-
psnet.ahrq.gov/node/39616/psn-pdf
February 02, 2011 - Infection control assessment of ambulatory surgical
centers.
February 2, 2011
Schaefer MK, Jhung M, Dahl M, et al. Infection control assessment of ambulatory surgical centers. JAMA.
2010;303(22):2273-9. doi:10.1001/jama.2010.744.
https://psnet.ahrq.gov/issue/infection-control-assessment-ambulatory-surgical-centers…
-
psnet.ahrq.gov/node/39844/psn-pdf
November 02, 2010 - Safety through redundancy: a case study of in-hospital
patient transfers.
November 2, 2010
Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf
Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972.
https://psnet.ahrq.gov/issue/safety-through-redundancy-case-stu…
-
psnet.ahrq.gov/node/34668/psn-pdf
June 06, 2018 - Please don't sleep through this wake-up call.
June 6, 2018
ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001.
https://psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call
This is an alert from the Institute for Safe Medication Practices informing readers of a fatal medication error
that occu…
-
psnet.ahrq.gov/node/60157/psn-pdf
March 25, 2020 - Conspicuous by its absence: diagnostic expert testing
under uncertainty.
March 25, 2020
Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci.
2020;39(3):540-563. doi:10.1287/mksc.2019.1201.
https://psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing…
-
psnet.ahrq.gov/node/46661/psn-pdf
January 26, 2018 - Burnout syndrome among healthcare professionals.
January 26, 2018
Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health
Syst Pharm. 2018;75(3):147-152. doi:10.2146/ajhp170460.
https://psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals
Burnout affects t…
-
psnet.ahrq.gov/node/60741/psn-pdf
July 29, 2020 - As college students return, a crisis in campus care
awaits.
July 29, 2020
Abelson J, Tran AB, Kornfield M, et al. As college students return, a crisis in campus care awaits. The
Seattle Times. 2020;July 13.
https://psnet.ahrq.gov/issue/college-students-return-crisis-campus-care-awaits
The COVID-19 pandemic has im…
-
psnet.ahrq.gov/node/39050/psn-pdf
January 04, 2010 - Safety as a criterion for quality: The Critical Nursing
Situation Index in paediatric critical care, an observational
study.
January 4, 2010
de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric
critical care, an observational study. Intensive Crit Care Nur…
-
psnet.ahrq.gov/node/39267/psn-pdf
April 01, 2010 - What have we learned about interventions to reduce
medical errors?
April 1, 2010
Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical
errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497.
doi:10.1146/annurev.publhealth.012809.103544.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/46332/psn-pdf
September 24, 2017 - Sharing the process of diagnostic decision making.
September 24, 2017
Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med.
2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929.
https://psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
Improving diagnosis has …
-
psnet.ahrq.gov/node/45834/psn-pdf
February 22, 2017 - Implementing an error disclosure coaching model: a
multicenter case study.
February 22, 2017
White AA, Brock DM, McCotter PI, et al. Implementing an error disclosure coaching model: A multicenter
case study. J Healthc Risk Manag. 2017;36(3):34-45. doi:10.1002/jhrm.21260.
https://psnet.ahrq.gov/issue/implementing-e…
-
psnet.ahrq.gov/node/837798/psn-pdf
August 10, 2022 - An evolution of reporting: identifying the missing link.
August 10, 2022
Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics
(Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761.
https://psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link…
-
psnet.ahrq.gov/node/44684/psn-pdf
November 18, 2015 - Preventing medication errors by empowering patients.
November 18, 2015
Karch AM. Am Nurs Today. September 2015;10:18-22.
https://psnet.ahrq.gov/issue/preventing-medication-errors-empowering-patients
The complexity of care delivery can hinder the role of nurses in preventing medication errors. This
commentary advoc…
-
psnet.ahrq.gov/node/36263/psn-pdf
October 21, 2010 - Predictors of treatment error for children with
uncomplicated malaria seen as outpatients in Blantyre
district, Malawi.
October 21, 2010
Osterholt DM, Rowe AK, Hamel MJ, et al. Predictors of treatment error for children with uncomplicated
malaria seen as outpatients in Blantyre district, Malawi. Trop Med Int Healt…
-
psnet.ahrq.gov/node/35057/psn-pdf
February 03, 2011 - Defensive medicine among high-risk
specialist physicians in a volatile malpractice
environment.
February 3, 2011
Studdert DM, Mello MM, Sage WM, et al. Defensive medicine among high-risk specialist physicians in a
volatile malpractice environment. JAMA. 2005;293(21):2609-17.
https://psnet.ahrq.gov/issue/defensive…
-
psnet.ahrq.gov/node/35079/psn-pdf
November 04, 2015 - Medical Error: What Do We Know? What Do We Do?
November 4, 2015
Rosenthal MM; Sutcliffe KM, eds. San Francisco, CA: Jossey-Bass; 2002.
https://psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
Opening with a review of lessons learned since the Harvard Medical Practice Study (HMPS),
this book explore…
-
psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Deploying and measuring a risk and patient safety
program.
February 1, 2017
Orel H, McGroarty M, Marchegiani H. Deploying and measuring a risk and patient safety program. J
Healthc Risk Manag. 2017;36(3):26-33. doi:10.1002/jhrm.21266.
https://psnet.ahrq.gov/issue/deploying-and-measuring-risk-and-patient-safety-pro…
-
psnet.ahrq.gov/node/35837/psn-pdf
March 28, 2011 - Building safer systems by ecological design: using
restoration science to develop a medication safety
intervention.
March 28, 2011
Marck PB, Kwan JA, Preville B, et al. Building safer systems by ecological design: using restoration
science to develop a medication safety intervention. Qual Saf Health Care. 2006;15(…
-
psnet.ahrq.gov/node/74045/psn-pdf
November 03, 2021 - ‘They treat me like I’m old and stupid’: seniors decry
health providers’ age bias.
November 3, 2021
Graham J. Kaiser Health News. October 20, 2021.
https://psnet.ahrq.gov/issue/they-treat-me-im-old-and-stupid-seniors-decry-health-providers-age-bias
Implicit biases permeate decision making and can impede safe and e…
-
psnet.ahrq.gov/node/37375/psn-pdf
December 05, 2007 - Managing discontinuity in academic medical centers:
strategies for a safe and effective resident sign-out.
December 5, 2007
Vidyarthi AR, Arora V, Schnipper JL, et al. Managing discontinuity in academic medical centers: Strategies
for a safe and effective resident sign-out. J Hosp Med. 2006;1(4). doi:10.1002/jhm.10…
-
psnet.ahrq.gov/node/45185/psn-pdf
August 03, 2016 - Final Report of the Commission on Care.
August 3, 2016
Washington, DC: Commission on Care; June 2016.
https://psnet.ahrq.gov/issue/final-report-commission-care
The Veterans Affairs health system has recently faced challenges associated with access and quality.
Providing an assessment of the current and future stat…