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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43533/psn-pdfAugust 28, 2017 - Organizational, cultural, and psychological determinants of smart infusion pump work arounds: a study of 3 U.S. health systems. August 28, 2017 Dunford BB, Perrigino M, Tucker SJ, et al. Organizational, Cultural, and Psychological Determinants of Smart Infusion Pump Work Arounds: A Study of 3 U.S. Health Systems. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859300/psn-pdfJanuary 01, 2024 - Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. December 20, 2023 Payne R, Clarke A, Swann N, et al. Patient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis. BMJ Qual Saf. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47010/psn-pdfMarch 13, 2019 - Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians. March 13, 2019 Barnett ML, Boddupalli D, Nundy S, et al. Comparative Accuracy of Diagnosis by Collective Intelligence of Multiple Physicians vs Individual Physicians. JAMA Netw Open. 2019;2(3):e190096. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46545/psn-pdfMarch 27, 2018 - Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals. March 27, 2018 Shahian DM, Liu X, Rossi LP, et al. Safety Culture and Mortality after Acute Myocardial Infarction: A Study of Medicare Beneficiaries at 171 Hospitals. Health Serv Res. 2018;53(2):608-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46484/psn-pdfAugust 20, 2018 - Defining and measuring diagnostic uncertainty in medicine: a systematic review. August 20, 2018 Bhise V, Rajan SS, Sittig DF, et al. Defining and Measuring Diagnostic Uncertainty in Medicine: A Systematic Review. J Gen Intern Med. 2018;33(1):103-115. doi:10.1007/s11606-017-4164-1. https://psnet.ahrq.gov/issue/defi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853427/psn-pdfJanuary 01, 2024 - Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. September 13, 2023 Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43378/psn-pdfAugust 14, 2014 - Interventions to reduce pediatric medication errors: a systematic review. August 14, 2014 Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531. https://psnet.ahrq.gov/issue/interventions-reduce… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45471/psn-pdfSeptember 21, 2016 - Vital signs: epidemiology of sepsis: prevalence of health care factors and opportunities for prevention. September 21, 2016 Novosad SA, Sapiano MRP, Grigg C, et al. Vital Signs: Epidemiology of Sepsis: Prevalence of Health Care Factors and Opportunities for Prevention. MMWR Morb Mortal Wkly Rep. 2016;65(33):864-869… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40038/psn-pdfDecember 23, 2016 - A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. December 23, 2016 A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. Sentinel Event Alert. 2010;46(46):1-4. https://psnet.ahrq.gov/issue/follow-report-prevent… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38621/psn-pdfFebruary 18, 2011 - Process of care failures in breast cancer diagnosis. February 18, 2011 Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis Di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40450/psn-pdfDecember 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39873/psn-pdfJanuary 22, 2017 - A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. January 22, 2017 Tarpey K, Schaaf E, Lakhani U, et al. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. Jt Comm J Qual Patient Saf. 2010;36(10):461-7… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45992/psn-pdfJanuary 01, 2020 - Barriers and facilitators of adverse event reporting by adolescent patients and their families. March 29, 2017 Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237. doi:10.1097/pts.000000000000029… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47701/psn-pdfJanuary 16, 2019 - Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. January 16, 2019 Aaron S, McEvoy DS, Ray S, et al. Cranky comments: detecting clinical decision support malfunctions through free-text override reasons. J Am Med Inform Assoc. 2019;26(1):37-43. doi:10.1093/jamia/oc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43514/psn-pdfApril 25, 2016 - A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. April 25, 2016 Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: The Focus on System-Related Factors… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34112/psn-pdfFebruary 09, 2011 - Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. February 9, 2011 Zhan C, Miller MR. Excess length of stay, charges, and mortality attributable to medical injuries during hospitalization. JAMA. 2003;290(14):1868-74. https://psnet.ahrq.gov/issue/excess-length-st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850160/psn-pdfJune 07, 2023 - The Ohio Maternal Safety Quality Improvement Project: initial results of a statewide perinatal hypertension quality improvement initiative implemented during the COVID-19 pandemic. June 7, 2023 Schneider P, Lorenz A, Menegay MC, et al. The Ohio Maternal Safety Quality Improvement Project: initial results of a sta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43308/psn-pdfMay 01, 2015 - An analysis of electronic health record–related patient safety concerns. May 1, 2015 Meeks DW, Smith MW, Taylor L, et al. An analysis of electronic health record-related patient safety concerns. J Am Med Inform Assoc. 2014;21(6):1053-9. doi:10.1136/amiajnl-2013-002578. https://psnet.ahrq.gov/issue/analysis-electro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42458/psn-pdfFebruary 13, 2014 - Human factors and ergonomics as a patient safety practice. February 13, 2014 Carayon P, Xie A, Kianfar S. Human factors and ergonomics as a patient safety practice. BMJ Qual Saf. 2014;23(3):196-205. doi:10.1136/bmjqs-2013-001812. https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-patient-safety-practice As… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43670/psn-pdfNovember 12, 2014 - Incidents resulting from staff leaving normal duties to attend medical emergency team calls. November 12, 2014 Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. https://psnet.ahrq.gov/issue/in…
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