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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60896/psn-pdf
    January 01, 2021 - Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19. September 9, 2020 Röösli E, Rice B, Hernandez-Boussard T. Bias at Warp Speed: How AI may Contribute to the Disparities Gap in the Time of COVID-19. J Am Med Inform Assoc. 2021;28(1):190-192. doi:10.1093/jamia/ocaa210. https:/…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73977/psn-pdf
    October 20, 2021 - Optimizing situation awareness to reduce emergency transfers in hospitalized children. October 20, 2021 Sosa T, Sitterding M, Dewan M, et al. Optimizing situation awareness to reduce emergency transfers in hospitalized children. Pediatrics. 2021;148(4):e2020034603. doi:10.1542/peds.2020-034603. https://psnet.ahrq.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45940/psn-pdf
    October 31, 2017 - Crossing the communication chasm: challenges and opportunities in transitions of care from the hospital to the primary care clinic. October 31, 2017 Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in Transitions of Care from the Hospital to the Primary Care Clini…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41423/psn-pdf
    January 03, 2017 - Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors. January 3, 2017 Nair BG, Peterson GN, Newman S-F, et al. Improving documentation of a beta-blocker quality measure through an anesthesia information man…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853244/psn-pdf
    September 06, 2023 - Error traps in pediatric patient blood management in the perioperative period. September 6, 2023 Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683. https://psnet.ahrq.gov/issue/error-traps-pe…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34806/psn-pdf
    December 23, 2008 - Identification of in-hospital complications from claims data. Is it valid? December 23, 2008 Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95. https://psnet.ahrq.gov/issue/identification-hospital-complications-claims-d…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73984/psn-pdf
    October 20, 2021 - Analyzing diagnostic errors in the acute setting: a process-driven approach. October 20, 2021 Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033. https://psnet.ahrq.gov/issue/analyzing-diagno…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845300/psn-pdf
    March 01, 2023 - The impact of medication reconciliation and review in patients using oral chemotherapy. March 1, 2023 Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.1177/10781552211066959. https://psnet…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45626/psn-pdf
    October 29, 2017 - The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. October 29, 2017 Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chem…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853235/psn-pdf
    September 06, 2023 - When the lights go down in the delivery room: lessons from a ransomware attack. September 6, 2023 Gabbay?Benziv R, Ben?Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002/ijgo.14687. https://psnet.ahrq.gov…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74271/psn-pdf
    January 19, 2022 - Improving shared situation awareness for high-risk therapies in hospitalized children. January 19, 2022 Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.2021-006193. https://psnet.ahrq.go…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46658/psn-pdf
    April 18, 2018 - Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. April 18, 2018 Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. App Ergon. 2018;67(Feb):104-114. doi:10.1016/j.apergo.2017.09.010. htt…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43423/psn-pdf
    August 12, 2014 - Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. August 12, 2014 Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.1136/bmjqs-2013-002718. https://psnet.a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45579/psn-pdf
    November 01, 2017 - Factors influencing patient safety during postoperative handover. November 1, 2017 Rose M, Newman SD. AANA J. 2016;84:329-338. https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover Patient handoffs between care teams are vulnerable to error. This scoping review explored the …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36680/psn-pdf
    July 10, 2008 - Identifying diagnostic errors in primary care using an electronic screening algorithm. July 10, 2008 Singh H, Thomas EJ, Khan MM, et al. Identifying diagnostic errors in primary care using an electronic screening algorithm. Arch Intern Med. 2007;167(3):302-308. https://psnet.ahrq.gov/issue/identifying-diagnostic-e…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43715/psn-pdf
    November 26, 2014 - An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. November 26, 2014 Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. https://psnet.ahrq.gov/issue/inter…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37295/psn-pdf
    February 24, 2011 - Limited health literacy is a barrier to medication reconciliation in ambulatory care. February 24, 2011 Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. https://psnet.ahrq.gov/issue/limited-health-li…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46030/psn-pdf
    March 29, 2017 - Improving surgical complications and patient safety at the nation's largest military hospital: an analysis of National Surgical Quality Improvement Program data. March 29, 2017 Maturo S, Hughes C, Kallingal G, et al. Improving Surgical Complications and Patient Safety at the Nation's Largest Military Hospital: An …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44619/psn-pdf
    November 04, 2015 - Seeing through Google Glass: using an innovative technology to improve medication safety behaviors in undergraduate nursing students. November 4, 2015 Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46972/psn-pdf
    March 28, 2018 - SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital Survey. March 28, 2018 Rockville, MD: Agency for Healthcare Research and Quality; March 2018. https://psnet.ahrq.gov/issue/sops-health-information-technology-patient-safety-supplemental-item-set- hospital-survey Organizationa…
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