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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37292/psn-pdfMay 24, 2015 - Guilty, afraid, and alone — struggling with medical error. May 24, 2015 Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. https://psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error Disclosure of medical errors remains an important a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40254/psn-pdfSeptember 19, 2016 - Medical error: the second victim. September 19, 2016 Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. https://psnet.ahrq.gov/issue/medical-error-second-victim This editorial coined the term "second victim" to describe clinicians who commit error… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43716/psn-pdfNovember 17, 2015 - Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study. November 17, 2015 Srigley JA, Furness CD, Baker R, et al. Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72544/psn-pdfDecember 09, 2020 - Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020 Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34065/psn-pdfFebruary 09, 2011 - Incidence and preventability of adverse drug events among older persons in the ambulatory setting. February 9, 2011 Gurwitz JH, Field T, Harrold LR, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. JAMA. 2003;289(9):1107-1116. doi:10.1001/jama.289.9.1107. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43627/psn-pdfNovember 12, 2014 - The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. November 12, 2014 Cook TM, Andrade J, Bogod DG, et al. The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849599/psn-pdfMay 31, 2023 - Racial inequality in receipt of medications for opioid use disorder. May 31, 2023 Barnett ML, Meara E, Lewinson T, et al. Racial inequality in receipt of medications for opioid use disorder. New Engl J Med. 2023;388(19):1779-1789. doi:10.1056/nejmsa2212412. https://psnet.ahrq.gov/issue/racial-inequality-receipt-me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48012/psn-pdfJune 12, 2019 - American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. June 12, 2019 American Geriatrics Society 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults. J Am Geriatr Soc. 2019;67(4):674-694. doi:10.1111/jgs.15… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46391/psn-pdfFebruary 08, 2018 - Nature of blame in patient safety incident reports: mixed methods analysis of a national database. February 8, 2018 Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-461. doi:10.1370/afm.2123. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865485/psn-pdfApril 03, 2024 - Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services. April 3, 2024 Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from participant observation across three men… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74179/psn-pdfJanuary 01, 2022 - Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. December 12, 2021 Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst Pharm. 2022;79(4):297-305. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35886/psn-pdfJuly 23, 2010 - In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units. July 23, 2010 Parshuram CS, Kirpalani H, Mehta S, et al. In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units. Crit Care Med. 2006;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46419/psn-pdfApril 12, 2019 - Medical malpractice lawsuits involving surgical residents. April 12, 2019 Thiels CA, Choudhry AJ, Ray-Zack MD, et al. Medical Malpractice Lawsuits Involving Surgical Residents. JAMA Surg. 2017;153(1). doi:10.1001/jamasurg.2017.2979. https://psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-surgical-reside… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866404/psn-pdfJuly 31, 2024 - Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. July 31, 2024 Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47854/psn-pdfMarch 27, 2019 - Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety. March 27, 2019 Mishra SR, Haldar S, Khelifi M, et al. Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety. AMIA Annu Symp Proc. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44338/psn-pdfNovember 23, 2015 - Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. November 23, 2015 Washington, DC: US Department of Health and Human Services. Baltimore, MD: Centers for Medicare & Medicaid Services. Fed Register. July 16, 2015;80:42167-42269. https://psnet.ahrq.gov/issue/medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865870/psn-pdfMay 15, 2024 - Leading quality and safety on the frontline - a case study of department leaders in nursing homes. May 15, 2024 Magerøy M, Braut GS, Macrae C, et al. Leading quality and safety on the frontline - a case study of department leaders in nursing homes. J Healthc Leadersh. 2024;16:193-208. doi:10.2147/jhl.s454109. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865709/psn-pdfMay 01, 2024 - Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. May 1, 2024 Haimi M, Wheeler SQ. Safety in teletriage by nurses and physicians in the United States and Israel: narrative review and qualitative study. JMIR Hum Factors. 2024;11:e50676. doi:10.219… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74728/psn-pdfFebruary 02, 2022 - Technology-based closed-loop tracking for improving communication and follow-up of pathology results. February 2, 2022 Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18(1):e262-e266. doi:10.1097/pts.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854990/psn-pdfNovember 01, 2023 - Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. November 1, 2023 Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a pragmatic electronic health rec…
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