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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45813/psn-pdfJanuary 18, 2017 - Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts. January 18, 2017 Anhøj J, Hellesøe A-MB. The problem with red, amber, green: the need to avoid distraction by random variation in organisational performance measures. BMJ Qual Saf. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45706/psn-pdfSeptember 01, 2018 - Improving communication and resolution following adverse events using a patient-created simulation exercise. September 1, 2018 Gallagher TH, Etchegaray J, Bergstedt B, et al. Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise. Health Serv Res. 2016;51 Suppl … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50889/psn-pdfFebruary 12, 2020 - Unscheduled radiologic examination orders in the electronic health record: a novel resource for targeting ambulatory diagnostic errors in radiology. February 12, 2020 Lacson R, Healey MJ, Cochon LR, et al. Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Amb… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73443/psn-pdfJune 30, 2021 - Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period. June 30, 2021 Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen?year period. J Med Radiat Sci. 2021;6… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47690/psn-pdfMarch 13, 2019 - I-PASS mentored implementation handoff curriculum: champion training materials. March 13, 2019 O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794. https://psnet.ahrq.gov/issue/i-pass-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46646/psn-pdfJanuary 01, 2021 - Impact of an original methodological tool on the identification of corrective and preventive actions after root cause analysis of adverse events in health care facilities: results of a randomized controlled trial. December 20, 2017 Vacher A, El Mhamdi S, d?Hollander A, et al. Impact of an Original Methodological T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36262/psn-pdfAugust 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. August 4, 2009 Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. https://psnet.ahrq.gov/issue/safety-academic-medical-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74200/psn-pdfJanuary 01, 2022 - Association of surgeon-patient sex concordance with postoperative outcomes. December 22, 2021 Wallis CJD, Jerath A, Coburn N, et al. Association of surgeon-patient sex concordance with postoperative outcomes. JAMA Surg. 2022;157(2):146-156. doi:10.1001/jamasurg.2021.6339. https://psnet.ahrq.gov/issue/association-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47717/psn-pdfJune 27, 2019 - Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. June 27, 2019 Gartland RM, Alves K, Brasil NC, et al. Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis. Am J Surg. 2019;218(1):181-191. doi:10.1016/j.amjsurg.2018.11.0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838131/psn-pdfJanuary 01, 2023 - What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. September 21, 2022 Goodwin C, Haas S, Berry WR. What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour. BMJ Lead. 2023;7(2):128-132. doi:10.1136/leader-202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47180/psn-pdfNovember 15, 2018 - Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. November 15, 2018 Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. J Am Med Inform Assoc. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72532/psn-pdfDecember 02, 2020 - Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. December 2, 2020 Salmasian H, Blanchfield BB, Joyce K, et al. Association of display of patient photographs in the electronic health record with wrong-patient order entry errors. JAMA Netw Open. 202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867341/psn-pdfJanuary 01, 2025 - Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. December 11, 2024 Cifra CL, Custer JW, Smith CM, et al. Diagnostic uncertainty among critically ill children admitted to the PICU: a multicenter study. Crit Care Med. 2025;53(2):e294-e307. doi:10.1097/ccm.000000000000651… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843085/psn-pdfJanuary 25, 2023 - Assessment of the use of patient vital sign data for preventing misidentification and medical errors. January 25, 2023 Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. doi:10.3390/healthcare10122440. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46574/psn-pdfOctober 25, 2017 - Effect of a hospital-wide measure on the readmissions reduction program. October 25, 2017 Zuckerman RB, Maddox KEJ, Sheingold SH, et al. Effect of a Hospital-wide Measure on the Readmissions Reduction Program. N Engl J Med. 2017;377(16):1551-1558. doi:10.1056/NEJMsa1701791. https://psnet.ahrq.gov/issue/effect-hosp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47523/psn-pdfDecember 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42640/psn-pdfNovember 08, 2013 - The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. November 8, 2013 Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Qual Patient Saf. 2013;39(10):447-59. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837699/psn-pdfJuly 20, 2022 - Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. July 20, 2022 Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867047/psn-pdfOctober 30, 2024 - Therapeutic errors involving diabetes medications reported to United States poison centers. October 30, 2024 Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60528/psn-pdfMay 27, 2020 - The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. May 27, 2020 Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-a…
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