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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47294/psn-pdfNovember 19, 2018 - 2017 John M. Eisenberg Patient Safety and Quality Awards. November 19, 2018 Jt Comm J Qual Patient Saf. 2018;44(7):373-400. https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made unique and sustained contributions… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47753/psn-pdfApril 24, 2019 - Teams of psychologists helping teams: the evolution of the science of team training. April 24, 2019 Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psychol. 2019;74(3):278-289. doi:10.1037/amp0000419. https://psnet.ahrq.gov/issue/teams… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37444/psn-pdfJanuary 02, 2008 - My brother's keeper: must a physician disclose another's medical error and potential negligence? January 2, 2008 Liang BA, Smith C by DS. My brother's keeper: must a physician disclose another's medical error and potential negligence? J Clin Anesth. 2007;19(7):558-562. doi:10.1016/j.jclinane.2007.05.005. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35044/psn-pdfSeptember 27, 2017 - Decisions about critical events in device-related scenarios as a function of expertise. September 27, 2017 Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. https://psnet.ahrq.gov/issue/decisions-ab… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46912/psn-pdfMarch 28, 2018 - Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. March 28, 2018 London, UK: Parliamentary and Health Service Ombudsman; 2017. ISBN: 9781528601344. https://psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients Patients with mental health conditions fac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37928/psn-pdfMarch 10, 2011 - A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. March 10, 2011 Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. J Am Med Inform Assoc. 2008… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39841/psn-pdfDecember 18, 2014 - Emergency department visits for medical device–associated adverse events among children. December 18, 2014 Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-0528. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43585/psn-pdfJuly 16, 2015 - At risk care plans: a way to reduce readmissions and adverse events. July 16, 2015 Bahle J, Majercik C, Ludwick R, et al. At Risk Care Plans: a way to reduce readmissions and adverse events. J Nurs Care Qual. 2015;30(3):200-4. doi:10.1097/NCQ.0000000000000106. https://psnet.ahrq.gov/issue/risk-care-plans-way-reduc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43636/psn-pdfNovember 26, 2014 - Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. November 26, 2014 Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin Med. 2014;14(5):468-474. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837902/psn-pdfAugust 24, 2022 - Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. August 24, 2022 Pruitt Z, Howe JL, Krevat S, et al. Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. JAMIA Open. 2022;5(3):ooac070. doi:10.1093/jamiaop… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45947/psn-pdfJuly 11, 2017 - Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses. July 11, 2017 Johnson J, Louch G, Dunning A, et al. Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses. J Adv N… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47126/psn-pdfMay 16, 2018 - Unintended adverse consequences of a clinical decision support system: two cases. May 16, 2018 Stone EG. Unintended adverse consequences of a clinical decision support system: two cases. J Am Med Inform Assoc. 2018;25(5):564-567. doi:10.1093/jamia/ocx096. https://psnet.ahrq.gov/issue/unintended-adverse-consequence… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44582/psn-pdfJanuary 23, 2017 - Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. January 23, 2017 Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1):18-25. doi:10.1177/10781552156… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35112/psn-pdfJune 22, 2009 - Medication safety in older adults: home-based practice patterns. June 22, 2009 Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am Geriatr Soc. 2005;53(6):976-982. https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns This s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37315/psn-pdfMay 26, 2011 - Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. May 26, 2011 Subramanian S, Hoover S, Gilman BH, et al. Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakehold… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45854/psn-pdfJuly 12, 2017 - The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. July 12, 2017 Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and Evaluation of a Website to Reduce … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46097/psn-pdfAugust 09, 2017 - Administering and monitoring high-alert medications in acute care. August 9, 2017 Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47140/psn-pdfMay 01, 2019 - Reduced verification of medication alerts increases prescribing errors. May 1, 2019 Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009. https://psnet.ahrq.gov/issue/reduced-verification-medication-aler… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44234/psn-pdfSeptember 09, 2015 - Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. September 9, 2015 Mussman GM, Vossmeyer MT, Brady PW, et al. Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37631/psn-pdfMay 18, 2015 - The science of improvement. May 18, 2015 Berwick DM. The science of improvement. JAMA. 2008;299(10):1182-4. doi:10.1001/jama.299.10.1182. https://psnet.ahrq.gov/issue/science-improvement This commentary by Dr. Donald Berwick, president of the Institute for Healthcare Improvement, addresses the growing tension betw…
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