-
psnet.ahrq.gov/node/836963/psn-pdf
April 20, 2022 - Investigating the impact of cognitive bias in nursing
documentation on decision-making and judgement.
April 20, 2022
Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision?
making and judgement. Int J Mental Health Nurs. 2022;31(4):897-907. doi:10.1111/inm.12997.
…
-
psnet.ahrq.gov/node/48035/psn-pdf
May 29, 2019 - Is the future of medical diagnosis in computer
algorithms?
May 29, 2019
Gruber K. Is the future of medical diagnosis in computer algorithms? Lancet Digit Health. 2019;1(1):e15-
e16. doi:10.1016/s2589-7500(19)30011-1.
https://psnet.ahrq.gov/issue/future-medical-diagnosis-computer-algorithms
Artificial intelligence…
-
psnet.ahrq.gov/node/73658/psn-pdf
September 01, 2021 - Predicting self-intercepted medication ordering errors
using machine learning.
September 1, 2021
King CR, Abraham J, Fritz BA, et al. Predicting self-intercepted medication ordering errors using machine
learning. PLoS One. 2021;16(7):e0254358. doi:10.1371/journal.pone.0254358.
https://psnet.ahrq.gov/issue/predicti…
-
psnet.ahrq.gov/node/61089/psn-pdf
January 01, 2021 - Cognitive bias impact on management of postoperative
complications, medical error, and standard of care.
November 4, 2020
Antonacci AC, Dechario SP, Antonacci C, et al. Cognitive bias impact on management of postoperative
complications, medical error, and standard of care. J Surg Res. 2021;258:47-53.
doi:10.1016/j…
-
psnet.ahrq.gov/node/43172/psn-pdf
May 14, 2014 - Clinical clerkship students' perceptions of (un)safe
transitions for every patient.
May 14, 2014
Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for
Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153.
https://psnet.ahrq.gov/issue/clini…
-
psnet.ahrq.gov/node/60630/psn-pdf
June 24, 2020 - Education is “predictably disappointing” and should
never be relied upon alone to improve safety.
June 24, 2020
ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4.
https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone-
improve-safety
Interven…
-
psnet.ahrq.gov/node/38681/psn-pdf
June 03, 2009 - To Err Is Human — To Delay Is Deadly.
June 3, 2009
Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
https://psnet.ahrq.gov/issue/err-human-delay-deadly
The 10 years since the release of the Institute of Medicine's To Err Is Human report have yielded some
improvements in patient safety, but this Consumers …
-
psnet.ahrq.gov/node/73701/psn-pdf
September 15, 2021 - Simulation-based education enhances patient safety
behaviors during central venous catheter placement.
September 15, 2021
Jagneaux T, Caffery TS, Musso MW, et al. Simulation-based education enhances patient safety behaviors
during central venous catheter placement. J Patient Saf. 2021;17(6):425-429.
doi:10.1097/pt…
-
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/47057/psn-pdf
July 14, 2018 - A framework for operationalizing risk: a practical
approach to patient safety.
July 14, 2018
Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to
patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317.
https://psnet.ahrq.gov/issue/frame…
-
psnet.ahrq.gov/node/865481/psn-pdf
April 03, 2024 - Examining the relationship between nurse fatigue,
alertness, and medication errors.
April 3, 2024
Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication
errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631.
https://psnet.ahrq.gov/issue/examin…
-
psnet.ahrq.gov/node/37761/psn-pdf
May 14, 2008 - Student perceptions of medical errors: incorporating an
explicit professionalism curriculum in the third-year
surgery clerkship.
May 14, 2008
Newell P, Harris S, Aufses A, et al. Student perceptions of medical errors: incorporating an explicit
professionalism curriculum in the third-year surgery clerkship. J Surg …
-
psnet.ahrq.gov/node/46503/psn-pdf
January 31, 2018 - Clinical decision-making: heuristics and cognitive biases
for the ophthalmologist.
January 31, 2018
Hussain A, Oestreicher J. Clinical decision-making: heuristics and cognitive biases for the ophthalmologist.
Surv Ophthalmol. 2018;63(1):119-124. doi:10.1016/j.survophthal.2017.08.007.
https://psnet.ahrq.gov/issue/c…
-
psnet.ahrq.gov/node/44853/psn-pdf
February 03, 2016 - Aviation and healthcare: a comparative review with
implications for patient safety.
February 3, 2016
Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for
patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548.
https://psnet.ahrq.gov/is…
-
psnet.ahrq.gov/node/844791/psn-pdf
September 18, 2019 - Review of alternatives to root cause analysis: developing
a robust system for incident report analysis.
September 18, 2019
Hagley G, Mills PD, Watts B, et al. Review of alternatives to root cause analysis: developing a robust
system for incident report analysis. BMJ Open Qual. 2019;8(3):e000646. doi:10.1136/bmjoq-2…
-
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/74140/psn-pdf
December 15, 2015 - The influence of race and gender on pain management: a
systematic literature review.
December 15, 2015
Hampton SB, Cavalier J, Langford R. The influence of race and gender on pain management: a systematic
literature review. Pain Manag Nurs. 2015;16(6):968-977. doi:10.1016/j.pmn.2015.06.009.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/867746/psn-pdf
March 12, 2025 - Medical large language models are vulnerable to data-
poisoning attacks.
March 12, 2025
Alber DA, Yang Z, Alyakin A, et al. Medical large language models are vulnerable to data-poisoning
attacks. Nat Med. 2025;31(2):618-626. doi:10.1038/s41591-024-03445-1.
https://psnet.ahrq.gov/issue/medical-large-language-models…
-
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/45298/psn-pdf
April 22, 2017 - The problem with root cause analysis.
April 22, 2017
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-
422. doi:10.1136/bmjqs-2016-005511.
https://psnet.ahrq.gov/issue/problem-root-cause-analysis
Root cause analysis (RCA) is a strategy to investigate incident…