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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60580/psn-pdfJanuary 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866312/psn-pdfJuly 17, 2024 - Development of patient safety measures to identify inappropriate diagnosis of common infections. July 17, 2024 White AT, Vaughn VM, Petty LA, et al. Development of patient safety measures to identify inappropriate diagnosis of common infections. Clin Infect Dis. 2024;78(6):1403-1411. doi:10.1093/cid/ciae044. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46024/psn-pdfJune 15, 2017 - Introductions during time-outs: do surgical team members know one another's names? June 15, 2017 Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1016/j.jcjq.2017.03.001. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35050/psn-pdfMay 27, 2011 - High rates of adverse drug events in a highly computerized hospital. May 27, 2011 Nebeker JR, Hoffman JM, Weir C, et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med. 2005;165(10):1111-6. https://psnet.ahrq.gov/issue/high-rates-adverse-drug-events-highly-computerized-hospita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72820/psn-pdfMarch 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. March 10, 2021 Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how they change over time: A narrative re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850933/psn-pdfJune 21, 2023 - The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. June 21, 2023 Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 2023;12(02):125-130. doi:10.1055/s-00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866817/psn-pdfJanuary 01, 2025 - Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics. September 25, 2024 Raban MZ, Fitzpatrick E, Merchant A, et al. Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics. J Am Med Inform Assoc. 2025;3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60207/psn-pdfApril 08, 2020 - A national assessment on patient safety curricula in undergraduate medical education: results from the 2012 clerkship directors in internal medicine survey. April 8, 2020 Jain CC, Aiyer MK, Murphy EJ, et al. A national assessment on patient safety curricula in undergraduate medical education: results from the 2012… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72629/psn-pdfJanuary 13, 2021 - Advancing health equity in patient safety: a reckoning, challenge and opportunity. January 13, 2021 Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. https://psnet.ahrq.gov/issue/advancing-health-equity-patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44692/psn-pdfJanuary 27, 2016 - Good people who try their best can have problems: recognition of human factors and how to minimise error. January 27, 2016 Brennan PA, Mitchell DA, Holmes S, et al. Good people who try their best can have problems: recognition of human factors and how to minimise error. Br J Oral Maxillofac Surg. 2016;54(1):3-7. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862988/psn-pdfFebruary 21, 2024 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study. February 21, 2024 Dalal AK, Schnipper JL, Raffel K, et al. Identifying and classifying diagnostic errors in acute care across hospitals: early less… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838304/psn-pdfOctober 12, 2022 - The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. October 12, 2022 Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. Jt Comm J Qual P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73117/psn-pdfApril 07, 2021 - Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to address it. April 7, 2021 O’Brien N, Ghafur S, Durkin M. Cybersecurity in health is an urgent patient safety concern: we can learn from existing patient safety improvement strategies to … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46732/psn-pdfJune 07, 2018 - The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. June 7, 2018 Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464- 017-5933-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38243/psn-pdfNovember 26, 2008 - Impact of preoperative briefings on operating room delays. November 26, 2008 Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. https://psnet.ahrq.gov/issue/impact-preoperative-br… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837799/psn-pdfAugust 10, 2022 - Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. August 10, 2022 Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a befo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36205/psn-pdfMay 27, 2011 - Physician characteristics, attitudes, and use of computerized order entry. May 27, 2011 Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. https://psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computeri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837967/psn-pdfSeptember 01, 2022 - Free-text computerized provider order entry orders used as workaround for communicating medication information. September 1, 2022 Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J Patient Saf. 2022;18(5):430-4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838249/psn-pdfOctober 05, 2022 - Rooting an error review process in just culture: lessons learned. October 5, 2022 Neiswender K, Figueroa-Altmann A, Granahan K, et al. Rooting an error review process in just culture: lessons learned. Patient Safety. 2022;4(3):34-38. doi:10.33940/culture/2022.9.5. https://psnet.ahrq.gov/issue/rooting-error-review-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853057/psn-pdfAugust 30, 2023 - Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients. August 30, 2023 Baimas-George MR, Ross SW, Yang H, et al. Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis…
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