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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34662/psn-pdfDecember 24, 2008 - User's manual for the IOM's 'Quality Chasm' report. December 24, 2008 Berwick DM. A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90. https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report Fifteen months after releasing its report on patient safety (To Err Is … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47068/psn-pdfJune 25, 2018 - The need for closed-loop systems for management of abnormal test results. June 25, 2018 Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. https://psnet.ahrq.gov/issue/need-closed-loop-systems… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855106/psn-pdfNovember 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023 Maxwell A. Washington DC: Office of Inspector General; September 2023. Report no. OEI-05-22-00290. https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46464/psn-pdfNovember 01, 2017 - Opioid abuse and poisoning: trends in inpatient and emergency department discharges. November 1, 2017 Tedesco D, Asch SM, Curtin C, et al. Opioid Abuse And Poisoning: Trends In Inpatient And Emergency Department Discharges. Health Aff (Millwood). 2017;36(10):1748-1753. doi:10.1377/hlthaff.2017.0260. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44210/psn-pdfSeptember 09, 2015 - The future of graduate medical education: a systems- based approach to ensure patient safety. September 9, 2015 Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824. https://psnet.ahrq.gov/issue/futur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73611/psn-pdfAugust 18, 2021 - Racial disparities in diagnostic delay among women with breast cancer. August 18, 2021 Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019. https://psnet.ahrq.gov/issue/racial… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865977/psn-pdfMay 29, 2024 - Complication rates of central venous catheters: a systematic review and meta-analysis. May 29, 2024 Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainternmed.2023.8232. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47874/psn-pdfApril 10, 2019 - Evaluating the effect of data standardization and validation on patient matching accuracy. April 10, 2019 Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1093/jamia/ocy191. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837901/psn-pdfAugust 24, 2022 - Trial and error: learning from malpractice claims in childhood surgery. August 24, 2022 Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033. https://psnet.ahrq.gov/issue/trial-and-error-learning-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46642/psn-pdfDecember 13, 2017 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. December 13, 2017 Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:10.1371/journal.pone.0186210. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38448/psn-pdfMarch 04, 2009 - Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. March 4, 2009 van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. Qual Saf Health Car… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47713/psn-pdfJune 14, 2019 - Medication appropriateness in vulnerable older adults: healthy skepticism of appropriate polypharmacy. June 14, 2019 Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. doi:10.1111/jgs.15798. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43420/psn-pdfSeptember 17, 2014 - How useful are medication patient information leaflets to older adults? A content, readability and layout analysis. September 17, 2014 Liu F, Abdul-Hussain S, Mahboob S, et al. How useful are medication patient information leaflets to older adults? A content, readability and layout analysis. Int J Clin Pharm. 2014;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848092/psn-pdfApril 26, 2023 - Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN. April 26, 2023 Gillispie-Bell V. USA Today. April 14, 2023. https://psnet.ahrq.gov/issue/doctors-must-stop-tuning-out-black-women-it-happened-me-pregnant-ob-gyn Structural racism and implicit biases can lead to poor quality of care … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851201/psn-pdfJuly 05, 2023 - ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. July 5, 2023 Gammon K. STAT. June 26, 2023. https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us- health-care The maternal mental health crisis results in … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45687/psn-pdfOctober 31, 2017 - Determining current insulin pen use practices and errors in the inpatient setting. October 31, 2017 Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109-X. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73092/psn-pdfMarch 31, 2021 - SAFER Care: improving caregiver comprehension of discharge instructions. March 31, 2021 Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031. https://psnet.ahrq.gov/issue/safer-care-improving-careg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46129/psn-pdfSeptember 28, 2017 - Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data. September 28, 2017 Quinn GR, Ranum D, Song E, et al. Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice Claims Data. Jt Comm J Qual Patient Saf. 2017;43… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854826/psn-pdfOctober 25, 2023 - Observing sources of system resilience using in situ alarm simulations. October 25, 2023 McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217. https://psnet.ahrq.gov/issue/observing-sources-system-r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45718/psn-pdfAugust 03, 2017 - PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. August 3, 2017 De Brún A, Heavey E, Waring J, et al. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. Health Expect. 2017;20(4):771-778. doi:10.1111/hex.12516.…
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