-
psnet.ahrq.gov/node/72626/psn-pdf
January 13, 2021 - Reducing inappropriate outpatient medication prescribing
in older adults across electronic health record systems.
January 13, 2021
Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in
older adults across electronic health record systems. Appl Clin Inform. 2020;11(5)…
-
psnet.ahrq.gov/node/36192/psn-pdf
June 14, 2011 - Diagramming patients' views of root causes of adverse
drug events in ambulatory care: an online tool for
planning education and research.
June 14, 2011
Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in
ambulatory care: an online tool for planning education and rese…
-
psnet.ahrq.gov/node/846767/psn-pdf
March 29, 2023 - Quality and safety: learning from the past and
(re)imagining the future.
March 29, 2023
Bates DW, Williams EA. Quality and safety: learning from the past and (re)imagining the future. J Allergy
Clin Immunol Pract. 2022;10(12):3141-3144. doi:10.1016/j.jaip.2022.10.008.
https://psnet.ahrq.gov/issue/quality-and-safet…
-
psnet.ahrq.gov/node/45378/psn-pdf
January 23, 2017 - Quantitative analysis of the content of EMS handoff of
critically ill and injured patients to the emergency
department.
January 23, 2017
Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically
Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…
-
psnet.ahrq.gov/node/837504/psn-pdf
June 22, 2022 - Business Intelligence dashboards for patient safety and
quality: a narrative literature review.
June 22, 2022
Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature
review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3233/shti220113.
https://psnet.ahrq.…
-
psnet.ahrq.gov/node/47107/psn-pdf
June 20, 2018 - Challenges in communication from referring clinicians to
pathologists in the electronic health record era.
June 20, 2018
Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists
in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
-
psnet.ahrq.gov/node/38104/psn-pdf
February 18, 2011 - Patient reported receipt of medication instructions for
warfarin is associated with reduced risk of serious
bleeding events.
February 18, 2011
Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is
associated with reduced risk of serious bleeding events. J Gen …
-
psnet.ahrq.gov/node/47685/psn-pdf
January 16, 2019 - Scaffolding our systems? Patients and families 'reaching
in' as a source of healthcare resilience.
January 16, 2019
O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of
healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:10.1136/bmjqs-2018-008216.
https://ps…
-
psnet.ahrq.gov/node/837146/psn-pdf
May 18, 2022 - Applying requisite imagination to safeguard electronic
health record transitions.
May 18, 2022
Sittig DF, Lakhani P, Singh H. Applying requisite imagination to safeguard electronic health record
transitions. J Am Med Inform Assoc. 2022;29(5):1014-1018. doi:10.1093/jamia/ocab291.
https://psnet.ahrq.gov/issue/applyi…
-
psnet.ahrq.gov/node/38679/psn-pdf
March 01, 2011 - Improving alarm performance in the medical intensive
care unit using delays and clinical context.
March 1, 2011
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit
using delays and clinical context. Anesth Analg. 2009;108(5):1546-52.
doi:10.1213/ane.0b013e31819bdfb…
-
psnet.ahrq.gov/node/73222/psn-pdf
May 05, 2021 - Fatal mistakes: why do ten-fold medication errors in
children keep happening?
May 5, 2021
Parry C. The Pharmaceutical Journal. April 22 2021.
https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
Weight-based prescribing in children harbors challenges to accura…
-
psnet.ahrq.gov/node/60628/psn-pdf
July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice
Data to Reduce Patient Harm and Financial Loss.
June 24, 2020
Cambridge, MA; CRICO Strategies: July 14, 2020.
https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and-
financial-loss
Malpractice claims can generate …
-
psnet.ahrq.gov/node/46292/psn-pdf
August 02, 2017 - Clinical alerts to decrease high-risk medication use in
older adults.
August 2, 2017
Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol
Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04.
https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medi…
-
psnet.ahrq.gov/node/50372/psn-pdf
September 25, 2019 - Prevalence and predictability of low-yield inpatient
laboratory diagnostic tests.
September 25, 2019
Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory
Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamanetworkopen.2019.10967.
https://psnet.ahr…
-
psnet.ahrq.gov/node/47314/psn-pdf
November 24, 2018 - Adverse effects of computers during bedside rounds in a
critical care unit.
November 24, 2018
Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a
Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752.
https://psnet.ahrq.gov/issue/adverse-…
-
psnet.ahrq.gov/node/72846/psn-pdf
March 17, 2021 - Safety culture: an integration of existing models and a
framework for understanding its development.
March 17, 2021
Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a
framework for understanding its development. Hum Factors. 2021;63(1):88-110.
doi:10.1177/00187208198…
-
psnet.ahrq.gov/node/43598/psn-pdf
October 08, 2014 - Clinical faculty: taking the lead in teaching quality
improvement and patient safety.
October 8, 2014
Davis NL, Davis DA, Rayburn WF. Clinical faculty: taking the lead in teaching quality improvement and
patient safety. Am J Obstet Gynecol. 2014;211(3):215-215.e1. doi:10.1016/j.ajog.2014.05.043.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/47154/psn-pdf
May 23, 2018 - Comparison of military and civilian methods for
determining potentially preventable deaths: a systematic
review.
May 23, 2018
Janak JC, Sosnov JA, Bares JM, et al. Comparison of Military and Civilian Methods for Determining
Potentially Preventable Deaths: A Systematic Review. JAMA Surg. 2018;153(4):367-375.
doi:1…
-
psnet.ahrq.gov/node/41393/psn-pdf
June 06, 2012 - Prescribers' interactions with medication alerts at the
point of prescribing: a multi-method, in situ investigation
of the human–computer interaction.
June 6, 2012
Russ AL, Zillich AJ, McManus S, et al. Prescribers' interactions with medication alerts at the point of
prescribing: A multi-method, in situ investigat…
-
psnet.ahrq.gov/node/47800/psn-pdf
June 26, 2019 - Error and Uncertainty in Diagnostic Radiology.
June 26, 2019
Bruno MA. New York, NY: Oxford University Press; 2019. ISBN: 9780190665395.
https://psnet.ahrq.gov/issue/error-and-uncertainty-diagnostic-radiology
Despite enhancements in medical imaging technology, diagnostic radiologists are still susceptible to
uncer…