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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860391/psn-pdfJanuary 10, 2024 - Neonatal near-miss audits: a systematic review and a call to action. January 10, 2024 Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47683/psn-pdfApril 10, 2019 - Design of hospital errors and omissions activities that include patient-specific medication related problems. April 10, 2019 Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44603/psn-pdfJanuary 22, 2016 - Contamination of health care personnel during removal of personal protective equipment. January 22, 2016 Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel During Removal of Personal Protective Equipment. JAMA Intern Med. 2015;175(12):1904-10. doi:10.1001/jamainternmed.2015.4535. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41959/psn-pdfJanuary 16, 2013 - Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. January 16, 2013 Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846750/psn-pdfMarch 29, 2023 - Errors in medicine: punishment versus learning medical adverse events revisited - expanding the frame. March 29, 2023 Brattebø G, Flaatten HK. Errors in medicine: punishment versus learning medical adverse events revisited – expanding the frame. Curr Opin Anaesthesiol. 2023;36(2):240-245. doi:10.1097/aco.0000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867391/psn-pdfDecember 18, 2024 - The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. December 18, 2024 Schmidt HG, Norman GR, Mamede S, et al. The influence of context on diagnostic reasoning: a narrative synthesis of experimental findings. J Eval Clin Pract. 2024;30(6):1091-1101. doi:10.1111/jep.14023… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838187/psn-pdfSeptember 28, 2022 - Diagnostic delays in infectious diseases. September 28, 2022 Suneja M, Beekmann SE, Dhaliwal G, et al. Diagnostic delays in infectious diseases. Diagnosis (Berl). 2022;9(3):332-339. doi:10.1515/dx-2021-0092. https://psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases Delayed diagnosis of infectious diseases… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45140/psn-pdfNovember 28, 2016 - Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. November 28, 2016 Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: A qualitative study. Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72481/psn-pdfNovember 18, 2020 - Computer-based simulation to reduce EHR-related chemotherapy ordering errors. November 18, 2020 Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496. https://psnet.ahrq.gov/issue/computer-base… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73965/psn-pdfOctober 13, 2021 - Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. October 13, 2021 Schaffer AC, Babayan A, Einbinder JS, et al. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Obstet Gynecol. 2021;138(2):246-25… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43906/psn-pdfMay 13, 2015 - Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. May 13, 2015 Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60351/psn-pdfJanuary 01, 2021 - Adverse events in the paediatric emergency department: a prospective cohort study. May 20, 2020 Plint AC, Stang A, Newton AS, et al. Adverse events in the paediatric emergency department: a prospective cohort study. BMJ Qual Saf. 2021;30(3):216-227. doi:10.1136/bmjqs-2019-010055. https://psnet.ahrq.gov/issue/adver… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44424/psn-pdfAugust 19, 2015 - Taking patients' narratives about clinicians from anecdote to science. August 19, 2015 Schlesinger M, Grob R, Shaller D, et al. Taking Patients' Narratives about Clinicians from Anecdote to Science. New Engl J Med. 2015;373(7):675-679. doi:10.1056/NEJMsb1502361. https://psnet.ahrq.gov/issue/taking-patients-narrati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36192/psn-pdfJune 14, 2011 - Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. June 14, 2011 Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and rese… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44651/psn-pdfDecember 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853966/psn-pdfSeptember 27, 2023 - The delivery of safe and effective test result communication, management and follow-up. September 27, 2023 Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.17061/phrp3332324. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47232/psn-pdfNovember 14, 2018 - Managing alarm systems for quality and safety in the hospital setting. November 14, 2018 Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202. https://psnet.ahrq.gov/issue/managing-alarm-systems-quality… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46131/psn-pdfDecember 19, 2017 - Characteristics associated with requests by pathologists for second opinions on breast biopsies. December 19, 2017 Geller BM, Nelson HD, Weaver DL, et al. Characteristics associated with requests by pathologists for second opinions on breast biopsies. J Clin Pathol. 2017;70(11):947-953. doi:10.1136/jclinpath-2016- … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866199/psn-pdfJune 26, 2024 - The role of pediatric nurses during preventable adverse event disclosure: a scoping review. June 26, 2024 Sexton JR, Kelly-Weeder S. The role of pediatric nurses during preventable adverse event disclosure: a scoping review. J Patient Saf. 2024;20(6):381-387. doi:10.1097/pts.0000000000001239. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47072/psn-pdfOctober 18, 2018 - Hospital admissions associated with medication non- adherence: a systematic review of prospective observational studies. October 18, 2018 Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non- adherence: a systematic review of prospective observational studies. BMJ Qual S…
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