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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842768/psn-pdfJanuary 18, 2023 - Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. January 18, 2023 Goekcimen K, Schwendimann R, Pfeiffer Y, et al. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. J Patient Saf. 2023;19(1):e1-e8. doi:10.1097… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43353/psn-pdfJuly 16, 2014 - Survey suggests possible downward trend in identifying key drugs/drug classes as high-alert medications. July 16, 2014 ISMP Medication Safety Alert! Acute care edition. July 3, 2014;19:1-3,5-6. https://psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes- high-alert This … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37992/psn-pdfAugust 20, 2008 - Medication errors reported by US family physicians and their office staff. August 20, 2008 Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. https://psnet.ahrq.gov/issue/medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837633/psn-pdfJuly 06, 2022 - Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. July 6, 2022 Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department. Diagnosi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45725/psn-pdfDecember 21, 2016 - The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. December 21, 2016 O'Hara JK, Lawton R, Armitage G, et al. The patient reporting and action for a safe environment (PRASE) intervention: a feasibility study. BMC Health Serv Res. 2016;16(1):676. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45697/psn-pdfAugust 29, 2018 - Challenges of implementing a communication-and- resolution program where multiple organizations must cooperate. August 29, 2018 Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. Health Serv Res. 2016;51 Suppl 3:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43662/psn-pdfNovember 05, 2014 - A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. November 5, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5. https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly- fr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851358/psn-pdfJuly 12, 2023 - Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. July 12, 2023 Levy KL, Grzyb K, Heidemann LA, et al. Enhancing resident education by embedding improvement specialists into a quality and safety curriculum. J Grad Med Educ. 2023;15(3):348-355. doi:10.4300/jgme-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60352/psn-pdfJanuary 01, 2021 - Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. May 20, 2020 Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):439-451. doi:10.1037/apl0000507. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37051/psn-pdfFebruary 24, 2011 - Clinical oversight: conceptualizing the relationship between supervision and safety. February 24, 2011 Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. https://psnet.ahrq.gov/issue/clinical-oversight-c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43666/psn-pdfMarch 14, 2016 - Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. March 14, 2016 Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conference: using a revised morbidit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44804/psn-pdfNovember 18, 2016 - The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. November 18, 2016 Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explaining Its Differential Effective… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47890/psn-pdfJune 15, 2019 - Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. June 15, 2019 Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. J Am Med Inform Ass… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60792/psn-pdfAugust 12, 2020 - Nurse workarounds in the electronic health record: an integrative review. August 12, 2020 Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. https://psnet.ahrq.gov/issue/nurse-workaroun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836715/psn-pdfMarch 09, 2022 - Non-technical skills in surgery during the COVID-19 pandemic: an observational study. March 9, 2022 Etheridge JC, Moyal-Smith R, Sonnay Y, et al. Non-technical skills in surgery during the COVID-19 pandemic: an observational study. Int J Surg. 2022;98:106210. doi:10.1016/j.ijsu.2021.106210. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45692/psn-pdfJanuary 01, 2020 - A patient reported approach to identify medical errors and improve patient safety in the emergency department. November 23, 2016 Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Patient Saf. 2020;16(3):211-215. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46739/psn-pdfJanuary 24, 2019 - Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. January 24, 2019 Liberman AL, Newman-Toker DE. Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodologica… -
psnet.ahrq.gov/issue/patient-storiesMarch 27, 2024 - Multi-use Website Patient Stories. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 6, 2013 This Web site hosts documentary accounts of medical errors to encourage clinici…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73887/psn-pdfSeptember 29, 2021 - Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. September 29, 2021 Kim S, Goelz L, Münn F, et al. Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. BMC Musculoskelet Disord. 2021;22(1):589. doi:10.1186/s12891-021-04425-z. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47996/psn-pdfJanuary 01, 2021 - Building an ambulatory safety program at an academic health system. May 15, 2019 Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…
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