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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47426/psn-pdfOctober 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837728/psn-pdfJuly 27, 2022 - Trends in adverse event rates in hospitalized patients, 2010-2019. July 27, 2022 Eldridge N, Wang Y, Metersky M, et al. Trends in adverse event rates in hospitalized patients, 2010-2019. JAMA. 2022;328(2):173-183. doi:10.1001/jama.2022.9600. https://psnet.ahrq.gov/issue/trends-adverse-event-rates-hospitalized-pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73471/psn-pdfJuly 07, 2021 - Rapid response teams as a patient safety practice for failure to rescue. July 7, 2021 Fischer CP, Bilimoria KY, Ghaferi AA. Rapid Response Teams as a Patient Safety Practice for Failure to Rescue. JAMA. 2021;326(2):179-180. doi:10.1001/jama.2021.7510. https://psnet.ahrq.gov/issue/rapid-response-teams-patient-safet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46453/psn-pdfOctober 04, 2017 - Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. October 4, 2017 Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Cancer Care Delivery. Jt Comm J Qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838237/psn-pdfOctober 05, 2022 - Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. October 5, 2022 Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Health Technol Assess. 2022;26(32)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40338/psn-pdfMarch 23, 2011 - Nurse staffing and inpatient hospital mortality. March 23, 2011 Needleman J, Buerhaus P, Pankratz S, et al. Nurse staffing and inpatient hospital mortality. New Engl J Med. 2011;364(11):1037-1045. doi:10.1056/NEJMsa1001025. https://psnet.ahrq.gov/issue/nurse-staffing-and-inpatient-hospital-mortality Several studie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844994/psn-pdfFebruary 22, 2023 - Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. February 22, 2023 Engel FD, da Fonseca GGP, Cechinel-Peiter C, et al. Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. J Patient Saf. 2023;19(1):e46-e52. doi:10.1097/pts.0000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47565/psn-pdfApril 27, 2019 - Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. April 27, 2019 Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentinel Events and Contributing Factors. Jt Comm J Qual Patient Saf. 2019;45(4):249… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839823/psn-pdfNovember 09, 2022 - Prescribing decision making by medical residents on night shifts: a qualitative study. November 9, 2022 Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14845. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73122/psn-pdfApril 07, 2021 - My life was upended for 35 years by a cancer diagnosis. A doctor just told me I was misdiagnosed. April 7, 2021 Henigson J. Washington Post. March 26, 2021. https://psnet.ahrq.gov/issue/my-life-was-upended-35-years-cancer-diagnosis-doctor-just-told-me-i-was- misdiagnosed Misdiagnoses can persist due to heuri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40381/psn-pdfMay 25, 2011 - Medication errors in the homes of children with chronic conditions. May 25, 2011 Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479. https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36178/psn-pdfSeptember 30, 2010 - Analysis of surgical errors in closed malpractice claims at 4 liability insurers. September 30, 2010 Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. https://psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43122/psn-pdfApril 08, 2018 - Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. April 8, 2018 Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample. Diagnosis (Berl). 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862152/psn-pdfFebruary 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60303/psn-pdfMay 06, 2020 - Using safety culture results to guide the merger of four general practices in the UK. May 6, 2020 Lockwood AM, Proulx J, Hill M, et al. Using safety culture results to guide the merger of four general practices in the UK. BMJ Open Qual. 2020;9(1):e000860. doi:10.1136/bmjoq-2019-000860. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844777/psn-pdfSeptember 18, 2019 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. September 18, 2019 Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46719/psn-pdfDecember 20, 2017 - Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. December 20, 2017 Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. https://psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility The promise of health information technology has yet to be… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60198/psn-pdfApril 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845638/psn-pdfMarch 08, 2023 - The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. March 8, 2023 Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. Sociol He… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60349/psn-pdfMay 20, 2020 - Health care provider factors associated with patient- reported adverse events and harm. May 20, 2020 Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:10.1016/j.jcjq.2020.02.004. https:…
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