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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837198/psn-pdfMay 25, 2022 - The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. May 25, 2022 Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID?19 infection with Patient Safety Indicator?12 events in a multisite healthcare system. J Hosp Med. 2022;17(5):350-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73110/psn-pdfApril 07, 2021 - Does one size fit all? Assessing the need for organizational second victim support programs. April 7, 2021 Edrees HH, Wu AW. Does one size fit all? Assessing the need for organizational second victim support programs. J Patient Saf. 2021;17(3):e247-e254. doi:10.1097/pts.0000000000000321. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43782/psn-pdfSeptember 28, 2016 - The use of technology for urgent clinician to clinician communications: a systematic review of the literature. September 28, 2016 Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. Int J Med Inform. 2015;84(2):101… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37700/psn-pdfOctober 25, 2013 - HealthGrades Quality Study: Fifth Annual Patient Safety in American Hospitals Study. October 25, 2013 Golden, CO: HealthGrades, Inc.; April 2008. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fifth-annual-patient-safety-american-hospitals-study This analysis of patient safety in Medicare patients from 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47496/psn-pdfJune 15, 2019 - Fatal flaws in clinical decision making. June 15, 2019 Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. https://psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making Clinical decision-making is a complex process affected… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73374/psn-pdfJune 09, 2021 - Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. June 9, 2021 Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients wi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866907/psn-pdfOctober 09, 2024 - A review of modifiable health care factors contributing to inpatient suicide: an analysis of coroners' reports using the Human Factors Analysis and Classification System for Healthcare October 9, 2024 Sweeting P, Finlayson M, Hartz D. A review of modifiable health care factors contributing to inpatient suicide: a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38639/psn-pdfMay 20, 2009 - Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. May 20, 2009 McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50704/psn-pdfDecember 04, 2019 - Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement. December 4, 2019 Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement. Health Aff (Millwood). 2019;38(11):1858-1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47313/psn-pdfSeptember 12, 2018 - The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. September 12, 2018 Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Rooms" Does Not Compromise Out… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857448/psn-pdfJanuary 01, 2024 - Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. December 6, 2023 Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. J Am Acad Orthop Surg. 2024;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844040/psn-pdfFebruary 08, 2023 - A customized triggers program: a children's hospital's experience in improving trigger usability. February 8, 2023 Reinhart RM, Safari-Ferra P, Badh R, et al. A customized triggers program: a children's hospital's experience in improving trigger usability. Pediatrics. 2023;151(2):e2022056452. doi:10.1542/peds.2022-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74029/psn-pdfJanuary 01, 2022 - Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. November 3, 2021 Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):245-252. doi:10.1097/pts.000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41647/psn-pdfJuly 02, 2014 - Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. July 2, 2014 Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. Acad Med. 2012;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47500/psn-pdfOctober 24, 2018 - Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. October 24, 2018 Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854250/psn-pdfOctober 04, 2023 - Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by alerting inadvertent discordance between the radiologist and AI in the interpretation of high acuity CT scans. October 4, 2023 Chekmeyan M, Baccei SJ, Garwood ER. Cross-Check QA: a quality assurance workflow to prevent missed diagnoses by… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866908/psn-pdfOctober 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. October 9, 2024 Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.33940/001c.117084. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36174/psn-pdfSeptember 29, 2010 - Performance of International Classification of Diseases, 9th Revision, Clinical Modification codes as an adverse drug event surveillance system. September 29, 2010 Hougland P, Xu W, Pickard S, et al. Performance of International Classification Of Diseases, 9th Revision, Clinical Modification codes as an adverse dr… -
Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-ruptureMarch 15, 2023 - ventilator settings were applied, or the patient’s body habitus, but this information would be useful in identifying -
psnet.ahrq.gov/web-mm/what-happened-telemetryJanuary 18, 2012 - Each facility is responsible for identifying the response process.
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