency for Healthcare Research and Quality; August 2024.
…
-
psnet.ahrq.gov/node/44665/psn-pdf
January 01, 2019 - Introduction to the STS National Database Series:
outcomes analysis, quality improvement, and patient
safety.
January 1, 2018
Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019
Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632. doi:10.1016/j.athoracsur.2019.09.03…
-
psnet.ahrq.gov/node/40215/psn-pdf
February 10, 2015 - Performance-based payment incentives increase burden
and blame for hospital nurses.
February 10, 2015
Kurtzman ET, O'Leary D, Sheingold BH, et al. Performance-based payment incentives increase burden
and blame for hospital nurses. Health Aff (Millwood). 2011;30(2):211-218. doi:10.1377/hlthaff.2010.0573.
https://ps…
-
psnet.ahrq.gov/node/73343/psn-pdf
June 02, 2021 - Hospital surveys by the Centers for Medicare and
Medicaid Services: an analysis of more than 34,000
deficiencies.
June 2, 2021
Antognini JF. Hospital surveys by the Centers for Medicare and Medicaid Services: an analysis of more
than 34,000 deficiencies. J Patient Saf. 2021;17(4):e274-e279. doi:10.1097/pts.0000000…
-
psnet.ahrq.gov/node/46247/psn-pdf
August 08, 2018 - Distractions in the anesthesia work environment: impact
on patient safety? Report of a meeting sponsored by the
Anesthesia Patient Safety Foundation.
August 8, 2018
van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety?
Report of a Meeting Sponsored by the Anesthesia Pat…
-
psnet.ahrq.gov/node/46279/psn-pdf
August 02, 2017 - Recognizing the ordinary as extraordinary: insight into
the "way we work" to improve patient safety outcomes.
August 2, 2017
Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve
Patient Safety Outcomes. Am J Crit Care. 2017;26(4):272-277. doi:10.4037/ajcc2017812.
https:…
-
psnet.ahrq.gov/node/45819/psn-pdf
March 15, 2017 - How doctors think: common diagnostic errors in clinical
judgment--lessons from an undiagnosed and rare disease
program.
March 15, 2017
Kliegman RM, Bordini BJ, Basel D, et al. How Doctors Think: Common Diagnostic Errors in Clinical
Judgment-Lessons from an Undiagnosed and Rare Disease Program. Pediatr Clin North A…
-
psnet.ahrq.gov/node/45138/psn-pdf
May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover
(WOOSH).
May 25, 2016
Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ
Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190.
https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh
…
-
psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
-
psnet.ahrq.gov/node/46933/psn-pdf
April 04, 2018 - Pain states, the opioid epidemic, and the role of
radiologists.
April 4, 2018
Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists.
Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x.
https://psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-r…
-
psnet.ahrq.gov/node/43182/psn-pdf
May 14, 2014 - Quality and safety in pediatric anesthesia: how can
guidelines, checklists, and initiatives improve the
outcome?
May 14, 2014
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines,
checklists, and initiatives improve the outcome? Curr Opin Anaesthesiol. 2014;27(3):323-9…
-
psnet.ahrq.gov/node/73426/psn-pdf
June 23, 2021 - The perfect storm: exam of a medical error and factors
contributing to its possible escalation.
June 23, 2021
Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J
Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.0000000000000846.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/45869/psn-pdf
March 25, 2017 - Data-driven implementation of alarm reduction
interventions in a cardiovascular surgical ICU.
March 25, 2017
Allan SH, Doyle PA, Sapirstein A, et al. Data-Driven Implementation of Alarm Reduction Interventions in a
Cardiovascular Surgical ICU. Jt Comm J Qual Patient Saf. 2017;43(2):62-70.
doi:10.1016/j.jcjq.2016.1…
-
psnet.ahrq.gov/node/47068/psn-pdf
June 25, 2018 - The need for closed-loop systems for management of
abnormal test results.
June 25, 2018
Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal
Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425.
https://psnet.ahrq.gov/issue/need-closed-loop-systems…
-
psnet.ahrq.gov/node/45341/psn-pdf
July 27, 2016 - How to avoid catastrophic events on the ward.
July 27, 2016
Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin
Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003.
https://psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward
Hospitals require robust esca…
-
psnet.ahrq.gov/node/46175/psn-pdf
September 24, 2017 - Applying lessons from social psychology to transform the
culture of error disclosure.
September 24, 2017
Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error
disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345.
https://psnet.ahrq.gov/issue/applying-…
-
psnet.ahrq.gov/node/45740/psn-pdf
January 23, 2017 - Patient perspectives on delays in diagnosis and treatment
of cancer: a qualitative analysis of free-text data.
January 23, 2017
Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of
cancer: a qualitative analysis of free-text data. Br J Gen Pract. 2017;67(654):e49-e56…