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psnet.ahrq.gov/node/43818/psn-pdf
January 21, 2015 - A report on 15 years of clinical negligence claims in
rhinology.
January 21, 2015
Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J
Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118.
https://psnet.ahrq.gov/issue/report-15-years-clinical-negligence-c…
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psnet.ahrq.gov/node/866409/psn-pdf
July 31, 2024 - Safe Administration of Medication in School: Policy
Statement.
July 31, 2024
Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement.
Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839.
https://psnet.ahrq.gov/issue/safe-administration-medication-school-poli…
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psnet.ahrq.gov/node/43833/psn-pdf
February 04, 2015 - Sterile compounding: clinical, legal, and regulatory
implications for patient safety.
February 4, 2015
Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications
for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191.
https://psnet.ahrq.gov/issue/ster…
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psnet.ahrq.gov/node/849139/psn-pdf
May 17, 2023 - How the opioid backlash went wrong.
May 17, 2023
Freedman DH. Newsweek Magazine. May 12, 2023.
https://psnet.ahrq.gov/issue/how-opioid-backlash-went-wrong
The unintended consequences of reductions in access to prescription opioids can result in poor addiction
care and ineffective pain management. This articl…
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psnet.ahrq.gov/node/36935/psn-pdf
September 01, 2011 - When should a multicampus hospital be considered a
single entity for public reporting on patient safety issues?
September 1, 2011
Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single
entity for public reporting on patient safety issues? Qual Manag Health Care. 2007…
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psnet.ahrq.gov/node/43031/psn-pdf
March 12, 2014 - WARNING health IT may be hazardous to your healthcare.
March 12, 2014
Dimick C.
https://psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare
This article relates the development of a taxonomy that hospitals and vendors can use to detect, sort, and
analyze risks associated with health information…
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psnet.ahrq.gov/node/40198/psn-pdf
February 09, 2011 - Measures and measurement of high-performance work
systems in health care settings: propositions for
improvement.
February 9, 2011
Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in
health care settings: Propositions for improvement. Health Care Manage Rev. 2011;36(1):3…
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psnet.ahrq.gov/node/72685/psn-pdf
January 27, 2021 - Human Factors and Ergonomics in Healthcare.
January 27, 2021
Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.
https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
Human factors approaches have been identified as one of the primary vehicles to create las…
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psnet.ahrq.gov/node/35292/psn-pdf
June 27, 2011 - The DNA damage response and patient safety: engaging
our molecular biology-oriented colleagues.
June 27, 2011
Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented
colleagues. International Journal for Quality in Health Care. 2005;17(4). doi:10.1093/intqhc/mzi041.
htt…
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psnet.ahrq.gov/node/37367/psn-pdf
May 26, 2011 - Reasons provided by prescribers when overriding
drug–drug interaction alerts.
May 26, 2011
Grizzle AJ, Mahmood MH, Ko Y, et al. Reasons provided by prescribers when overriding drug-drug
interaction alerts. Am J Manag Care. 2007;13(10):573-578.
https://psnet.ahrq.gov/issue/reasons-provided-prescribers-when-overridi…
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psnet.ahrq.gov/node/45176/psn-pdf
July 20, 2016 - Sustaining Improvement.
July 20, 2016
Scoville R, Little K, Rakover J, et al. Cambridge, Massachusetts: Institute for Healthcare Improvement;
2016.
https://psnet.ahrq.gov/issue/sustaining-improvement
Numerous activities and programs have been launched to improve patient safety, but sustaining
improvements can be …
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psnet.ahrq.gov/node/38576/psn-pdf
April 22, 2009 - A case of mistaken identity: staff input on patient ID
errors.
April 22, 2009
Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag.
2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d.
https://psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
…
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psnet.ahrq.gov/node/48090/psn-pdf
August 28, 2019 - Preventing errors with high-risk medications.
August 28, 2019
Wiley F. Drug Topics. August 2019;1633:16-18.
https://psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
High-alert medications have the potential to cause serious patient harm if not administered correctly.
Reporting on challenges to medicati…
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psnet.ahrq.gov/node/47463/psn-pdf
October 17, 2018 - My human doctor.
October 17, 2018
Peskin SM. New York Times. October 4, 2018.
https://psnet.ahrq.gov/issue/my-human-doctor
Error disclosures are difficult but important conversations that can have negative consequences for
patients, clinicians, and organizations, even when they are done appropriately. This newspap…
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psnet.ahrq.gov/node/45777/psn-pdf
January 11, 2017 - Disclosure of adverse events in pediatrics.
January 11, 2017
McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management;
Council on Quality Improvement and Patient Safety. Pediatrics. 2016;138(6);e20163215.
https://psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics
Op…
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psnet.ahrq.gov/node/38765/psn-pdf
July 08, 2009 - Enhancing pediatric safety: assessing and improving
resident competency in life-threatening events with a
computer-based interactive resuscitation tool.
July 8, 2009
Lerner C, Gaca AM, Frush DP, et al. Enhancing pediatric safety: assessing and improving resident
competency in life-threatening events with a compute…
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psnet.ahrq.gov/node/47062/psn-pdf
October 13, 2018 - Latent risk assessment tool for health care leaders.
October 13, 2018
Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc
Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316.
https://psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders
Health …
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psnet.ahrq.gov/node/847552/psn-pdf
April 12, 2023 - Mothers face broken addiction treatment system.
April 12, 2023
D'Ambrosio A. MedPage Today. March 31, 2023.
https://psnet.ahrq.gov/issue/mothers-face-broken-addiction-treatment-system
Maternal health is challenged across social strata but notably amongst populations of color, economic
disparity, and social minorit…
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psnet.ahrq.gov/node/45913/psn-pdf
March 01, 2017 - Simulation, mastery learning and healthcare.
March 1, 2017
Dunn W, Dong Y, Zendejas B, et al. Simulation, Mastery Learning and Healthcare. Am J Med Sci.
2017;353(2):158-165. doi:10.1016/j.amjms.2016.12.012.
https://psnet.ahrq.gov/issue/simulation-mastery-learning-and-healthcare
Simulation has been adopted as a val…
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psnet.ahrq.gov/node/38968/psn-pdf
May 04, 2014 - What went right: lessons for the intensivist from the crew
of US Airways Flight 1549.
May 4, 2014
Eisen LA, Savel RH. What went right: lessons for the intensivist from the crew of US Airways Flight 1549.
Chest. 2009;136(3):910-917. doi:10.1378/chest.09-0377.
https://psnet.ahrq.gov/issue/what-went-right-lessons-int…