-
psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
May 19, 2018 - Study
An electronic health record–based real-time analytics program for patient safety surveillance and improvement.
Citation Text:
Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …
-
psnet.ahrq.gov/issue/review-alleged-patient-deaths-patient-wait-times-and-scheduling-practices-phoenix-va-health
May 01, 2015 - Book/Report
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System.
Citation Text:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. Washington, DC: VA Office o…
-
psnet.ahrq.gov/node/39790/psn-pdf
March 21, 2017 - Integrating incident data from five reporting systems to
assess patient safety: making sense of the elephant.
March 21, 2017
Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to
assess patient safety: making sense of the elephant. Jt Comm J Qual Saf. 2010;36(9):40…
-
psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - What will this look like when someone who isn't as charismatic as Peter is managing it?
-
psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - Hall, MD, MS Managing Director, IMPAQ Health IMPAQ International Columbia, MD Kate R.
-
psnet.ahrq.gov/node/841467/psn-pdf
December 14, 2022 - A framework for assessing reasoning about controversial
end-of-life clinical decisions.
December 14, 2022
Fedyk M, Fairman N, Romano PS, et al. A framework for assessing reasoning about controversial end-of-
life clinical decisions. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/framework-assessing-reasonin…
-
psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
March 3, 2021
Innovation…
-
psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - Impatient Inpatient Dosing
August 21, 2005
White RH. Impatient Inpatient Dosing. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/impatient-inpatient-dosing
Case Objectives
Appreciate the challenges of initiating warfarin therapy in the hospitalized patient
Understand the fundamental pharmacology of warfarin…
-
psnet.ahrq.gov/node/49624/psn-pdf
May 01, 2011 - Duty to Disclose Someone Else's Error?
May 1, 2011
Gallagher TH. Duty to Disclose Someone Else's Error? PSNet [internet]. 2011.
https://psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
Case Objectives
State the rationale for disclosing medical errors.
Describe key principles in effective error disclosure.
…
-
psnet.ahrq.gov/node/49503/psn-pdf
February 01, 2006 - Workaround Error
February 1, 2006
Pape T. Workaround Error. PSNet [internet]. 2006.
https://psnet.ahrq.gov/web-mm/workaround-error
The Case
A retired 81-year-old physician with metastatic colon cancer was admitted to an acute care hospital with
pneumonia and congestive heart failure (CHF). After his acute hospita…
-
psnet.ahrq.gov/node/33829/psn-pdf
March 01, 2017 - Our Maturing Understanding of Safety Culture: How to
Change It and How It Changes Safety
March 1, 2017
Singer SJ. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety.
PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change…
-
psnet.ahrq.gov/node/49773/psn-pdf
July 01, 2016 - Near Miss With Neonate
October 1, 2016
Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/near-miss-neonate
The Case
A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm
dates. Early the next morning, intravenous oxy…
-
psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - discharge from an inpatient stay, new challenges arise as they resume responsibility for obtaining and managing
-
psnet.ahrq.gov/issue/medical-errors-and-safety-systems
March 19, 2008 - Special or Theme Issue
Medical Errors and Safety Systems.
Citation Text:
Medical Errors and Safety Systems. Pearlman MD, ed. Clin Obstet Gynecol. 2010;53(3):471-585.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
…
-
psnet.ahrq.gov/issue/fixing-healthcare-delivery
February 05, 2014 - Audiovisual Presentation
Fixing Healthcare Delivery.
Citation Text:
Fixing Healthcare Delivery. University of Florida, Institute for Healthcare Improvement, Coursera.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
…
-
psnet.ahrq.gov/issue/navigating-information-technology-highway-computer-solutions-reduce-errors-and-enhance
September 01, 2016 - Review
Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety.
Citation Text:
Koshy R. Navigating the information technology highway: computer solutions to reduce errors and enhance patient safety. Transfusion (Paris). 2005;45(4 Su…
-
psnet.ahrq.gov/innovation/critical-care-resource-nurse-team-patient-safety-and-quality-outcomes-model
July 23, 2024 - EMERGING INNOVATIONS
Critical care resource nurse team: a patient safety and quality outcomes model.
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
November 16, 2022
Rapid response …
-
psnet.ahrq.gov/issue/emerging-concepts-patient-safety
March 27, 2024 - Special or Theme Issue
Emerging Concepts in Patient Safety.
Citation Text:
Emerging Concepts in Patient Safety. Shapiro FE, ed. Int Anesthesiol Clin. 2019;57:1-162.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
…
-
psnet.ahrq.gov/issue/navigating-perfect-storm-balancing-culture-safety-workforce-challenges
May 04, 2015 - Meeting/Conference Proceedings
Navigating the perfect storm: balancing a culture of safety with workforce challenges.
Citation Text:
Navigating the perfect storm: balancing a culture of safety with workforce challenges. J Nurs Res. 2008;57(1):1-68.
Copy Citation
Save …
-
psnet.ahrq.gov/issue/simulation-articles-influence
April 20, 2022 - Multi-use Website
Simulation Articles of Influence.
Citation Text:
Simulation Articles of Influence. Society for Simulation in Healthcare. 2017-2023.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
…