-
psnet.ahrq.gov/node/861287/psn-pdf
January 24, 2024 - Organizational resilience as paradox management: a
systematic review of the literature.
January 24, 2024
Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic
review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi:10.1111/1468-5973.12495.
https:…
-
psnet.ahrq.gov/node/863003/psn-pdf
February 21, 2024 - Positive Patient Identification.
February 21, 2024
Healthcare Safety Investigation Branch (HSIB), Dorset, UK: Health Services Safety
Investigations Body; February 2024.
https://psnet.ahrq.gov/issue/positive-patient-identification
Patient misidentification can result in medication administration errors, …
-
psnet.ahrq.gov/node/43084/psn-pdf
May 19, 2014 - How can the criminal law support the provision of quality
in healthcare?
May 19, 2014
Yeung K, Horder J. How can the criminal law support the provision of quality in healthcare? BMJ Qual Saf.
2014;23(6):519-24. doi:10.1136/bmjqs-2013-002688.
https://psnet.ahrq.gov/issue/how-can-criminal-law-support-provision-quali…
-
psnet.ahrq.gov/node/73996/psn-pdf
October 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care.
October 20, 2021
Patient Safety Movement. October 29, 2021.
https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This
webinar …
-
psnet.ahrq.gov/node/44854/psn-pdf
March 16, 2016 - Bring back the autopsy.
March 16, 2016
Jauhar S. New York Times. March 3, 2016.
https://psnet.ahrq.gov/issue/bring-back-autopsy
Performance of autopsies, previously considered an essential learning tool for clinicians, has decreased in
recent years due to insufficient funding to cover costs and lack of physician e…
-
psnet.ahrq.gov/node/838639/psn-pdf
October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic
Decisions.
October 19, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)-
0047-2-EF.
https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions
Delayed, wrong, and missed diagnoses are commo…
-
psnet.ahrq.gov/node/46882/psn-pdf
May 23, 2018 - How health care changes when algorithms start making
diagnoses.
May 23, 2018
Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018.
https://psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses
Use of artificial intelligence and computer algorithms as tools to improve diagnosis have both r…
-
psnet.ahrq.gov/node/74248/psn-pdf
January 12, 2022 - Safety, Equity and Engagement in Maternity Services.
January 12, 2022
Newcastle upon Tyne, UK: Care Quality Commission; September 2021.
https://psnet.ahrq.gov/issue/safety-equity-and-engagement-maternity-services
The safety of maternity care is threatened by inequity. This report analyzes a set of United Kingdom
i…
-
psnet.ahrq.gov/node/46520/psn-pdf
December 19, 2017 - The emotional fallout from the culture of blame and
shame.
December 19, 2017
Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr.
2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691.
https://psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame
In this commentary, a p…
-
psnet.ahrq.gov/node/46120/psn-pdf
May 10, 2017 - Medical residents angered at extended work hours.
May 10, 2017
Hurt J.
https://psnet.ahrq.gov/issue/medical-residents-angered-extended-work-hours
Discussions about resident work hours generate debate regarding safety and physician burnout. This
magazine article reports resident physician concerns about the shift h…
-
psnet.ahrq.gov/node/36114/psn-pdf
February 24, 2011 - Residents' perceptions of professionalism in training and
practice: barriers, promoters, and duty hour
requirements.
February 24, 2011
Ratanawongsa N, Bolen S, Howell EE, et al. Residents' perceptions of professionalism in training and
practice: barriers, promoters, and duty hour requirements. J Gen Intern Med. 20…
-
psnet.ahrq.gov/node/50781/psn-pdf
January 08, 2020 - Harnessing the power of medical malpractice data to
improve patient care.
January 8, 2020
Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care.
J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393.
https://psnet.ahrq.gov/issue/harnessing-power-medic…
-
psnet.ahrq.gov/node/47353/psn-pdf
October 03, 2018 - The need for cognition and the curse of cognition.
October 3, 2018
Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94.
doi:10.1515/dx-2018-0072.
https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition
Cognitive bias is increasingly receiving recognition as a b…
-
psnet.ahrq.gov/node/845075/psn-pdf
February 22, 2023 - Artificial intelligence, patient safety, and achieving the
quintuple aim in anesthesiology.
February 22, 2023
Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,3–4,7.
https://psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology
Technological advancement…
-
psnet.ahrq.gov/node/43106/psn-pdf
September 27, 2016 - The sterile cockpit: an effective approach to reducing
medication errors?
September 27, 2016
Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication
errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c.
https://psnet.ahrq.gov/issue/sterile-cockpi…
-
psnet.ahrq.gov/node/44260/psn-pdf
November 06, 2015 - Innovative teaching in situational awareness.
November 6, 2015
Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5.
doi:10.1111/tct.12310.
https://psnet.ahrq.gov/issue/innovative-teaching-situational-awareness
Nontechnical skills contribute to successful teamwork an…
-
psnet.ahrq.gov/node/35326/psn-pdf
September 14, 2005 - Resident attitudes regarding the impact of the 80–duty-
hours work standards.
September 14, 2005
Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work
standards. J Am Osteopath Assoc. 2005;105(7):307-313.
https://www.degruyter.com/document/doi/10.7556/jaoa.2005.105…
-
psnet.ahrq.gov/node/44121/psn-pdf
May 13, 2015 - Educating medical trainees on medication reconciliation:
a systematic review.
May 13, 2015
Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a
systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5.
https://psnet.ahrq.gov/issue/educating-medic…
-
digital.ahrq.gov/ahrq-funded-projects/using-artificial-intelligence-support-efficient-same-day-diagnostic-imaging/citation/using
January 01, 2024 - Using discrete event simulation to design and assess an AI-aided workflow for same-day diagnostic testing of women undergoing breast screening.
Citation
Lin Y, Hoyt AC, Manuel VG, Inkelas M, Hsu W. Using discrete event simulation to design and assess an AI-aided workflow for same-day diagnostic testin…
-
digital.ahrq.gov/ahrq-funded-projects/leveraging-health-system-telehealth-and-informatics-infrastructure-create/citation/patient
January 01, 2024 - Patient perceptions of audio-only versus video telehealth visits: A qualitative study among patients in an academic medical center setting.
Citation
Kruis R, Brown EA, Johnson J, Simpson KN, McElligott J, Harvey J. Patient perceptions of audio-only versus video telehealth visits: A qualitative study a…