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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866957/psn-pdfOctober 16, 2024 - Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. October 16, 2024 Johnson TN, Tucker AM. Pharmacy prevalence of second victim syndrome in a comprehensive cancer center. Am J Health-Syst Pharm. 2024;Epub Sep 13. doi:10.1093/ajhp/zxae267. https://psnet.ahrq.gov/issue/pharmacy-prevalenc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72531/psn-pdfJanuary 01, 2021 - Factors influencing physician responsiveness to nurse- initiated communication: a qualitative study. December 2, 2020 Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):747-754. doi:10.1136/bmjqs-2020… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44490/psn-pdfSeptember 16, 2015 - Implementation of a custom alert to prevent medication- timing errors associated with computerized prescriber order entry. September 16, 2015 Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Am J Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73462/psn-pdfJuly 07, 2021 - Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. July 7, 2021 Abela G. Root cause analysis to identify contributing factors for the development of hospital acquired pressure injuries. J Tissue Viability. 2021;30(3):339-345. doi:10.1016/j.jtv.2021.04.00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847049/psn-pdfApril 05, 2023 - Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. April 5, 2023 Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA Pediatr. 2023;177(5):459-460. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44217/psn-pdfNovember 10, 2015 - Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting. November 10, 2015 Mull HJ, Rosen AK, Shimada SL, et al. Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73345/psn-pdfJune 02, 2021 - An estimate of missed pediatric sepsis in the emergency department. June 2, 2021 Cifra CL, Westlund E, Ten Eyck P, et al. An estimate of missed pediatric sepsis in the emergency department. Diagnosis (Berl). 2020;8(2):193-198. doi:10.1515/dx-2020-0023. https://psnet.ahrq.gov/issue/estimate-missed-pediatric-sepsis-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42877/psn-pdfJanuary 22, 2014 - Identification of poor performance in a national medical workforce over 11 years: an observational study. January 22, 2014 Donaldson LJ, Panesar S, McAvoy PA, et al. Identification of poor performance in a national medical workforce over 11 years: an observational study. BMJ Qual Saf. 2014;23(2):147-52. doi:10.1136… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837801/psn-pdfAugust 10, 2022 - Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. August 10, 2022 Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/peds.2021-055866. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837306/psn-pdfJune 01, 2022 - Mortality due to hospital-acquired infection after cardiac surgery. June 1, 2022 Massart N, Mansour A, Ross JT, et al. Mortality due to hospital-acquired infection after cardiac surgery. J Thorac Cardiovasc Surg. 2022;163(6):2131-2140.e3. doi:10.1016/j.jtcvs.2020.08.094. https://psnet.ahrq.gov/issue/mortality-due-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74137/psn-pdfDecember 01, 2021 - How do patients respond to safety problems in ambulatory care? Results of a retrospective cross- sectional telephone survey. December 1, 2021 Seufert S, de Cruppé W, Assheuer M, et al. How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey. BMJ Op… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37646/psn-pdfApril 11, 2011 - Incidence, preventability and consequences of adverse events in older people: results of a retrospective case- note review. April 11, 2011 Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Age Ageing. 2008;37… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47287/psn-pdfDecember 19, 2018 - Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. December 19, 2018 LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. doi:10.1097/ACM.0000000000002292… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866162/psn-pdfJune 19, 2024 - Surgeon and surgical trainee experiences after adverse patient events. June 19, 2024 Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. https://psnet.ahrq.gov/issue/surgeon-and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49765/psn-pdfAugust 21, 2016 - Cognitive Overload in the ICU August 21, 2016 Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/cognitive-overload-icu Case Objectives Identify the role of cognitive overload—especially interruptions—in compromising quality of care and patient safety. List… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866370/psn-pdfJuly 31, 2024 - When anesthesia professionals pretend that the patient only imagined the events, it often leads to resentment -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855427/psn-pdfNovember 15, 2023 - Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self- investigations: a NBSIs frontline ownership intervention. November 15, 2023 Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, depar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837900/psn-pdfAugust 24, 2022 - Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. August 24, 2022 Olans RD, Olans RN, Marfatia R, et al. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Jt Comm J Qual Patient Saf. 2022;48(10):552-558. doi:10.1016… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38347/psn-pdfMay 24, 2015 - Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Portfolio. May 24, 2015 Dixon BE, Hook JM, McGowan JJ, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; December 2008. AHRQ Publication No. 09-0012-EF. https://psnet.ahrq.gov/issue/usin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73290/psn-pdfMay 19, 2021 - Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis. May 19, 2021 Mcmullan RD, Urwin R, Gates PJ, et al. Are operating room distractions, interruptions and disruptions associated with performance and patient safety? A…
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