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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863215/psn-pdfFebruary 28, 2024 - Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. February 28, 2024 Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2024;310:324-328. doi:10.3233/shti230980. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40355/psn-pdfJuly 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866163/psn-pdfJune 19, 2024 - Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. June 19, 2024 Harada Y, Suzuki T, Harada T, et al. Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44334/psn-pdfNovember 20, 2015 - Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. November 20, 2015 Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their Interpre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73311/psn-pdfJanuary 01, 2022 - Key considerations in ensuring a safe regional telehealth care model: a systematic review. May 26, 2021 Haveland S, Islam S. Key considerations in ensuring a safe regional telehealth care model: a systematic review. Telemed J E Health. 2022;28(5):602-612. doi:10.1089/tmj.2020.0580. https://psnet.ahrq.gov/issue/key… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837697/psn-pdfJuly 20, 2022 - Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. July 20, 2022 Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013–20: an observational study … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44005/psn-pdfApril 08, 2015 - Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. April 8, 2015 Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patient Saf Surg. 2015;9:12. doi:10.1186/s1303… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35448/psn-pdfSeptember 18, 2009 - Relationship between performance measurement and accreditation: implications for quality of care and patient safety. September 18, 2009 Miller MR, Pronovost P, Donithan M, et al. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Am J Med Qual. 2005… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41045/psn-pdfJuly 02, 2014 - Relating faults in diagnostic reasoning with diagnostic errors and patient harm. July 2, 2014 Zwaan L, Thijs A, Wagner C, et al. Relating faults in diagnostic reasoning with diagnostic errors and patient harm. Acad Med. 2012;87(2):149-156. doi:10.1097/ACM.0b013e31823f71e6. https://psnet.ahrq.gov/issue/relating-fau… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47323/psn-pdfSeptember 26, 2018 - About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. September 26, 2018 Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback: Exploring Resident and Faculty Perceptions of How Institutional Feedbac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38569/psn-pdfMay 20, 2009 - Reducing health care hazards: lessons from the Commercial Aviation Safety Team. May 20, 2009 Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73560/psn-pdfAugust 04, 2021 - Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. August 4, 2021 Mulac A, Mathiesen L, Taxis K, et al. Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47083/psn-pdfJune 21, 2018 - Accuracy of skin cancer diagnosis by physician assistants compared with dermatologists in a large health care system. June 21, 2018 Anderson AM, Matsumoto M, Saul MI, et al. Accuracy of Skin Cancer Diagnosis by Physician Assistants Compared With Dermatologists in a Large Health Care System. JAMA Dermatol. 2018;154… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61045/psn-pdfOctober 21, 2020 - Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. October 21, 2020 Murphy ZR, Wang J, Boland MV. Association of electronic health record use above meaningful use thresholds with hospital quality and safety outcomes. JAMA Netw Open. 2020;3(9):e201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45340/psn-pdfAugust 17, 2016 - To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. August 17, 2016 Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculum. J Patient Saf. 2016;16(1):e39-e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73961/psn-pdfOctober 13, 2021 - Analysis of consistency in emergency department physician variation in propensity for admission across patient sociodemographic groups. October 13, 2021 Khidir H, McWilliams JM, O’Malley AJ, et al. Analysis of consistency in emergency department physician variation in propensity for admission across patient sociod… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35570/psn-pdfMay 27, 2011 - Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. May 27, 2011 Han YY, Carcillo JA, Venkataraman ST, et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics. 2005;116(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867014/psn-pdfOctober 23, 2024 - Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. October 23, 2024 Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. https://psnet.ahrq.gov/issue/secondary-analys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74027/psn-pdfNovember 03, 2021 - Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. November 3, 2021 Blume KS, Dietermann K, Kirchner?Heklau U, et al. Staffing levels and nursing?sensitive patient outcomes: umbrella review and qualitative study. Health Serv Res. 2021;56(5):885-907. doi:10.1111/1475- 677… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35752/psn-pdfDecember 23, 2012 - Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. December 23, 2012 Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Ann Intern Med. 2002;137(5 Part 1):327-333. ht…
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