-
psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - How to Improve Electronic Health Record Usability and
Patient Safety.
October 5, 2016
Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
The usability of electronic health record (EHR) systems can affect clinici…
-
psnet.ahrq.gov/node/34808/psn-pdf
February 18, 2011 - The high cost of low-frequency events: the anatomy and
economics of surgical mishaps.
February 18, 2011
Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and
economics of surgical mishaps. N Engl J Med. 1981;304(11):634-7.
https://psnet.ahrq.gov/issue/high-cost-low-frequency…
-
psnet.ahrq.gov/node/45711/psn-pdf
March 27, 2017 - Management of a patient with a latex allergy.
March 27, 2017
Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA.
2017;317(3):309-310. doi:10.1001/jama.2016.20034.
https://psnet.ahrq.gov/issue/management-patient-latex-allergy
This case analysis discusses the use of a latex cathet…
-
psnet.ahrq.gov/node/39428/psn-pdf
April 07, 2010 - Critical incidents related to cardiac arrests reported to the
Danish Patient Safety Database.
April 7, 2010
Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish
Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018.
h…
-
psnet.ahrq.gov/node/74048/psn-pdf
November 10, 2021 - Causes of use errors in ventilation devices--systematic
review.
November 10, 2021
Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl
Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544.
https://psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-s…
-
psnet.ahrq.gov/node/42962/psn-pdf
September 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite
Efforts to Help Ensure Product Availability.
September 7, 2016
Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14-
194.
https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor…
-
psnet.ahrq.gov/node/40258/psn-pdf
March 02, 2011 - Enhancing patient safety and resident education during
the academic year-end transfer of outpatients: lessons
from the suicide of a psychiatric patient.
March 2, 2011
Young JQ, Eisendrath SJ. Enhancing patient safety and resident education during the academic year-end
transfer of outpatients: lessons from the suic…
-
psnet.ahrq.gov/node/43384/psn-pdf
June 15, 2017 - Patient involvement in patient safety: a qualitative study
of nursing staff and patient perceptions.
June 15, 2017
Bishop A, Macdonald M. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and
Patient Perceptions. J Patient Saf. 2017;13(2):82-87. doi:10.1097/PTS.0000000000000123.
https://p…
-
psnet.ahrq.gov/node/41006/psn-pdf
December 21, 2011 - Failure to notify reportable test results: significance in
medical malpractice.
December 21, 2011
Gale BD, Bissett-Siegel DP, Davidson SJ, et al. Failure to notify reportable test results: significance in
medical malpractice. J Am Coll Radiol. 2011;8(11):776-9. doi:10.1016/j.jacr.2011.06.023.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/43743/psn-pdf
December 03, 2014 - Conflict of interest, Dr Charles Denham and the Journal of
Patient Safety.
December 3, 2014
Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of
Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144.
https://psnet.ahrq.gov/issue/conflict-int…
-
psnet.ahrq.gov/node/44473/psn-pdf
September 27, 2016 - Medication errors in hospitals: a literature review of
disruptions to nursing practice during medication
administration.
September 27, 2016
Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to
nursing practice during medication administration. J Clin Nurs. 2…
-
psnet.ahrq.gov/node/867190/psn-pdf
November 20, 2024 - Misdiagnosis is dangerous. Help your doctor get it right.
November 20, 2024
Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024;
https://psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
Patients are partners in health care and can inform actions to id…
-
psnet.ahrq.gov/node/60822/psn-pdf
August 19, 2020 - An examination of medical malpractice claims involving
physician trainees.
August 19, 2020
Myers LC, Gartland RM, Skillings J, et al. An examination of medical malpractice claims involving physician
trainees. Acad Med. 2020;95(8):1215-1222. doi:10.1097/acm.0000000000003117.
https://psnet.ahrq.gov/issue/examination…
-
psnet.ahrq.gov/node/60555/psn-pdf
January 01, 2021 - Putting the patient in patient safety investigations:
barriers and strategies for involvement.
June 3, 2020
Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for
involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pts.0000000000000699.
https://psnet.ah…
-
psnet.ahrq.gov/node/851452/psn-pdf
July 19, 2023 - Factors influencing in-hospital prescribing errors: a
systematic review.
July 19, 2023
Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in?hospital prescribing errors: a
systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694.
https://psnet.ahrq.gov/issue/factors-in…
-
psnet.ahrq.gov/node/43821/psn-pdf
April 25, 2016 - Navigating care transitions: a process model of how
doctors overcome organizational barriers and create
awareness.
April 25, 2016
Hilligoss B, Vogus TJ. Navigating Care Transitions. Medical Care Research and Review. 2014;72(1).
doi:10.1177/1077558714563170.
https://psnet.ahrq.gov/issue/navigating-care-transitions…
-
psnet.ahrq.gov/node/38736/psn-pdf
June 24, 2009 - Improving patient safety by understanding past
experiences in day surgery and PACU.
June 24, 2009
Ross J, Ranum D. Improving patient safety by understanding past experiences in day surgery and PACU. J
Perianesth Nurs. 2009;24(3):144-51. doi:10.1016/j.jopan.2009.03.001.
https://psnet.ahrq.gov/issue/improving-patien…
-
psnet.ahrq.gov/node/38307/psn-pdf
January 07, 2009 - Falls in English and Welsh hospitals: a national
observational study based on retrospective analysis of 12
months of patient safety incident reports.
January 7, 2009
Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study
based on retrospective analysis of 12 month…
-
psnet.ahrq.gov/node/46945/psn-pdf
August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review.
August 29, 2018
Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open.
2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170.
https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
Variou…
-
psnet.ahrq.gov/node/866164/psn-pdf
June 19, 2024 - What is the effectiveness of reporting systems in
promoting learning in healthcare?
June 19, 2024
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.
https://psnet.ahrq.gov/issue/what-effectiveness-reportin…