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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38797/psn-pdfJuly 22, 2009 - Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. July 22, 2009 Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health care system with an advanced electronic medical record. Ann Intern Med.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837503/psn-pdfJune 22, 2022 - A clinical reasoning curriculum for medical students: an interim analysis. June 22, 2022 Connor DM, Narayana S, Dhaliwal G. A clinical reasoning curriculum for medical students: an interim analysis. Diagnosis (Berl). 2022;9(2):265-273. doi:10.1515/dx-2021-0112. https://psnet.ahrq.gov/issue/clinical-reasoning-curri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60984/psn-pdfOctober 07, 2020 - Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study. October 7, 2020 Dell-Kuster S, Gomes NV, Gawria L, et al. Prospective validation of classification of intraoperative adverse events (ClassIntra): international, multicentre cohort study.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860391/psn-pdfJanuary 10, 2024 - Neonatal near-miss audits: a systematic review and a call to action. January 10, 2024 Medeiros PB, Bailey C, Pollock D, et al. Neonatal near-miss audits: a systematic review and a call to action. BMC Pediatr. 2023;23(1):573. doi:10.1186/s12887-023-04383-6. https://psnet.ahrq.gov/issue/neonatal-near-miss-audits-sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47683/psn-pdfApril 10, 2019 - Design of hospital errors and omissions activities that include patient-specific medication related problems. April 10, 2019 Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. 2019;11(1):66-75. doi:10.1016/j.cp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41959/psn-pdfJanuary 16, 2013 - Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. January 16, 2013 Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47963/psn-pdfJune 02, 2019 - Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. June 2, 2019 Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;122(6):723-725. doi:10.1016/j.bja.2019.02… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44061/psn-pdfNovember 16, 2015 - Quality improvement and patient safety organizations in anesthesiology. November 16, 2015 Dutton RP. Quality improvement and patient safety organizations in anesthesiology. AMA J Ethics. 2015;17(3):248-52. doi:10.1001/journalofethics.2015.17.3.pfor1-1503. https://psnet.ahrq.gov/issue/quality-improvement-and-patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44395/psn-pdfAugust 12, 2015 - How well do health professionals interpret diagnostic information? A systematic review. August 12, 2015 Whiting PF, Davenport C, Jameson C, et al. How well do health professionals interpret diagnostic information? A systematic review. BMJ Open. 2015;5(7):e008155. doi:10.1136/bmjopen-2015-008155. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73618/psn-pdfAugust 17, 2021 - New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. August 17, 2021 Hannawa AF, Wendt AL, Day LJ. Berlin, GER: Walter De Gruyter; 2018. ISBN: 9783110453041. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36192/psn-pdfJune 14, 2011 - Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. June 14, 2011 Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and rese… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60959/psn-pdfSeptember 30, 2020 - Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. September 30, 2020 DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10.1097/cnq.0000000000000327. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841764/psn-pdfDecember 21, 2022 - Lessons learned in implementing a chronic opioid therapy management system. December 21, 2022 Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. https://psnet.ahrq.gov/issue/l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47232/psn-pdfNovember 14, 2018 - Managing alarm systems for quality and safety in the hospital setting. November 14, 2018 Bach TA, Berglund L-M, Turk E. Managing alarm systems for quality and safety in the hospital setting. BMJ Open Qual. 2018;7(3):e000202. doi:10.1136/bmjoq-2017-000202. https://psnet.ahrq.gov/issue/managing-alarm-systems-quality… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50744/psn-pdfDecember 18, 2019 - EMS crews brought patients to the hospital with misplaced breathing tubes. None of them survived December 18, 2019 Arditi L. Peoples Public Radio. December 3, 2019. https://psnet.ahrq.gov/issue/ems-crews-brought-patients-hospital-misplaced-breathing-tubes-none-them- survived Emergency medical services are often p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47065/psn-pdfJune 20, 2018 - The complexity, diversity, and science of primary care teams. June 20, 2018 Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244. https://psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams Teamwork is … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60338/psn-pdfMay 20, 2020 - The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. May 20, 2020 Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. doi:10.1186/s13054-020-02871-0. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46582/psn-pdfFebruary 14, 2018 - Technological distractions—part 1 and part 2. February 14, 2018 Kane-Gill SL, O'Connor MF, Rothschild JM, et al. Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. Crit Care Med. 2017;45(9):1481-1488. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44924/psn-pdfApril 15, 2016 - Assessment of fidelity in interventions to improve hand hygiene of healthcare workers: a systematic review. April 15, 2016 Musuuza JS, Barker A, Ngam C, et al. Assessment of Fidelity in Interventions to Improve Hand Hygiene of Healthcare Workers: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(5):567-75… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849326/psn-pdfMay 24, 2023 - Proactive patient safety: focusing on what goes right in the perioperative environment. May 24, 2023 Duffy C, Menon N, Horak D, et al. Proactive patient safety: focusing on what goes right in the perioperative environment. J Patient Saf. 2023;19(4):281-286. doi:10.1097/pts.0000000000001113. https://psnet.ahrq.gov/…
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