-
psnet.ahrq.gov/node/50372/psn-pdf
September 25, 2019 - Prevalence and predictability of low-yield inpatient
laboratory diagnostic tests.
September 25, 2019
Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory
Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamanetworkopen.2019.10967.
https://psnet.ahr…
-
psnet.ahrq.gov/node/43498/psn-pdf
October 06, 2016 - Creating a distraction simulation for safe medication
administration.
October 6, 2016
Thomas CM, McIntosh CE, Allen R. Creating a Distraction Simulation for Safe Medication Administration.
Clin Simul Nurs. 2014;10(8). doi:10.1016/j.ecns.2014.03.004.
https://psnet.ahrq.gov/issue/creating-distraction-simulation-safe…
-
psnet.ahrq.gov/node/853628/psn-pdf
September 20, 2023 - How Columbia ignored women, undermined prosecutors
and protected a predator for more than 20 years.
September 20, 2023
Fortis B, Bell L. Pro Publica. September 12, 2023.
https://psnet.ahrq.gov/issue/how-columbia-ignored-women-undermined-prosecutors-and-protected-
predator-more-20-years
Sexual abuse of a patient i…
-
psnet.ahrq.gov/node/846761/psn-pdf
September 29, 2018 - Using clinical simulation to study how to improve quality
and safety in healthcare.
September 29, 2018
Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in
healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/47786/psn-pdf
June 26, 2019 - Creating a Safe Space: Psychological Health and Safety
of Healthcare Workers.
June 26, 2019
Canadian Patient Safety Institute: 2019.
https://psnet.ahrq.gov/issue/creating-safe-space-psychological-health-and-safety-healthcare-workers
Structured approaches to managing negative psychological consequences of medical e…
-
psnet.ahrq.gov/node/865880/psn-pdf
May 15, 2024 - Racial and ethnic harm in patient care is a patient safety
issue.
May 15, 2024
Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue.
Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012.
https://psnet.ahrq.gov/issue/racial-and-ethnic-har…
-
psnet.ahrq.gov/node/39732/psn-pdf
August 04, 2010 - A comparative resident site visit project: a novel
approach for implementing programmatic change in the
duty hours era.
August 4, 2010
Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach
for implementing programmatic change in the duty hours era. Acad Med. 2010;…
-
psnet.ahrq.gov/node/39334/psn-pdf
March 03, 2010 - The impact of prolonged continuous wakefulness on
resident clinical performance in the intensive care unit: a
patient simulator study.
March 3, 2010
Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical
performance in the intensive care unit: a patient simulator st…
-
psnet.ahrq.gov/node/38311/psn-pdf
January 15, 2009 - Current teaching and evaluation methods in critical care
medicine: has the Accreditation Council for Graduate
Medical Education affected how we practice and teach in
the intensive care unit?
January 15, 2009
Chudgar SM, Cox CE, Que LG, et al. Current teaching and evaluation methods in critical care medicine:
has …
-
psnet.ahrq.gov/node/72846/psn-pdf
March 17, 2021 - Safety culture: an integration of existing models and a
framework for understanding its development.
March 17, 2021
Bisbey TM, Kilcullen MP, Thomas EJ, et al. Safety culture: an integration of existing models and a
framework for understanding its development. Hum Factors. 2021;63(1):88-110.
doi:10.1177/00187208198…
-
psnet.ahrq.gov/node/74753/psn-pdf
February 09, 2022 - The morbidity and mortality conference: opportunities for
enhancing patient safety.
February 9, 2022
Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for
enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pts.0000000000000765.
https://psnet.ah…
-
psnet.ahrq.gov/node/836858/psn-pdf
April 06, 2022 - Psychological safety during the test of new work
processes in an emergency department.
April 6, 2022
Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in
an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/s12913-022-07687-y.
https://psnet.…
-
psnet.ahrq.gov/node/836866/psn-pdf
April 06, 2022 - The role of feedback in emergency ambulance services: a
qualitative interview study.
April 6, 2022
Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative
interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022-07676-1.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/848821/psn-pdf
May 10, 2023 - Towards a unified model of accident causation: refining
and validating the systems thinking safety tenets.
May 10, 2023
Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and
validating the systems thinking safety tenets. Ergonomics. 2023;66(5):644-657.
doi:10.1080/001401…
-
psnet.ahrq.gov/node/47029/psn-pdf
August 15, 2018 - Peer support in anesthesia: turning war stories into
wellness.
August 15, 2018
Vinson AE, Randel G. Peer support in anesthesia: turning war stories into wellness. Curr Opin
Anaesthesiol. 2018;31(3):382-387. doi:10.1097/ACO.0000000000000591.
https://psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-w…
-
psnet.ahrq.gov/node/853071/psn-pdf
August 30, 2023 - A natural language processing approach to categorise
contributing factors from patient safety event reports.
August 30, 2023
Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Health Care Inform. 2023;30(1):e100731.
https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-
…
-
digital.ahrq.gov/ahrq-funded-projects/using-electronic-health-record-identify-children-likely-suffer-last-minute/final-report
January 01, 2023 - Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report
Citation
Pratap J. Using the Electronic Health Record To Identify Children Likely To Suffer Last-Minute Surgery Cancellation - Final Report. (Prepared by Cincinnati Children's Hospi…
-
psnet.ahrq.gov/node/41701/psn-pdf
September 26, 2019 - The CUSP Method
September 26, 2019
The CUSP Method.
https://psnet.ahrq.gov/issue/cusp-method
The Comprehensive Unit-based Safety Program (CUSP), originally developed at Johns Hopkins Hospital
by Dr. Peter Pronovost and colleagues, has been instrumental in driving patient safety improvement in
several landmark pat…
-
psnet.ahrq.gov/node/60880/psn-pdf
September 02, 2020 - Cold debriefings after in-hospital cardiac arrest in an
international pediatric resuscitation quality improvement
collaborative.
September 2, 2020
Wolfe H, Wenger J, Sutton RM, et al. Cold debriefings after in-hospital cardiac arrest in an international
pediatric resuscitation quality improvement collaborative. Pe…
-
psnet.ahrq.gov/node/850353/psn-pdf
June 14, 2023 - Perioperative handoff enhancement opportunities
through technology and artificial intelligence: a narrative
review.
June 14, 2023
Sparling J, Hong Mershon B, Abraham J. Perioperative handoff enhancement opportunities through
technology and artificial intelligence: a narrative review. Jt Comm J Qual Patient Saf. 20…