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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35540/psn-pdfAugust 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73514/psn-pdfJuly 21, 2021 - Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors. July 21, 2021 Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele- critical care setting and retract–reorder errors. J Am Med Inform Assoc. 2021;28(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47249/psn-pdfJuly 25, 2018 - Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. July 25, 2018 ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4. https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored- improve-safety Smart pump… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60898/psn-pdfSeptember 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020 Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73183/psn-pdfApril 28, 2021 - Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. April 28, 2021 Henn P, O’Tuathaigh C, Keegan D, et al. Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey. J Patient Saf. 2021;17(3):e155-e160. doi:10.1097/pts.0000000000000298. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39030/psn-pdfOctober 21, 2009 - Misleading one detail: a preventable mode of diagnostic error? October 21, 2009 Arzy S, Brezis M, Khoury S, et al. Misleading one detail: a preventable mode of diagnostic error? J Eval Clin Pract. 2009;15(5):804-6. doi:10.1111/j.1365-2753.2008.01098.x. https://psnet.ahrq.gov/issue/misleading-one-detail-preventable… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35497/psn-pdfJune 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. June 30, 2011 Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867222/psn-pdfDecember 04, 2024 - How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. December 4, 2024 Brondfield S, Blum AM, Mason JM, et al. How many is too many? Using cognitive load theory to determine the maximum safe number of inpatient consultations for trainees. Ac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867083/psn-pdfNovember 06, 2024 - Patient-clinician diagnostic concordance upon hospital admission. November 6, 2024 Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. https://psnet.ahrq.gov/issue/patient-clinician-diagnostic-concord… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37226/psn-pdfDecember 15, 2011 - Adverse drug events in pediatric outpatients. December 15, 2011 Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients The incidence of adverse drug events (ADEs) among children h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866685/psn-pdfSeptember 11, 2024 - Evaluation and mitigation of the limitations of large language models in clinical decision-making. September 11, 2024 Hager P, Jungmann F, Holland R, et al. Evaluation and mitigation of the limitations of large language models in clinical decision-making. Nat Med. 2024;30(9):2613-2622. doi:10.1038/s41591-024-03097-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47721/psn-pdfApril 24, 2019 - Effects of chemotherapy prescription clinical decision- support systems on the chemotherapy process: a systematic review. April 24, 2019 Rahimi R, Moghaddasi H, Rafsanjani KA, et al. Effects of chemotherapy prescription clinical decision- support systems on the chemotherapy process: A systematic review. Int J Med … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41068/psn-pdfSeptember 29, 2017 - A review of verbal order policies in acute care hospitals. September 29, 2017 Wakefield DS, Wakefield BJ, Despins L, et al. A review of verbal order policies in acute care hospitals. Jt Comm J Qual Patient Saf. 2012;38(1):24-33. https://psnet.ahrq.gov/issue/review-verbal-order-policies-acute-care-hospitals Verbal … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46728/psn-pdfMarch 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. March 27, 2018 Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process Near misses provide unique opportunities to ide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45432/psn-pdfSeptember 14, 2016 - Clinical decision support: a 25 year retrospective and a 25 year vision. September 14, 2016 Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision. Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034. https://psnet.ahrq.gov/issue/clinical-decision-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43124/psn-pdfAugust 02, 2015 - Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. August 2, 2015 Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JAMA Dermatol. 2014;150(7):738-42. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36378/psn-pdfOctober 28, 2010 - Teaching but not learning: how medical residency programs handle errors. October 28, 2010 Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395. https://psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43496/psn-pdfNovember 01, 2016 - Designing and Delivering Whole-Person Transitional Care: Hospital Guide to Reducing Medicaid Readmissions. November 1, 2016 Boutwell A, Bourgoin A , Maxwell J, et al. Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0047-EF. https://psnet.ahrq.gov/issue/designing-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34802/psn-pdfJanuary 01, 2016 - The Veterans Affairs root cause analysis system in action. September 3, 2015 Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8. https://psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46570/psn-pdfApril 12, 2019 - Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study. April 12, 2019 Martin SK, Tulla K, Meltzer DO, et al. Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Stud…
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