-
psnet.ahrq.gov/issue/nearly-90-major-medical-mistakes-logged-utah-hospitals-2008
July 02, 2009 - Newspaper/Magazine Article
Nearly 90 major medical mistakes logged at Utah hospitals in 2008.
Citation Text:
Nearly 90 major medical mistakes logged at Utah hospitals in 2008. May H. Salt Lake Tribune. June 26, 2009.
Copy Citation
Save
Save to your library
…
-
psnet.ahrq.gov/issue/second-trial
November 08, 2017 - Multi-use Website
The SECOND Trial
Citation Text:
The SECOND Trial Northwestern University Feinberg School of Medicine
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
…
-
psnet.ahrq.gov/issue/intravenous-acetaminophen-united-states-iatrogenic-dosing-errors
December 20, 2006 - Study
Intravenous acetaminophen in the United States: iatrogenic dosing errors.
Citation Text:
Intravenous acetaminophen in the United States: iatrogenic dosing errors. Dart RC; Rumack BH.
Copy Citation
Save
Save to your library
Print
Download PDF
…
-
psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Patient Safety 101
June 16, 2024
Patient Safety 101. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-safety-101
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in…
-
psnet.ahrq.gov/web-mm/mid-summer-fog
September 29, 2017 - A Mid-Summer Fog
Citation Text:
Braddock CH. A Mid-Summer Fog. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
-
psnet.ahrq.gov/web-mm/missing-point-eye-injury
March 01, 2005 - Missing the Point—Eye Injury
Citation Text:
Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …
-
psnet.ahrq.gov/node/34765/psn-pdf
January 04, 2017 - The Fifth Discipline: The Art & Practice of The Learning
Organization. Revised & Updated Edition.
January 4, 2017
Senge PM. New York, NY: Currency Doubleday; 2009. ISBN: 9780385517256.
https://psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
Senge’s seminal and oft-r…
-
psnet.ahrq.gov/node/41306/psn-pdf
May 04, 2012 - Identifying nontechnical skills associated with safety in
the emergency department: a scoping review of the
literature.
May 4, 2012
Flowerdew L, Brown R, Vincent CA, et al. Identifying nontechnical skills associated with safety in the
emergency department: a scoping review of the literature. Ann Emerg Med. 2012;59…
-
psnet.ahrq.gov/node/48104/psn-pdf
August 28, 2019 - The computer will see you now.
August 28, 2019
Whitaker P. New Statesman. August 2, 2019;148:38-43.
https://psnet.ahrq.gov/issue/computer-will-see-you-now
Artificial intelligence (AI) and advanced computing technologies can enhance clinical decision-making.
Exploring the strengths and weaknesses of artificial inte…
-
psnet.ahrq.gov/node/60604/psn-pdf
June 17, 2020 - The limits of current A.I. in health care: patient safety
policing in hospitals.
June 17, 2020
Furrow BR. NE Univ Law Rev. 2020;12(1):1-55.
https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals
Artificial intelligence (AI) has the potential to improve the use of big data to e…
-
psnet.ahrq.gov/node/34646/psn-pdf
July 01, 2015 - The attributes of medical event reporting systems.
July 1, 2015
Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems:
experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med.
1998;122(3):231-8.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/43395/psn-pdf
July 30, 2014 - The current and ideal state of anatomic pathology patient
safety.
July 30, 2014
Raab SS. The current and ideal state of anatomic pathology patient safety. MLO Med Lab Obs.
2014;46(6):8-10.
https://psnet.ahrq.gov/issue/current-and-ideal-state-anatomic-pathology-patient-safety
This commentary illustrates the proces…
-
psnet.ahrq.gov/node/44169/psn-pdf
November 06, 2015 - Weak oversight allows lab failures to put patients at risk.
November 6, 2015
Gabler E. Milwaukee Journal Sentinel. May 15, 2015.
https://psnet.ahrq.gov/issue/weak-oversight-allows-lab-failures-put-patients-risk
Reporting on weaknesses in laboratory testing methods, this news article discusses patients' experiences
…
-
psnet.ahrq.gov/node/46427/psn-pdf
April 04, 2018 - Improving Diagnosis in Radiology—Progress and
Proposals.
April 4, 2018
Bruno MA, Johnson K, Argy N, Graber ML, eds. Diagnosis. 2017;4(3):111-191.
https://psnet.ahrq.gov/issue/improving-diagnosis-radiology-progress-and-proposals
Radiology plays a unique role in the determination of a diagnosis. Cognitive and system…
-
psnet.ahrq.gov/node/40105/psn-pdf
December 22, 2010 - Enhancing patient safety in the pediatric emergency
department: teams, communication, and lessons from
crew resource management.
December 22, 2010
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams,
communication, and lessons from crew resource management. Pediatr Emerg Ca…
-
psnet.ahrq.gov/node/42199/psn-pdf
June 12, 2013 - Contextual information influences diagnosis accuracy
and decision making in simulated emergency medicine
emergencies.
June 12, 2013
McRobert AP, Causer J, Vassiliadis J, et al. Contextual information influences diagnosis accuracy and
decision making in simulated emergency medicine emergencies. BMJ Qual Saf. 2013;2…
-
psnet.ahrq.gov/node/34731/psn-pdf
July 08, 2016 - Crossing the Quality Chasm: A New Health System for the
21st Century.
July 8, 2016
Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National
Academies Press; 2001. ISBN: 9780309072809.
https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
Following…
-
psnet.ahrq.gov/node/41699/psn-pdf
July 08, 2016 - Best Care at Lower Cost: The Path to Continuously
Learning Health Care in America.
July 8, 2016
Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in
America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.
https://psnet.ahr…
-
psnet.ahrq.gov/node/837607/psn-pdf
June 29, 2022 - Common Formats for Event Reporting - Diagnostic Safety
Version 1.0
June 29, 2022
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10
Effective measurement of diagnostic error is essential for understanding the problem and genera…
-
psnet.ahrq.gov/node/60972/psn-pdf
January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic
Disparities in Health Care.
January 30, 2003
Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National
Academies Press: 2003. ISBN 9780309082655.
https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…