-
psnet.ahrq.gov/node/849328/psn-pdf
May 24, 2023 - Assessing the impact of hospital mergers and
acquisitions on safety culture with proactive risk
assessments
May 24, 2023
Folcarelli P, Hoffman J, Janes M, et al. Assessing the impact of hospital mergers and acquisitions on safety
culture with proactive risk assessments. J Healthc Risk Manag. 2023;43(1):26-31. doi:…
-
psnet.ahrq.gov/node/45836/psn-pdf
July 02, 2017 - Improving patient safety: avoiding unread imaging exams
in the National VA enterprise electronic health record.
July 2, 2017
Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA
Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278…
-
psnet.ahrq.gov/node/841471/psn-pdf
December 14, 2022 - Cohort study of diagnostic delay in the clinical pathway of
patients with chronic wounds in the primary care setting.
December 14, 2022
Ahmajärvi K, Isoherranen K, Venermo M. Cohort study of diagnostic delay in the clinical pathway of
patients with chronic wounds in the primary care setting. BMJ Open. 2022;12(11):e…
-
psnet.ahrq.gov/node/60208/psn-pdf
April 08, 2020 - Factors associated with potentially missed diagnosis of
appendicitis in the emergency department.
April 8, 2020
Mahajan P, Basu T, Pai C-W, et al. Factors associated with potentially missed diagnosis of appendicitis in
the emergency department. JAMA Netw Open. 2020;3(3):e200612.
doi:10.1001/jamanetworkopen.2020.06…
-
psnet.ahrq.gov/node/37468/psn-pdf
April 11, 2011 - Simulation of in-hospital pediatric medical emergencies
and cardiopulmonary arrests: highlighting the importance
of the first 5 minutes.
April 11, 2011
Hunt EA, Walker AR, Shaffner DH, et al. Simulation of in-hospital pediatric medical emergencies and
cardiopulmonary arrests: highlighting the importance of the fir…
-
psnet.ahrq.gov/node/47016/psn-pdf
June 25, 2018 - U.S. Food and Drug Administration Precertification pilot
program for digital health software: weighing the benefits
and risks.
June 25, 2018
Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for Digital Health
Software: Weighing the Benefits and Risks. Ann Intern Med. 2018;168…
-
psnet.ahrq.gov/node/42909/psn-pdf
December 12, 2014 - Does applying technology throughout the medication use
process improve patient safety with antineoplastics?
December 12, 2014
Bubalo J, Warden BA, Wiegel JJ, et al. Does applying technology throughout the medication use process
improve patient safety with antineoplastics? J Oncol Pharm Pract. 2014;20(6):445-60.
do…
-
psnet.ahrq.gov/node/73887/psn-pdf
September 29, 2021 - Detection of missed fractures of hand and forearm in
whole-body CT in a blinded reassessment.
September 29, 2021
Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a
blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10.1186/s12891-021-04425-z.
htt…
-
psnet.ahrq.gov/node/60015/psn-pdf
March 04, 2020 - Uncertainty in decision making in medicine: a scoping
review and thematic analysis of conceptual models.
March 4, 2020
Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med.
2020;95(1):157-165. doi:10.1097/acm.0000000000002902.
https://psnet.ahrq.gov/issue/uncertainty-decis…
-
psnet.ahrq.gov/node/866563/psn-pdf
August 21, 2024 - Leadership and the high reliability transformation: a
qualitative study at Truman VA medical center.
August 21, 2024
Leonard C, Gilmartin HM, Starr LM, et al. Leadership and the high reliability transformation: a qualitative
study at Truman VA medical center. J Healthc Risk Manag. 2024;44(1):17-23. doi:10.1002/jhrm…
-
psnet.ahrq.gov/node/74132/psn-pdf
December 01, 2021 - Nurse bias and nursing care disparities related to patient
characteristics: a scoping review of the quantitative and
qualitative evidence
December 1, 2021
Groves PS, Bunch JL, Sabin JA. Nurse bias and nursing care disparities related to patient characteristics: a
scoping review of the quantitative and qualitative …
-
psnet.ahrq.gov/node/39913/psn-pdf
October 13, 2010 - The frequency of diagnostic errors in radiologic reports
depends on the patient's age.
October 13, 2010
Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age.
Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192.
https://psnet.ahrq.gov/issue/frequency-di…
-
psnet.ahrq.gov/node/861763/psn-pdf
January 31, 2024 - The process and perspective of serious incident
investigations in adult community mental health services:
integrative review and synthesis.
January 31, 2024
Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in
adult community mental health services: integrative …
-
psnet.ahrq.gov/node/854247/psn-pdf
October 04, 2023 - Cognitive biases regarding utilization of Emergency
Severity Index among emergency nurses.
October 4, 2023
Essa CD, Victor G, Khan SF, et al. Cognitive biases regarding utilization of emergency severity index
among emergency nurses. Am J Emerg Med. 2023;73:63-68. doi:10.1016/j.ajem.2023.08.021.
https://psnet.ahrq.…
-
psnet.ahrq.gov/node/864853/psn-pdf
March 20, 2024 - Question answering systems for health professionals at
the point of care - a systematic review.
March 20, 2024
Kell G, Roberts A, Umansky S, et al. Question answering systems for health professionals at the point of
care—a systematic review. J Am Med Inform Assoc. 2024;31(4):1009-1024. doi:10.1093/jamia/ocae015.
h…
-
psnet.ahrq.gov/node/47325/psn-pdf
January 01, 2020 - What can apologies in the electronic health record tell us
about health care quality, processes, and safety?
August 29, 2018
Matulis JC, North F. What Can Apologies in the Electronic Health Record Tell Us About Health Care
Quality, Processes, and Safety? J Patient Saf. 2020;16(3):e187-e193. doi:10.1097/pts.00000000…
-
psnet.ahrq.gov/node/44818/psn-pdf
February 24, 2018 - Economic evaluation of interventions for prevention of
hospital acquired infections: a systematic review.
February 24, 2018
Arefian H, Vogel M, Kwetkat A, et al. Economic Evaluation of Interventions for Prevention of Hospital
Acquired Infections: A Systematic Review. PLoS One. 2016;11(1):e0146381.
doi:10.1371/jour…
-
psnet.ahrq.gov/node/864848/psn-pdf
March 20, 2024 - An mHealth design to promote medication safety in
children with medical complexity.
March 20, 2024
Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with
medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000.
https://psnet.ahrq.gov/issue/mh…
-
psnet.ahrq.gov/node/73323/psn-pdf
May 26, 2021 - Associations between healthcare environment design and
adverse events in intensive care unit.
May 26, 2021
Sundberg F, Fridh I, Lindahl B, et al. Associations between healthcare environment design and adverse
events in intensive care unit. Nurs Crit Care. 2020;26(2):86-93. doi:10.1111/nicc.12513.
https://psnet.ahr…
-
psnet.ahrq.gov/node/40355/psn-pdf
July 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists
Aren't Enough to Save Lives.
July 9, 2012
Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011.
https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives
Silence Kills was a 2005 report that highligh…