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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44244/psn-pdf
    November 03, 2015 - Evaluation of outcomes from a national patient-initiated second-opinion program. November 3, 2015 Meyer AND, Singh H, Graber ML. Evaluation of Outcomes From a National Patient-initiated Second- opinion Program. Am J Med. 2015;128(10). doi:10.1016/j.amjmed.2015.04.020. https://psnet.ahrq.gov/issue/evaluation-outcom…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45731/psn-pdf
    September 29, 2017 - Breast cancer screening in Denmark: a cohort study of tumor size and overdiagnosis. September 29, 2017 Jørgensen KJ, Gøtzsche PC, Kalager M, et al. Breast Cancer Screening in Denmark: A Cohort Study of Tumor Size and Overdiagnosis. Ann Intern Med. 2017;166(5):313-323. doi:10.7326/M16-0270. https://psnet.ahrq.gov/i…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45410/psn-pdf
    July 27, 2018 - Allocation of physician time in ambulatory practice: a time and motion study in four specialties. July 27, 2018 Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann Intern Med. 2016;165(11). doi:10.7326/m16-0961. https://psnet.ahrq.g…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41942/psn-pdf
    July 24, 2017 - Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. July 24, 2017 Brady PW, Muething S, Kotagal U, et al. Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events. Pediatrics. 2013;131(1):e298-308. doi:10.1542/peds.2012-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45055/psn-pdf
    December 04, 2016 - Analysis of clinical decision support system malfunctions: a case series and survey. December 4, 2016 Wright A, Hickman T-TT, McEvoy D, et al. Analysis of clinical decision support system malfunctions: a case series and survey. J Am Med Inform Assoc. 2016;23(6):1068-1076. doi:10.1093/jamia/ocw005. https://psnet.ah…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837136/psn-pdf
    May 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73140/psn-pdf
    April 14, 2021 - Association between primary care physician diagnostic knowledge and death, hospitalisation and emergency department visits following an outpatient visit at risk for diagnostic error: a retrospective cohort study using medicare claims. April 14, 2021 Gray BM, Vandergrift JL, McCoy RG, et al. Association between pr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39655/psn-pdf
    July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38660/psn-pdf
    November 13, 2009 - Improving medication error reporting in hospice care. November 13, 2009 Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145. https://psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-c…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836857/psn-pdf
    April 06, 2022 - Increased mortality and costs associated with adverse events in intensive care unit patients. April 6, 2022 Cantor N, Durr KM, McNeill K, et al. Increased mortality and costs associated with adverse events in intensive care unit patients. J Intensive Care Med. 2022;37(8):1075-1081. doi:10.1177/08850666221084908. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44304/psn-pdf
    September 09, 2015 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. September 9, 2015 Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. June 14, 2011 Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45891/psn-pdf
    October 11, 2017 - Extent of diagnostic agreement among medical referrals. October 11, 2017 Van Such M, Lohr R, Beckman T, et al. Extent of diagnostic agreement among medical referrals. J Eval Clin Pract. 2017;23(4):870-874. doi:10.1111/jep.12747. https://psnet.ahrq.gov/issue/extent-diagnostic-agreement-among-medical-referrals Diagn…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42854/psn-pdf
    March 20, 2014 - Medication event huddles: a tool for reducing adverse drug events. March 20, 2014 Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. https://psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-eve…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836964/psn-pdf
    April 20, 2022 - Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. April 20, 2022 Nowak B, Schwendimann R, Lyrer P, et al. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47434/psn-pdf
    January 21, 2019 - Estimating the hospital costs of inpatient harms. January 21, 2019 Anand P, Kranker K, Chen AY. Estimating the hospital costs of inpatient harms. Health Serv Res. 2019;54(1):86-96. doi:10.1111/1475-6773.13066. https://psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms Pressure ulcers, surgical site inf…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39931/psn-pdf
    April 24, 2011 - Emotional influences in patient safety. April 24, 2011 Croskerry P, Abbass A, Wu AW. Emotional Influences in Patient Safety. J Patient Saf. 2010;6(4):199-205. doi:10.1097/pts.0b013e3181f6c01a. https://psnet.ahrq.gov/issue/emotional-influences-patient-safety Clinicians are intimately familiar with the pressures of …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74257/psn-pdf
    January 19, 2022 - Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. January 19, 2022 Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001369. doi:10.1136/bmjoq- 2021-00…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40548/psn-pdf
    March 23, 2012 - Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients. March 23, 2012 Hamilton H, Gallagher P, Ryan C, et al. Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patien…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866646/psn-pdf
    September 04, 2024 - Adverse events and perceived abandonment: learning from patients' accounts of medical mishaps. September 4, 2024 Schlesinger M, Dhingra I, Fain BA, et al. Adverse events and perceived abandonment: learning from patients’ accounts of medical mishaps. BMJ Open Qual. 2024;13(3):e002848. doi:10.1136/bmjoq-2024- 002848…
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