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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42474/psn-pdfSeptember 19, 2015 - A new, evidence-based estimate of patient harms associated with hospital care. September 19, 2015 James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-128. doi:10.1097/PTS.0b013e3182948a69. https://psnet.ahrq.gov/issue/new-evidence-based-estimate-pat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46547/psn-pdfApril 16, 2018 - Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. April 16, 2018 Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42178/psn-pdfApril 10, 2013 - Outside case review of surgical pathology for referred patients: the impact on patient care. April 10, 2013 Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44904/psn-pdfJune 01, 2016 - Does time pressure have a negative effect on diagnostic accuracy? June 1, 2016 ALQahtani DA, Rotgans JI, Mamede S, et al. Does Time Pressure Have a Negative Effect on Diagnostic Accuracy? Acad Med. 2016;91(5):710-716. doi:10.1097/ACM.0000000000001098. https://psnet.ahrq.gov/issue/does-time-pressure-have-negative-e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43007/psn-pdfDecember 12, 2014 - 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. December 12, 2014 Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient Safety Walkrounds: Table 1. B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36384/psn-pdfJanuary 05, 2017 - Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. January 5, 2017 Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. https://psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43258/psn-pdfMay 01, 2015 - Interventions employed to improve intrahospital handover: a systematic review. May 1, 2015 Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309. https://psnet.ahrq.gov/issue/interventions-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60539/psn-pdfJuly 10, 2017 - Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. July 10, 2017 Scott AM, Li J, Oyewole-Eletu S, et al. Understanding facilitators and barriers to care transitions: insights from Project ACHIEVE Site Visits. Jt Comm J Qual Patient Saf. 2017;43(9):433-447. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47313/psn-pdfSeptember 12, 2018 - The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. September 12, 2018 Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Rooms" Does Not Compromise Out… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41847/psn-pdfNovember 28, 2012 - Improving organizational climate for quality and quality of care: does membership in a collaborative help? November 28, 2012 Nembhard IM, Northrup V, Shaller D, et al. Improving organizational climate for quality and quality of care: does membership in a collaborative help? Med Care. 2012;50 Suppl:S74-82. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40129/psn-pdfJanuary 12, 2011 - Medical error disclosure training: evidence for values- based ethical environments. January 12, 2011 Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3. https://psnet.ahrq.gov/issue/medical-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42710/psn-pdfDecember 29, 2014 - Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. December 29, 2014 Elsaid K, Truong T, Monckeberg M, et al. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764402/psn-pdfMarch 02, 2022 - A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. March 2, 2022 Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44164/psn-pdfNovember 03, 2015 - Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system. November 3, 2015 Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice Settlements by a Large Academic Health Care System. JAMA Intern Med. 2015;175(7):1130-1135. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44044/psn-pdfJune 21, 2015 - A collaborative learning network approach to improvement: the CUSP learning network. June 21, 2015 Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. https://psnet.ahrq.gov/issue/collaborative-l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45710/psn-pdfDecember 22, 2017 - Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? December 22, 2017 Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? BMJ Qual Saf. 2017;26(5):381-387. doi:10.1136/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44687/psn-pdfJune 21, 2016 - Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. June 21, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err- human This report provides an objective assessmen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33848/psn-pdfDecember 01, 2017 - The Evolution of Patient Safety in Surgery December 1, 2017 Wachter R. The Evolution of Patient Safety in Surgery. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/evolution-patient-safety-surgery Perspective In 1979, 20 years before the Institute of Medicine's To Err Is Human report (1) catalyzed the cr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49577/psn-pdfJanuary 01, 2009 - Are Two Insulin Pumps Better Than One? January 1, 2009 Cook CB. Are Two Insulin Pumps Better Than One? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one The Case A 62-year-old man with type 1 diabetes mellitus was admitted to the hospital for coronary artery bypass graft surge… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49390/psn-pdfFebruary 01, 2003 - Flying Object Hits MRI February 1, 2003 Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/flying-object-hits-mri The Case A child was brought to the Magnetic Resonance Imaging (MRI) room for a brain scan. Accompanied by an anesthesiologist, the child was receiving…
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