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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45365/psn-pdfAugust 03, 2016 - Workarounds and test results follow-up in electronic health record–based primary care. August 3, 2016 Menon S, Murphy DR, Singh H, et al. Workarounds and Test Results Follow-up in Electronic Health Record-Based Primary Care. Appl Clin Inform. 2016;7(2):543-559. doi:10.4338/ACI-2015-10-RA-0135. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47391/psn-pdfSeptember 12, 2018 - Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018 Graber ML, Rencic J, Rusz D, et al. Improving diagnosis by improving education: a policy brief on education in healthcare professions. Diagnosis (Berl). 2018;5(3):107-118. doi:10.1515/dx-2018-0033. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840142/psn-pdfNovember 16, 2022 - The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. November 16, 2022 Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Age Ageing. 2022… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47054/psn-pdfJuly 19, 2018 - A target to achieve zero preventable trauma deaths through quality improvement. July 19, 2018 Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. https://psnet.ahrq.gov/issue/target-achi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37047/psn-pdfSeptember 30, 2011 - Briefing and debriefing in the operating room using fighter pilot crew resource management. September 30, 2011 McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. https://psnet.ahrq.gov/issue/briefing-and-debriefing-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866253/psn-pdfJuly 10, 2024 - Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. July 10, 2024 Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Ane… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42115/psn-pdfMarch 20, 2013 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. March 20, 2013 Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):397-403. doi:10.7326/0003-4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837700/psn-pdfJuly 20, 2022 - Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. July 20, 2022 Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022- 0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35752/psn-pdfDecember 23, 2012 - Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. December 23, 2012 Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Ann Intern Med. 2002;137(5 Part 1):327-333. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864370/psn-pdfMarch 13, 2024 - How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? March 13, 2024 DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Diagnosis (Berl). 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72545/psn-pdfDecember 09, 2020 - Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. December 9, 2020 Abdulla A, Schell KR, Schell MC. Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. J Patient Saf. 2020;16(4):e352-e358. doi:10.1097/pts.0000000000000560. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60188/psn-pdfJanuary 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34845/psn-pdfJune 30, 2011 - The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. June 30, 2011 Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. In… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43281/psn-pdfMay 28, 2015 - A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. May 28, 2015 Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/jep.12272. https://psnet.ahrq.gov/issue/m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73171/psn-pdfApril 21, 2021 - Patient safety and quality improvement adaptation during the COVID-19 pandemic. April 21, 2021 Sterling RS, Berry SA, Herzke C, et al. Patient safety and quality improvement adaptation during the COVID-19 pandemic. Am J Med Qual. 2021;36(1):57-59. doi:10.1097/01.jmq.0000733448.50484.a8. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836822/psn-pdfMarch 30, 2022 - Leveraging a safety event management system to improve organizational learning and safety culture. March 30, 2022 Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021- 006… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74838/psn-pdfFebruary 16, 2022 - Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. February 16, 2022 Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;17(5):399-402. doi:10.1002/jhm.2768.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45720/psn-pdfApril 13, 2017 - Medical morbidity and mortality conferences: past, present and future. April 13, 2017 George J. Medical morbidity and mortality conferences: past, present and future. Postgrad Med J. 2017;93(1097):148-152. doi:10.1136/postgradmedj-2016-134103. https://psnet.ahrq.gov/issue/medical-morbidity-and-mortality-conference… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72658/psn-pdfJanuary 20, 2021 - “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. January 20, 2021 Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35696/psn-pdfJuly 13, 2010 - Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. July 13, 2010 Naveh E, Katz-Navon T, Stern Z. Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety. Med Care. 2006;44(2):…
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