-
psnet.ahrq.gov/node/864375/psn-pdf
March 13, 2024 - Experiences of physicians investigated for
professionalism concerns: a narrative review.
March 13, 2024
Im DS, Tamarelli CM, Shen MR. Experiences of physicians investigated for professionalism concerns: a
narrative review. J Gen Intern Med. 2024;39(2):283-300. doi:10.1007/s11606-023-08550-4.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/865594/psn-pdf
January 01, 2025 - Understanding the informal aspects of medication
processes to maintain patient safety in hospitals: a
sociotechnical ethnographic study in paediatric units.
April 17, 2024
Sutherland AB, Phipps DL, Grant S, et al. Understanding the informal aspects of medication processes to
maintain patient safety in hospitals: a…
-
psnet.ahrq.gov/node/47002/psn-pdf
April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings
and Long Term Care Facilities (R18).
April 25, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r18
Research …
-
psnet.ahrq.gov/node/73870/psn-pdf
September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement:
Surgical safety checklists for cesarean delivery.
September 22, 2021
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety
checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49.
doi:10.1016…
-
psnet.ahrq.gov/node/866557/psn-pdf
August 21, 2024 - Minimization of occurrence of retained surgical items
using machine learning and deep learning techniques: a
review.
August 21, 2024
Abo-Zahhad M, El-Malek AHA, Sayed MS, et al. Minimization of occurrence of retained surgical items
using machine learning and deep learning techniques: a review. BioData Min. 2024;17…
-
psnet.ahrq.gov/node/38448/psn-pdf
March 04, 2009 - Medication errors: the impact of prescribing and
transcribing errors on preventable harm in hospitalised
patients.
March 4, 2009
van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and
transcribing errors on preventable harm in hospitalised patients. Qual Saf Health Car…
-
psnet.ahrq.gov/node/36433/psn-pdf
February 10, 2011 - Effects of computer-based clinical decision support
systems on physician performance and patient outcomes:
a systematic review.
February 10, 2011
Hunt DL, Haynes RB, Hanna SE, et al. Effects of Computer-Based Clinical Decision Support Systems on
Physician Performance and Patient Outcomes. JAMA. 2003;280(15):1339-1…
-
psnet.ahrq.gov/node/60756/psn-pdf
January 01, 2021 - Identifying and encouraging high-quality healthcare: an
analysis of the content and aims of patient letters of
compliment.
August 5, 2020
Gillespie A, Reader TW. Identifying and encouraging high-quality healthcare: an analysis of the content and
aims of patient letters of compliment. BMJ Qual Saf. 2021;30(6):484-4…
-
psnet.ahrq.gov/node/840486/psn-pdf
November 30, 2022 - Perspectives of emergency clinicians about medical
errors resulting in patient harm or malpractice litigation.
November 30, 2022
Ostrovsky D, Novack V, Smulowitz PB, et al. Perspectives of emergency clinicians about medical errors
resulting in patient harm or malpractice litigation. JAMA Network Open. 2022;5(11):e2…
-
psnet.ahrq.gov/node/47507/psn-pdf
December 21, 2018 - The fate of medicine in the time of AI.
December 21, 2018
Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140-
6736(18)31925-1.
https://psnet.ahrq.gov/issue/fate-medicine-time-ai
Artificial intelligence can improve practice by making synthesized data available in …
-
psnet.ahrq.gov/node/47212/psn-pdf
July 11, 2018 - Medicine and the rise of the robots: a qualitative review of
recent advances of artificial intelligence in health.
July 11, 2018
Loh E. BMJ Leader. 2018;2(2):59-63.
https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-
intelligence-health
Artificial intelligence (AI)…
-
psnet.ahrq.gov/node/72634/psn-pdf
January 13, 2021 - How U.S. teams advanced communication and resolution
program adoption at local, state and national levels.
January 13, 2021
LeCraw FR, Stearns SC, McCoy MJ. How U.S. Teams advanced communication and resolution program
adoption at local, state and national levels. J Patient Saf Risk Manag. 2021;26(1):34-40.
doi:10.…
-
psnet.ahrq.gov/node/34667/psn-pdf
January 17, 2018 - Lessons from the Denver medication error/criminal
negligence case: look beyond blaming individuals.
January 17, 2018
Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-657.
https://psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-
blaming-individuals
In Octobe…
-
psnet.ahrq.gov/node/45977/psn-pdf
May 17, 2017 - Trends in medical and nonmedical use of prescription
opioids among US adolescents: 1976–2015.
May 17, 2017
McCabe SE, West BT, Veliz P, et al. Trends in Medical and Nonmedical Use of Prescription Opioids
Among US Adolescents: 1976-2015. Pediatrics. 2017;139(4):e20162387. doi:10.1542/peds.2016-2387.
https://psnet.a…
-
psnet.ahrq.gov/node/48062/psn-pdf
August 07, 2019 - Ten ways to improve medication safety in community
pharmacies.
August 7, 2019
Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003).
2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018.
https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
Med…
-
psnet.ahrq.gov/node/40096/psn-pdf
December 22, 2010 - Enhancing communication in surgery through team
training interventions: a systematic literature review.
December 22, 2010
Gillespie BM, Chaboyer W, Murray P. Enhancing communication in surgery through team training
interventions: a systematic literature review. AORN J. 2010;92(6):642-57. doi:10.1016/j.aorn.2010.02.…
-
psnet.ahrq.gov/node/867097/psn-pdf
November 06, 2024 - Recommendations but no Action: Improving the
Effectiveness of Quality and Safety Recommendations in
Healthcare.
November 6, 2024
Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations
In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024.
h…
-
psnet.ahrq.gov/node/44027/psn-pdf
April 15, 2015 - Hospital credentialing and privileging of surgeons: a
potential safety blind spot.
April 15, 2015
Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety
blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943.
https://psnet.ahrq.gov/issue/hospital-cred…
-
psnet.ahrq.gov/node/45092/psn-pdf
May 11, 2016 - The experiences of risk managers in providing emotional
support for health care workers after adverse events.
May 11, 2016
Edrees HH, Brock DM, Wu AW, et al. The experiences of risk managers in providing emotional support for
health care workers after adverse events. J Healthc Risk Manag. 2016;35(4):14-21.
doi:10.…
-
psnet.ahrq.gov/node/843321/psn-pdf
February 01, 2023 - Latent and active failures perfectly align to allow a
preventable adverse event to reach a patient.
February 1, 2023
ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4.
https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-
reach-patient
…