-
psnet.ahrq.gov/node/867380/psn-pdf
December 18, 2024 - Cognitive biases and artificial intelligence.
December 18, 2024
Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639.
doi:10.1056/aics2400639.
https://psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
Previous studies have raised concerns about cognit…
-
psnet.ahrq.gov/node/60292/psn-pdf
May 06, 2020 - Overcoming COVID-19: what can human factors and
ergonomics offer?
May 6, 2020
Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and
ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764.
https://psnet.ahrq.gov/issue/overcoming-covid-19-…
-
psnet.ahrq.gov/node/46319/psn-pdf
August 09, 2017 - Opioids in Medicare Part D: Concerns About Extreme Use
and Questionable Prescribing.
August 9, 2017
Office of the Inspector General. Washington, DC: US Department of Health and Human Services; July
2017. Report No. OEI-02-17-00250.
https://psnet.ahrq.gov/issue/opioids-medicare-part-d-concerns-about-extreme-use-and…
-
psnet.ahrq.gov/node/34013/psn-pdf
December 22, 2008 - Defining and measuring patient safety.
December 22, 2008
Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin.
2005;21(1):1-19, vii.
https://psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
This review discusses the increasing demand for improving patient…
-
psnet.ahrq.gov/node/73491/psn-pdf
July 14, 2021 - Patient and family engagement in catheter-associated
urinary tract infection (CAUTI) prevention: a systematic
review.
July 14, 2021
Mangal S, Pho A, Arcia A, et al. Patient and family engagement in catheter-associated urinary tract
infection (CAUTI) prevention: a systematic review. Jt Comm J Qual Patient Saf. 2021…
-
psnet.ahrq.gov/node/47636/psn-pdf
December 12, 2018 - Learning from tragedy: the Julia Berg story.
December 12, 2018
Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl).
2018;5(4):257-266. doi:10.1515/dx-2018-0067.
https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
This commentary provides a clinical review of …
-
psnet.ahrq.gov/node/38098/psn-pdf
March 03, 2011 - Quality of clinical aspects of call handling at Dutch out of
hours centres: cross sectional national study.
March 3, 2011
Derkx HP, Rethans J-JE, Muijtjens AM, et al. Quality of clinical aspects of call handling at Dutch out of
hours centres: cross sectional national study. BMJ. 2008;337:a1264. doi:10.1136/bmj.a126…
-
psnet.ahrq.gov/node/42922/psn-pdf
April 12, 2014 - Successful implementation of standardized
multidisciplinary bedside rounds, including daily goals, in
a pediatric ICU.
April 12, 2014
Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside
rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…
-
psnet.ahrq.gov/node/47108/psn-pdf
June 06, 2018 - Cognitive bias in clinical practice—nurturing healthy
skepticism among medical students.
June 6, 2018
Bhatti A. Cognitive bias in clinical practice - nurturing healthy skepticism among medical students. Adv Med
Educ Pract. 2018;9:235-237. doi:10.2147/AMEP.S149558.
https://psnet.ahrq.gov/issue/cognitive-bias-clinic…
-
psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
-
psnet.ahrq.gov/node/47431/psn-pdf
September 26, 2018 - Partnering with pediatric patients and families in high
reliability to identify and reduce preventable safety
events.
September 26, 2018
Kirby J, Cannon C, Darrah L, et al. Patient Exp J. 2018;5:76-90.
https://psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-
pr…
-
psnet.ahrq.gov/node/44490/psn-pdf
September 16, 2015 - Implementation of a custom alert to prevent medication-
timing errors associated with computerized prescriber
order entry.
September 16, 2015
Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing
errors associated with computerized prescriber order entry. Am J Heal…
-
psnet.ahrq.gov/node/852282/psn-pdf
August 09, 2023 - Implementation of medication reconciliation in outpatient
cancer care.
August 9, 2023
Powis M, Dara C, Macedo A, et al. Implementation of medication reconciliation in outpatient cancer care.
BMJ Open Quality. 2023;12(2):e002211. doi:10.1136/bmjoq-2022-002211.
https://psnet.ahrq.gov/issue/implementation-medication-…
-
psnet.ahrq.gov/node/47158/psn-pdf
August 15, 2018 - A standardized handoff simulation promotes recovery
from auditory distractions in resident physicians.
August 15, 2018
Matern LH, Farnan JM, Hirsch KW, et al. A Standardized Handoff Simulation Promotes Recovery From
Auditory Distractions in Resident Physicians. Simul Healthc. 2018;13(4):233-238.
doi:10.1097/SIH.00…
-
psnet.ahrq.gov/node/50910/psn-pdf
February 19, 2020 - SEIPS 3.0: human-centered design of the patient journey
for patient safety.
February 19, 2020
Carayon P, Wooldridge AR, Hoonakker P, et al. SEIPS 3.0: human-centered design of the patient journey
for patient safety. App Ergon. 2020;84:103033. doi:10.1016/j.apergo.2019.103033.
https://psnet.ahrq.gov/issue/seips-30-…
-
psnet.ahrq.gov/node/47564/psn-pdf
December 05, 2018 - Challenges and opportunities for improving patient safety
through human factors and systems engineering.
December 5, 2018
Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety
Through Human Factors And Systems Engineering. Health Aff (Millwood). 2018;37(11):1862-1869.
…
-
psnet.ahrq.gov/node/46487/psn-pdf
May 16, 2018 - High Reliability for a Highly Unreliable World: Preparing
for Code Blue Through Daily Operations in Healthcare.
May 16, 2018
van Stralen D, Byrum SL, Inozu B. North Charleston, SC: CreateSpace Publishing; 2018. ISBN:
1974506371.
https://psnet.ahrq.gov/issue/high-reliability-highly-unreliable-world-preparing-code-b…
-
psnet.ahrq.gov/node/34677/psn-pdf
February 09, 2011 - Patients' and physicians' attitudes regarding the
disclosure of medical errors.
February 9, 2011
Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure
of medical errors. JAMA. 2003;289(8):1001-7.
https://psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regar…
-
psnet.ahrq.gov/node/837666/psn-pdf
July 13, 2022 - Developing and aligning a safety event taxonomy for
inpatient psychiatry.
July 13, 2022
Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient
psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935.
https://psnet.ahrq.gov/issue/developing-a…
-
psnet.ahrq.gov/node/34761/psn-pdf
November 15, 2016 - The Girl Who Died Twice: Every Patient's Nightmare: the
Libby Zion Case and the Hidden Hazards of Hospitals.
November 15, 2016
Robins NS. New York NY: Delacorte Press; 1995. ISBN: 9780385308090.
https://psnet.ahrq.gov/issue/girl-who-died-twice-every-patients-nightmare-libby-zion-case-and-hidden-
hazards-hosp…