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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37499/psn-pdfJanuary 10, 2017 - Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 10, 2017 Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23. https://psnet.ahrq.gov/issue/medicares-deci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850916/psn-pdfJune 21, 2023 - Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. June 21, 2023 Jain A, Brooks JR, Alford CC, et al. Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms. JAMA Health Forum. 2023;4(6):e231197. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847716/psn-pdfApril 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. April 19, 2023 Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849329/psn-pdfMay 24, 2023 - Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. May 24, 2023 Hyvämäki P, Sneck S, Meriläinen M, et al. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844043/psn-pdfFebruary 08, 2023 - In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? February 8, 2023 Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review. Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73371/psn-pdfJune 09, 2021 - Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021 Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Ergonomics. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39748/psn-pdfAugust 11, 2010 - Information transfer and communication in surgery: a systematic review. August 11, 2010 Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2. https://psnet.ahrq.gov/issue/information-transfer-and-comm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866111/psn-pdfJune 12, 2024 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. June 12, 2024 Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standardized flowsheet to document commu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74698/psn-pdfJanuary 26, 2022 - How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. January 26, 2022 Etherington C, Kitto S, Burns JK, et al. How gender shapes interprofessional teamwork in the operating room: a qualitative secondary analysis. BMC Health Serv Res. 2021;21(1):1357. doi:10.1186/s129… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48143/psn-pdfJanuary 01, 2020 - Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019 Holmgren J, Co Z, Newmark L, et al. Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. BMJ Qual Saf. 2020;29(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44462/psn-pdfJanuary 22, 2016 - An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. January 22, 2016 Johnston MJ, Paige JT, Aggarwal R, et al. An overview of research priorities in surgical simulation: what the literature shows has been achieved during t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60591/psn-pdfJune 17, 2020 - National trends in the safety performance of electronic health record systems from 2009 to 2018. June 17, 2020 Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1001/jamanetworkopen.2020.5547. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74139/psn-pdfDecember 01, 2021 - Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice. December 1, 2021 Walshe N, Ryng S, Drennan J, et al. Situation awareness and the mitigation of risk associated with patient deterioration: a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61062/psn-pdfJanuary 01, 2022 - Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. October 28, 2020 Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41572/psn-pdfOctober 29, 2012 - Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. October 29, 2012 Winters BD, Custer J, Galvagno SM, et al. Diagnostic errors in the intensive care unit: a systematic review of autopsy studies. BMJ Qual Saf. 2012;21(11):894-902. doi:10.1136/bmjqs-2012-000803. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60539/psn-pdfJuly 10, 2017 - Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. July 10, 2017 Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40304/psn-pdfMarch 23, 2011 - Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. March 23, 2011 Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60812/psn-pdfJanuary 01, 2021 - A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. August 19, 2020 Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. JBI Ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41100/psn-pdfFebruary 01, 2012 - Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes? February 1, 2012 Rhee D, Zhang Y, Papandria DJ, et al. Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72752/psn-pdfFebruary 17, 2021 - Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. February 17, 2021 O’Neill SM, Clyne B, Bell M, et al. Why do healthcare professionals fail to escalate as per the early warning system (…
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