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8141. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41378/psn-pdf
      March 04, 2015 - Clinically missed cancer: how effectively can radiologists use computer-aided detection? March 4, 2015 Nishikawa RM, Schmidt RA, Linver MN, et al. Clinically Missed Cancer: How Effectively Can Radiologists Use Computer-Aided Detection? American Journal of Roentgenology. 2012;198(3). doi:10.2214/ajr.11.6423. https…

8142. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44854/psn-pdf
      March 16, 2016 - Bring back the autopsy. March 16, 2016 Jauhar S. New York Times. March 3, 2016. https://psnet.ahrq.gov/issue/bring-back-autopsy Performance of autopsies, previously considered an essential learning tool for clinicians, has decreased in recent years due to insufficient funding to cover costs and lack of physician e…

8143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845075/psn-pdf
      February 22, 2023 - Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. February 22, 2023 Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,3–4,7. https://psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology Technological advancement…

8144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47795/psn-pdf
      February 20, 2019 - Three laws for paperlessness. February 20, 2019 Thimbleby H. Three laws for paperlessness. Digit Health. 2019;5:2055207619827722. doi:10.1177/2055207619827722. https://psnet.ahrq.gov/issue/three-laws-paperlessness The digitization of health care data has had some positive effects on patient safety, but it has also…

8145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33953/psn-pdf
      February 05, 2018 - Evidence-based Recommendations for Best Practices in Weight Loss Surgery.  February 5, 2018 Expert Panel on Weight Loss Surgery, Betsy Lehman Center for Patient Safety and Medical Error Reduction. Obesity Res. 2005;13(2):203-379. https://psnet.ahrq.gov/issue/expert-panel-weight-loss-surgery-betsy-lehman-center-pat…

8146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38573/psn-pdf
      April 22, 2009 - Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. April 22, 2009 Lippi G, Blanckaert N, Bonini P, et al. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. Clin Chem Lab Med. 2009;47(2):143-53. doi:10.1515/CCLM.2009.0…

8147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34904/psn-pdf
      February 27, 2009 - Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. February 27, 2009 Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J Am Geriatr Soc. 2005;53(2):262-7.…

8148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46520/psn-pdf
      December 19, 2017 - The emotional fallout from the culture of blame and shame. December 19, 2017 Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691. https://psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame In this commentary, a p…

8149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44998/psn-pdf
      April 20, 2016 - High reliability: excellent care every time. April 20, 2016 Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. https://psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time Achieving high reliability has attracted attention as a goal in health care. This article provides an…

8150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36722/psn-pdf
      April 27, 2010 - Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. April 27, 2010 Brailer DJ. Health information technology is a vehicle, not a destination: a conversation with David J. Brailer. Interview by Arnold Milstein. Health Aff (Millwood). 2007;26(2):w236-41. https://psnet…

8151. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44551/psn-pdf
      September 30, 2015 - Safety culture includes "good catches." September 30, 2015 Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065. https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches Near misses can provide opportunities for learning if there is a pro…

8152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41900/psn-pdf
      December 05, 2012 - Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. December 5, 2012 Martinez-Anton A, Sanchez I, Casanueva L. Impact of an intervention to reduce prescribing errors in a pediatric intensive care unit. Intensive Care Med. 2012;38(9):1532-8. doi:10.1007/s00134-012-2609-x. http…

8153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42505/psn-pdf
      August 28, 2013 - Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. August 28, 2013 Mort E, Demehin AA, Marple KB, et al. Setting quality and safety priorities in a target-rich environment: an academic medical center's challenge. Acad Med. 2013;88(8):1099-104. doi:10.1097/AC…

8154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43879/psn-pdf
      February 04, 2015 - Complaints and Raising Concerns. February 4, 2015 Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350. https://psnet.ahrq.gov/issue/complaints-and-raising-concerns Complaints are a proactive way to monitor and address rec…

8155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47120/psn-pdf
      July 18, 2018 - Complicated: medical missteps are not inevitable. July 18, 2018 Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178- 1181. doi:10.1377/hlthaff.2017.1550. https://psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable This commentary provides a clini…

8156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47899/psn-pdf
      April 24, 2019 - What words convey: the potential for patient narratives to inform quality improvement. April 24, 2019 Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.12374. https://psnet.ahrq.gov/iss…

8157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40062/psn-pdf
      July 24, 2011 - Improving medication safety in primary care using electronic health records. July 24, 2011 Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43. https://psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-heal…

8158. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43487/psn-pdf
      September 03, 2014 - Mentorship for newly appointed physicians: a strategy for enhancing patient safety? September 3, 2014 Harrison R, McClean S, Lawton R, et al. Mentorship for newly appointed physicians: a strategy for enhancing patient safety? J Patient Saf. 2014;10(3):159-67. doi:10.1097/PTS.0b013e31829e4b7e. https://psnet.ahrq.go…

8159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46677/psn-pdf
      June 25, 2018 - Diagnostic errors in paediatric cardiac intensive care. June 25, 2018 Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906. https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care R…

8160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42383/psn-pdf
      December 29, 2014 - Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. December 29, 2014 Dubois C-A, D'Amour D, Tchouaket E, et al. Associations of patient safety outcomes with models of nursing care organization at unit level in hospitals. Int J Qual Health Care. 2013;25(2):11…