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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43193/psn-pdfJune 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45055/psn-pdfDecember 04, 2016 - Analysis of clinical decision support system malfunctions: a case series and survey. December 4, 2016 Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39655/psn-pdfJuly 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72670/psn-pdfJanuary 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43436/psn-pdfAugust 13, 2014 - Decreasing handoff-related care failures in children's hospitals. August 13, 2014 Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60278/psn-pdfApril 29, 2020 - Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. April 29, 2020 Haimi M, Brammli-Greenberg S, Baron-Epel O, et al. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. BMC Med Inform Decis Mak. 2020;20(1). doi:10.1186/s12911-020-1074-7. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867089/psn-pdfNovember 06, 2024 - Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents. November 6, 2024 Manuel R, Barber A, Kern J, et al. Focused team engagements to enhance interprofessional collaboration and safety behaviors among novice nurses and medical residents.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34688/psn-pdfMarch 28, 2005 - Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 28, 2005 Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277(4):301-6. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74163/psn-pdfDecember 08, 2008 - Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. December 8, 2008 Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. Patient Educ Coun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866081/psn-pdfJune 05, 2024 - "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. June 5, 2024 Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication in the face of medical error and p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857453/psn-pdfDecember 06, 2023 - Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. December 6, 2023 Ledger TS, Brooke-Cowden K, Coiera E. Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review. J Am M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41131/psn-pdfFebruary 15, 2012 - Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. February 15, 2012 Westbrook JI, Reckmann MH, Li L, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34892/psn-pdfFebruary 03, 2011 - Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. February 3, 2011 Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems on Practitioner Performance and Patient Outcomes. JAMA. 2005;293(10):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46529/psn-pdfNovember 08, 2017 - Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. November 8, 2017 Canan C, Polinski JM, Alexander C, et al. Automatable algorithms to identify nonmedical opioid use using electronic data: a systematic review. J Am Med Inform Assoc. 2017;24(6):1204-1210. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46083/psn-pdfApril 26, 2017 - Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta- analysis. April 26, 2017 Prgomet M, Li L, Niazkhani Z, et al. Impact of commercial computerized pro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39193/psn-pdfApril 21, 2011 - Disclosing harmful mammography errors to patients. April 21, 2011 Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. https://psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients Disclosing errors to pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60523/psn-pdfMay 27, 2020 - "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. May 27, 2020 Chuang E, Cuartas PA, Powell T, et al. "We're not ready, but I don't think you're ever ready." Clinician perspectives on implementation of crisis standards of care. AJOB Empir … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850161/psn-pdfJune 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa… -
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/45473/psn-pdfApril 24, 2018 - Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. April 24, 2018 Hefner JL, Huerta T, McAlearney AS, et al. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. J Am Med Inform Assoc. 2017;24(2):310-315. doi:10.1093/jami…
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