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psnet.ahrq.gov/issue/observational-study-evaluate-usability-and-intent-adopt-artificial-intelligence-powered
September 27, 2017 - Study
An observational study to evaluate the usability and intent to adopt an artificial intelligence–powered medication reconciliation tool.
Citation Text:
Long J, Yuan MJ, Poonawala R. An Observational Study to Evaluate the Usability and Intent to Adopt an Artificial Intelligence-Power…
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psnet.ahrq.gov/issue/va-health-care-va-uses-medical-injury-tort-claims-data-assess-veterans-care-should-take
February 10, 2010 - Government Resource
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete.
Citation Text:
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action t…
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psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
November 13, 2024 - Audiovisual Presentation
Report links Georgia's abortion ban to preventable deaths.
Citation Text:
Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024.
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psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
November 12, 2014 - Review
What to do with healthcare incident reporting systems.
Citation Text:
Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27.
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psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
March 11, 2011 - Commentary
Classic
Computerization can create safety hazards: a bar-coding near miss.
Citation Text:
McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6.
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psnet.ahrq.gov/issue/independent-mortality-review-cardiac-surgery-st-georges-university-hospitals-nhs-foundation
May 24, 2023 - Book/Report
Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust.
Citation Text:
Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. NHS Improvement. Independent Mortality Review of …
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psnet.ahrq.gov/issue/you-cant-understand-something-you-hide-transparency-path-improve-patient-safety
October 04, 2006 - Newspaper/Magazine Article
You can't understand something you hide: transparency as a path to improve patient safety.
Citation Text:
You can't understand something you hide: transparency as a path to improve patient safety. Wachter R, Kaplan GS, Gandhi T, et al. Health Affairs Blog. June…
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psnet.ahrq.gov/issue/safe-use-cellular-telephones-hospitals-fundamental-principles-and-case-studies
August 04, 2021 - Commentary
Safe use of cellular telephones in hospitals: fundamental principles and case studies.
Citation Text:
Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles and case studies. J Healthc Inf Manag. 2005;19(4):38-48.
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psnet.ahrq.gov/issue/ambulance-personnel-perceptions-near-misses-and-adverse-events-pediatric-patients
July 16, 2008 - Study
Ambulance personnel perceptions of near misses and adverse events in pediatric patients.
Citation Text:
Cushman JT, Fairbanks RJ, O'Gara KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-84. doi:…
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psnet.ahrq.gov/issue/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study
September 09, 2015 - Study
Exploring the causes of junior doctors' prescribing mistakes: a qualitative study.
Citation Text:
Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332.…
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psnet.ahrq.gov/issue/implementing-distraction-free-practice-red-zone-medication-safety-initiative
November 16, 2022 - Commentary
Implementing a distraction-free practice with the Red Zone Medication Safety initiative.
Citation Text:
Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24. do…
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psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
September 02, 2020 - Commentary
Oversedation of a patient with obstructive sleep apnea prior to imaging.
Citation Text:
Blay E, Barnard C, Bilimoria KY. Oversedation of a Patient With Obstructive Sleep Apnea Prior to Imaging. JAMA. 2018;319(5):495-496. doi:10.1001/jama.2017.22004.
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psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health-literacy
April 28, 2021 - Book/Report
Classic
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.
Citation Text:
Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. Wu HW, Nishimi RY, Page-Lopez CM, et …
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psnet.ahrq.gov/issue/creating-highly-reliable-accountable-care-organizations
November 03, 2015 - Commentary
Creating highly reliable accountable care organizations.
Citation Text:
Vogus TJ, Singer SJ. Creating Highly Reliable Accountable Care Organizations. Med Care Res Rev. 2016;73(6):660-672.
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psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
March 20, 2024 - Review
A review of current and emerging approaches to address failure-to-rescue.
Citation Text:
Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633.
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psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition
May 31, 2017 - Study
Use of simulation to test systems and prepare staff for a new hospital transition.
Citation Text:
Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.000000000000…
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psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
April 24, 2018 - Commentary
Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.
Citation Text:
Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…
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psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
September 07, 2022 - Commentary
The limits of clinician vigilance as an AI safety bulwark.
Citation Text:
Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620.
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psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - Review
What is the effectiveness of reporting systems in promoting learning in healthcare?
Citation Text:
Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444.
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psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
August 30, 2017 - Study
Learning mechanisms to limit medication administration errors.
Citation Text:
Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs. 2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x.
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