-
psnet.ahrq.gov/node/33817/psn-pdf
October 01, 2016 - generated by a flawed algorithm carries significant risk to patients and even clinicians,
who might be operating
-
psnet.ahrq.gov/primer/triggers-and-trigger-tools
September 15, 2024 - general indications that harm may have occurred such as death, readmission, or unexpected return to the operating
-
psnet.ahrq.gov/primer/human-factors-engineering
December 15, 2024 - to the redesign of anesthesia equipment, significantly reducing the risk of injury or death in the operating
-
psnet.ahrq.gov/node/39523/psn-pdf
September 26, 2016 - Association of interruptions with an increased risk and
severity of medication administration errors.
September 26, 2016
Westbrook JI, Woods A, Rob MI, et al. Association of interruptions with an increased risk and severity of
medication administration errors. Arch Intern Med. 2010;170(8):683-690.
doi:10.1001/arch…
-
psnet.ahrq.gov/node/74178/psn-pdf
December 15, 2021 - Strategies to Improve Patient Safety: Final Report to
Congress Required by the Patient Safety and Quality
Improvement Act of 2005.
December 15, 2021
Rockville, MD: Agency for Healthcare Research and Quality; December 2021. AHRQ Publication No. 22-
0009.
https://psnet.ahrq.gov/issue/strategies-improve-patient-safe…
-
psnet.ahrq.gov/node/37290/psn-pdf
February 15, 2011 - Medical errors involving trainees: a study of closed
malpractice claims from 5 insurers.
February 15, 2011
Singh H, Thomas EJ, Petersen L, et al. Medical errors involving trainees: a study of closed malpractice
claims from 5 insurers. Arch Intern Med. 2007;167(19):2030-6.
https://psnet.ahrq.gov/issue/medical-error…
-
psnet.ahrq.gov/node/35868/psn-pdf
July 10, 2008 - Incidence, patterns, and prevention of wrong-site surgery.
July 10, 2008
Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch
Surg. 2006;141(4):353-358.
https://psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
This AHRQ-supported study an…
-
psnet.ahrq.gov/node/40978/psn-pdf
March 21, 2012 - Relationship between patient safety and hospital surgical
volume.
March 21, 2012
Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and
Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x.
https://psnet.ahrq.gov/issue/relationship-betwee…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
June 01, 2007 - Value of preoperative clinic visits in identifying issues with potential impact on operating room efficiency
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.266_slideshow.ppt
May 01, 2012 - Spotlight Case July 2008
Spotlight Case
The Perils of Cross Coverage
*
*
Source and Credits
This presentation is based on the May 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Jeanne M. Farnan, MD, MHPE, and Vineet M. Arora, MD, MAPP, …
-
psnet.ahrq.gov/node/837785/psn-pdf
August 05, 2022 - Emergence of Application-based Healthcare
August 5, 2022
Marvel FA, Dowell P, Mossburg SE. Emergence of Application-based Healthcare. PSNet [internet]. 2022.
https://psnet.ahrq.gov/perspective/emergence-application-based-healthcare
Introduction
The demand for digital healthcare, including both telemedicine and hea…
-
psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
August 31, 2020 - Special Edition Perspective: Technology Responses to COVID-19
July 21, 2020
View more articles from the same authors.
Citation Text:
Marcin JP, Cohen NM, Lowery C, et al. Special Edition Perspective: Technology Responses to COVID-19. PSNet [internet]. Rockville (M…
-
psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - In studying high-risk areas of the operating room, intensive
care unit, emergency department, and the
-
psnet.ahrq.gov/perspective/conversation-suchi-saria-phd
March 27, 2024 - In Conversation With… Suchi Saria, PhD
July 1, 2019
Citation Text:
In Conversation With… Suchi Saria, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
Copy Citation
Format:
…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
September 01, 2014 - PowerPoint Presentation
Spotlight
A Lot of Pain (Medications)
1
This presentation is based on the September 2014
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Shoshana J. Herzig, MD, MPH, Division of General Medicine, Beth Israel Deaconess Medic…
-
psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - In Conversation With... Chris Cebollero, BS, CCEMT-P
May 26, 2021
Also Read the Essay
Citation Text:
In Conversation With.. Chris Cebollero, BS, CCEMT-P. PSNet [internet]. 2021.In Conversation With... Chris Cebollero, BS, CCEMT-P. PSNet [internet]. Rockville (MD)…
-
psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
February 26, 2020 - Delayed Evaluation of Abdominal Pain in an Elderly Patient.
Citation Text:
Klimkiv L, Utter GH, Barnes DK. Delayed Evaluation of Abdominal Pain in an Elderly Patient.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citat…
-
psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Safety Culture in EMS
May 26, 2021
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US…
-
psnet.ahrq.gov/node/61087/psn-pdf
January 01, 2022 - A high-reliability organization framework for health care:
a multiyear implementation strategy and associated
outcomes.
November 4, 2020
Sculli GL, Pendley-Louis R, Neily J, et al. A high-reliability organization framework for health care: a
multiyear implementation strategy and associated outcomes. J Patient Saf.…
-
psnet.ahrq.gov/node/47609/psn-pdf
December 19, 2018 - Nurse Staffing Levels, Missed Vital Signs and Mortality in
Hospitals: Retrospective Longitudinal Observational
Study.
December 19, 2018
Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals:
Retrospective Longitudinal Observational Study. Southampton, UK: NIHR J…