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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839323/psn-pdfNovember 02, 2022 - Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. November 2, 2022 See H, Shreve L, Hartzell S, et al. Comparison of quality measures from US hospitals with physician vs nonphysician chief executive officers. JAMA Netw Open. 2022;5(10):e2236621. doi:10.1001/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73608/psn-pdfJanuary 01, 2022 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non- randomized intervention studies. August 18, 2021 Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention on the reduction of inappropri… -
www.ahrq.gov/teamstepps-program/curriculum/mutual/tools/cus.htmlMay 01, 2023 - Tool: CUS Using the CUS technique provides another tool for advocacy, assertion, and mutual support. Signs with words such as "danger," "warning," and "caution" are common in the medical arena. They catch the viewer’s attention. In verbal communication, "CUS" and other signal phrases have a similar effect. If a…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40524/psn-pdfMarch 04, 2019 - Principles of pediatric patient safety: reducing harm due to medical care. March 4, 2019 Mueller BU, Neuspiel DR, Fisher ERS, et al. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care. Pediatrics. 2019;143(2):e20183649. doi:10.1542/peds.2018-3649. https://psnet.ahrq.gov/issue/principles-pedi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47118/psn-pdfAugust 08, 2018 - Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. August 8, 2018 Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.1016/j.jclinane.2017.12.008. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47415/psn-pdfDecember 05, 2018 - Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? December 5, 2018 Lockhart JJ, Satya-Murti S. Blinding or information control in diagnosis: could it reduce errors in clinical decision-making? Diagnosis (Berl). 2018;5(4):179-189. doi:10.1515/dx-2018-0030. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45350/psn-pdfOctober 21, 2016 - A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. October 21, 2016 National Academies of Sciences, Engineering, and Medicine. Washington, DC: National Academies Press; 2016. https://psnet.ahrq.gov/issue/national-trauma-care-system-inte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38096/psn-pdfJanuary 02, 2017 - Handoffs causing patient harm: a survey of medical and surgical house staff. January 2, 2017 Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. https://psnet.ahrq.gov/issue/handoffs-causing-patient-harm-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44098/psn-pdfApril 29, 2015 - Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquired pressure ulcers: a systematic review and documentary analysis. April 29, 2015 McGraw C, Drennan VM. Evaluation of the suitability of root cause analysis frameworks for the investigation of community-acquire… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41313/psn-pdfJanuary 18, 2017 - Apology for errors: whose responsibility? January 18, 2017 Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12. https://psnet.ahrq.gov/issue/apology-errors-whose-responsibility Although victims of adverse events have clearly expressed their preferences for full error disclos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41700/psn-pdfDecember 31, 2014 - High-priority drug–drug interactions for use in electronic health records. December 31, 2014 Phansalkar S, Desai AA, Bell D, et al. High-priority drug-drug interactions for use in electronic health records. J Am Med Inform Assoc. 2012;19(5):735-43. doi:10.1136/amiajnl-2011-000612. https://psnet.ahrq.gov/issue/high… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860719/psn-pdfJanuary 17, 2024 - Diagnostic accuracy of a large language model in pediatric case studies. January 17, 2024 Barile J, Margolis A, Cason G, et al. Diagnostic accuracy of a large language model in pediatric case studies. JAMA Pediatr. 2024;178(3):313-315. doi:10.1001/jamapediatrics.2023.5750. https://psnet.ahrq.gov/issue/diagnostic-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35620/psn-pdfFebruary 03, 2011 - Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes. February 3, 2011 Alexander KP, Chen AY, Roe MT, et al. Excess dosing of antiplatelet and antithrombin agents in the treatment of non-ST-segment elevation acute coronary syndromes. JAMA. 2005… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44242/psn-pdfJanuary 08, 2016 - Interpretive diagnostic error reduction in surgical pathology and cytology: guideline from the College of American Pathologists Pathology and Laboratory Quality Center and the Association of Directors of Anatomic and Surgical Pathology. January 8, 2016 Nakhleh RE, Nosé V, Colasacco C, et al. Interpretive Diagnost… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44552/psn-pdfJune 21, 2016 - Reducing diagnostic errors—why now? June 21, 2016 Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491- 2493. doi:10.1056/NEJMp1508044. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now Diagnostic error has recently garnered attention as a patient safety pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44680/psn-pdfFebruary 24, 2018 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. February 24, 2018 McGlynn EA, McDonald KM, Cassel C. Measurement Is Essential for Improving Diagnosis and Reducing Diagnostic Error: A Report From the Institute of Medicine. JAMA. 2015;314(23):2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35872/psn-pdfSeptember 07, 2011 - Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. September 7, 2011 Berner ES, Houston TK, Ray MN, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. J Am Med Inform Assoc. 2006;13(2):17… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866580/psn-pdfAugust 28, 2024 - The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. August 28, 2024 Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10?year review of enteral misconnection adverse events and narrative review. Nutr Clin Prac. 2024;39(5):1251-1258. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47035/psn-pdfApril 18, 2018 - General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. April 18, 2018 Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern Med. 2018;33(4):395-396. doi:10.1007/s11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44590/psn-pdfNovember 11, 2015 - Physician motivation: listening to what pay-for- performance programs and quality improvement collaboratives are telling us. November 11, 2015 Herzer KR, Pronovost P. Physician Motivation: Listening to What Pay-for-Performance Programs and Quality Improvement Collaboratives Are Telling Us. Jt Comm J Qual Patient S…
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