-
psnet.ahrq.gov/node/47187/psn-pdf
September 05, 2018 - Supporting clinicians after adverse events: development
of a clinician peer support program.
September 5, 2018
Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a
Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508.
http…
-
psnet.ahrq.gov/node/73656/psn-pdf
September 01, 2021 - Opioid prescribing to US children and young adults in
2019.
September 1, 2021
Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019.
Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539.
https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-…
-
psnet.ahrq.gov/node/45919/psn-pdf
July 05, 2017 - Managing the patient identification crisis in healthcare
and laboratory medicine.
July 5, 2017
Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory
medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/35471/psn-pdf
September 21, 2009 - Medication safety in the ambulatory chemotherapy
setting.
September 21, 2009
Gandhi TK, Bartel SB, Shulman LN, et al. Medication safety in the ambulatory chemotherapy setting.
Cancer. 2005;104(11). doi:10.1002/cncr.21442.
https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting
Chemotherapeu…
-
psnet.ahrq.gov/node/851450/psn-pdf
July 19, 2023 - Patient safety for people experiencing advanced dementia
in hospital: a video reflexive ethnography.
July 19, 2023
Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in
hospital: a video reflexive ethnography. Dementia (London). 2023;22(5):1057-1076.
doi:10.1177/147…
-
psnet.ahrq.gov/node/74857/psn-pdf
February 23, 2022 - Clinical reasoning in dire times- analysis of cognitive
biases in clinical cases during the COVID-19 pandemic.
February 23, 2022
Coen M, Sader J, Junod-Perron N, et al. Clinical reasoning in dire times- analysis of cognitive biases in
clinical cases during the COVID-19 pandemic. Intern Emerg Med. 2022;17(4):979-988…
-
psnet.ahrq.gov/node/73563/psn-pdf
August 04, 2021 - Understanding complaints made about surgical
departments in a UK district general hospital.
August 4, 2021
Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK
district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intqhc/mzab095.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/41591/psn-pdf
November 26, 2014 - "Did I do as best as the system would let me?" Healthcare
professional views on hospital to home care transitions.
November 26, 2014
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare
professional views on hospital to home care transitions. J Gen Intern Med. 2012;27(12)…
-
psnet.ahrq.gov/node/853068/psn-pdf
August 30, 2023 - Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish
nationwide cohort study.
August 30, 2023
Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish nationwide cohort study…
-
psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
-
psnet.ahrq.gov/node/841762/psn-pdf
December 21, 2022 - Strategies for a safe interhospital transfer with an
intubated patient or where readiness for intubation is
needed: a critical incidents study.
December 21, 2022
Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient
or where readiness for intubation is need…
-
psnet.ahrq.gov/node/50596/psn-pdf
October 30, 2019 - Encouraging resident adverse event reporting: a
qualitative study of suggestions from the front lines.
October 30, 2019
Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative
Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167.
doi:10.1097/pq9.0000000…
-
psnet.ahrq.gov/node/46653/psn-pdf
July 02, 2019 - Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis.
July 2, 2019
Meyer AND, Thompson PJ, Khanna A, et al. Evaluating a mobile application for improving clinical
laboratory test ordering and diagnosis. J Am Med Inform Assoc. 2018;25(7):841-847.
doi:10.1093/jamia/ocy026.
h…
-
psnet.ahrq.gov/node/837633/psn-pdf
July 06, 2022 - Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric
emergency department.
July 6, 2022
Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences
regarding feedback on decision-making in a pediatric emergency department. Diagnosi…
-
psnet.ahrq.gov/node/44228/psn-pdf
September 04, 2016 - Bridging the gap: a framework and strategies for
integrating the quality and safety mission of teaching
hospitals and graduate medical education.
September 4, 2016
Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality
and Safety Mission of Teaching Hospitals a…
-
psnet.ahrq.gov/node/866351/psn-pdf
July 24, 2024 - Seeking systems-based facilitators of safety and
healthcare resilience: a thematic review of incident
reports.
July 24, 2024
Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a
thematic review of incident reports. Int J Qual Health Care. 2024;36(3):mzae057.
doi:10.1…
-
psnet.ahrq.gov/node/72658/psn-pdf
January 20, 2021 - “I made a mistake!”: a narrative analysis of experienced
physicians' stories of preventable error.
January 20, 2021
Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced
physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353…
-
psnet.ahrq.gov/node/47240/psn-pdf
March 06, 2019 - Improving detection of intraoperative medical errors
(iMEs) and intraoperative adverse events (iAEs) and their
contribution to postoperative outcomes.
March 6, 2019
Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and
intraoperative adverse events (iAEs) and their …
-
psnet.ahrq.gov/node/43488/psn-pdf
September 10, 2014 - The relationship between hospital systems load and
patient harm.
September 10, 2014
Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient
harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82.
https://psnet.ahrq.gov/issue/relationship-between-hospi…
-
psnet.ahrq.gov/node/50881/psn-pdf
February 12, 2020 - Adverse events during intrahospital transport of critically
ill children: a systematic review.
February 12, 2020
Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children:
A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. doi:10.1213/ane.0000000000004585…