-
psnet.ahrq.gov/node/49761/psn-pdf
May 01, 2016 - Identifying benchmarks for discrepancy rates in preliminary
interpretations provided by radiology trainees
-
psnet.ahrq.gov/node/49739/psn-pdf
August 21, 2015 - Identifying and improving knowledge deficits of
emergency airway management of tracheotomy and laryngectomy
-
psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - Committee on Identifying and Preventing
Medication Errors, Institute of Medicine.
-
psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - The NAPSI team designed a protocol that is nimble and flexible to care as it happens instead of only
identifying
-
psnet.ahrq.gov/node/865467/psn-pdf
March 27, 2024 - Different states have different mechanisms for identifying a surrogate when
the patient has not designated
-
psnet.ahrq.gov/node/73335/psn-pdf
May 26, 2021 - Healthcare organizations should have quality improvement programs for reporting, analyzing, and
identifying
-
psnet.ahrq.gov/node/853772/psn-pdf
September 27, 2023 - have been effective with appropriate and timely
communication, but the resident physician’s role in identifying
-
psnet.ahrq.gov/node/49526/psn-pdf
December 01, 2006 - The borderline diagnosis III:
identifying endophenotypes for genetic studies.
-
psnet.ahrq.gov/node/41757/psn-pdf
January 25, 2018 - BeSafeRx: Know Your Online Pharmacy.
January 25, 2018
US Food and Drug Administration; FDA.
https://psnet.ahrq.gov/issue/besaferx-know-your-online-pharmacy
This Web site raises awareness of risks associated with buying medications from online pharmacies and
offers resources to help identify whether an online pharm…
-
psnet.ahrq.gov/node/34976/psn-pdf
June 22, 2009 - The neurologist and patient safety.
June 22, 2009
Glick TH. The neurologist and patient safety. Neurologist. 2005;11(3):140-149.
https://psnet.ahrq.gov/issue/neurologist-and-patient-safety
The author reviews data on errors in neurology and identifies key areas for minimizing medical error in this
specialty: accura…
-
psnet.ahrq.gov/node/37321/psn-pdf
February 03, 2011 - MRSA Infections.
February 3, 2011
Zeller JL, Burke AE, Glass RM. JAMA patient page. MRSA infections. JAMA. 2007;298(15):1826.
https://psnet.ahrq.gov/issue/mrsa-infections
This fact sheet defines the methicillin-resistant Staphylococcus aureus (MRSA) bacterium, identifies
causes of infection and risk factors, and p…
-
psnet.ahrq.gov/node/42377/psn-pdf
June 26, 2013 - Simulation in Maternal Fetal Medicine.
June 26, 2013
Goffman D, ed. Semin Perinatol. 2013;37(3):139-204.
https://psnet.ahrq.gov/issue/simulation-maternal-fetal-medicine
Articles in this special issue discuss how simulation can enhance teamwork, identify system issues, and
improve patient outcomes in obstetr…
-
psnet.ahrq.gov/web-mm/errors-managing-open-wound-elbow-leading-multiple-complications-and-operations
September 27, 2023 - dimensions, making it superior to plain radiography. 13 CT has the additional benefit of reliably identifying
-
psnet.ahrq.gov/node/39589/psn-pdf
February 13, 2018 - Common cause analysis.
February 13, 2018
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
https://psnet.ahrq.gov/issue/common-cause-analysis
This article describes how one health care system used a multi-event analysis process to identify
medication errors, implement system-level improvements, a…
-
psnet.ahrq.gov/node/36080/psn-pdf
September 28, 2010 - Overcoming barriers to patient safety.
September 28, 2010
Kalisch BJ, Aebersold M. Overcoming barriers to patient safety. Nurs Econ. 2006;24(3):143-8, 155, 123;
quiz 149.
https://psnet.ahrq.gov/issue/overcoming-barriers-patient-safety
The authors comment on key contributors to errors in an inpatient unit and ident…
-
psnet.ahrq.gov/node/36817/psn-pdf
August 26, 2011 - Fault trees uncover complex causes.
August 26, 2011
Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52.
https://psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes
This article discusses the use of a fault tree diagram to identify root causes of an incident within complex
syste…
-
psnet.ahrq.gov/node/50615/psn-pdf
October 30, 2019 - Misidentifying the Unidentified – John Doe and the EHR
October 30, 2019
Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet].
2019.
https://psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
The Case
Two male patients of similar age arrived at the same …
-
psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
May 22, 2017 - There's no way of identifying who is not going to be harmed. … Identifying and treating those with opioid use disorders must also be a priority.
-
psnet.ahrq.gov/node/39703/psn-pdf
March 18, 2016 - Patient Safety Culture Report: Focusing on Indicators.
March 18, 2016
Utrecht, Netherlands: European Network for Patient Safety; 2010.
https://psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators
This report identifies care process and outcome indicators in the European Union and describes how the…
-
psnet.ahrq.gov/node/38438/psn-pdf
February 25, 2009 - Minimising medication errors in children.
February 25, 2009
Wong ICK, Wong LYL, Cranswick NE. Minimising medication errors in children. Arch Dis Child.
2009;94(2):161-4. doi:10.1136/adc.2007.116442.
https://psnet.ahrq.gov/issue/minimising-medication-errors-children
This review identifies factors that contribute to…