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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48175/psn-pdfAugust 07, 2019 - Strengthening the medical error "meme pool." August 7, 2019 Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264- 2267. doi:10.1007/s11606-019-05156-7. https://psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool Published estimates on the number preventable med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35510/psn-pdfFebruary 19, 2010 - Simulation study of rested versus sleep-deprived anesthesiologists. February 19, 2010 Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-200306000-00008. https://psnet.ahrq.gov/issue/simulation-study-res… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45799/psn-pdfMay 09, 2017 - Assessing frequency and risk of weight entry errors in pediatrics. May 9, 2017 Hagedorn PA, Kirkendall E, Kouril M, et al. Assessing Frequency and Risk of Weight Entry Errors in Pediatrics. JAMA Pediatr. 2017;171(4):392-393. doi:10.1001/jamapediatrics.2016.3865. https://psnet.ahrq.gov/issue/assessing-frequency-and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42949/psn-pdfFebruary 19, 2014 - Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014 Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Ann Pharmacot… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35069/psn-pdfJune 22, 2009 - Towards an organization with a memory: exploring the organizational generation of adverse events in health care. June 22, 2009 Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manage Res. 2005;18(2). doi:10.1258/0951484053… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44479/psn-pdfSeptember 09, 2015 - Health literacy in primary care practice. September 9, 2015 Hersh L, Salzman B, Snyderman D. Health Literacy in Primary Care Practice. Am Fam Physician. 2015;92(2):118-124. https://psnet.ahrq.gov/issue/health-literacy-primary-care-practice Limited health literacy can lead to patients misunderstanding care instruct… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45366/psn-pdfDecember 20, 2017 - A patient-centered prescription drug label to promote appropriate medication use and adherence. December 20, 2017 Wolf MS, Davis TC, Curtis LM, et al. A Patient-Centered Prescription Drug Label to Promote Appropriate Medication Use and Adherence. J Gen Intern Med. 2016;31(12):1482-1489. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45263/psn-pdfSeptember 04, 2016 - PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. September 4, 2016 Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316-320. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46697/psn-pdfJanuary 10, 2018 - Primary care providers' perspectives on errors of omission. January 10, 2018 Poghosyan L, Norful AA, Fleck E, et al. Primary Care Providers' Perspectives on Errors of Omission. J Am Board Fam Med. 2017;30(6):733-742. doi:10.3122/jabfm.2017.06.170161. https://psnet.ahrq.gov/issue/primary-care-providers-perspectives… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838025/psn-pdfSeptember 07, 2022 - Opportunities to mine EHRs for malpractice risk management and patient safety. September 7, 2022 Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/25160435221097422. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837000/psn-pdfMay 06, 2022 - Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022. https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath- … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837212/psn-pdfJune 08, 2022 - Engaging Physicians in Teamwork Training for Quality and Safety - Or Why Don’t Your Physicians Get Engaged? May 25, 2022 AHA Team Training. June 8, 2022. https://psnet.ahrq.gov/issue/engaging-physicians-teamwork-training-quality-and-safety-or-why-dont-your- physicians-get Physicians are instrumental to the succes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40690/psn-pdfAugust 17, 2011 - Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. August 17, 2011 Steelman VM, Cullen JJ. Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis. AORN J. 2011;94(2):132-41. doi:10.1016/j.aorn.2010.09.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47319/psn-pdfOctober 10, 2018 - Differences in strength expression on product labels of compounders and conventional manufacturers may lead to dosing errors. October 10, 2018 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/differences-strength-expression-product-labels-compounders-and- conventional-manufacturers-may Confusin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73541/psn-pdfJuly 28, 2021 - Misdiagnosis of heart failure: a systematic review of the literature. July 28, 2021 Wong CW, Tafuro J, Azam Z, et al. Misdiagnosis of heart failure: a systematic review of the literature. J Cardiac Failure. 2021;27(9):925-933. doi:10.1016/j.cardfail.2021.05.014. https://psnet.ahrq.gov/issue/misdiagnosis-heart-fail… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73672/psn-pdfSeptember 01, 2021 - ‘He thought what he was doing was good for people.’ Why is it so difficult to prevent unnecessary medical procedures in the U.S. health-care system? September 1, 2021 Outcalt C. The Atlantic. August 2021. https://psnet.ahrq.gov/issue/he-thought-what-he-was-doing-was-good-people-why-it-so-difficult-prevent- unnece… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39348/psn-pdfMarch 10, 2010 - How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. March 10, 2010 Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf Health Care. 2010;19(1):74-8. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73911/psn-pdfOctober 06, 2021 - Misdiagnosis of acute myocardial infarction: a systematic review of the literature. October 6, 2021 Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000000000256. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41249/psn-pdfDecember 21, 2014 - Physicians' needs in coping with emotional stressors: the case for peer support. December 21, 2014 Hu Y-Y, Fix ML, Hevelone ND, et al. Physicians' needs in coping with emotional stressors: the case for peer support. Arch Surg. 2012;147(3):212-217. doi:10.1001/archsurg.2011.312. https://psnet.ahrq.gov/issue/physici… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42806/psn-pdfJanuary 19, 2014 - Case studies of patient safety research classics to build research capacity in low- and middle-income countries. January 19, 2014 Andermann A, Wu AW, Lashoher A, et al. Case studies of patient safety research classics to build research capacity in low- and middle-income countries. Jt Comm J Qual Patient Saf. 2013;3…
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