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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73466/psn-pdf
    July 07, 2021 - COVID-19 and open notes: a new method to enhance patient safety and trust. July 7, 2021 Blease CR, Salmi L, Hägglund M, et al. COVID-19 and open notes: a new method to enhance patient safety and trust. JMIR Ment Health. 2021;8(6):e29314. doi:10.2196/29314. https://psnet.ahrq.gov/issue/covid-19-and-open-notes-new-m…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73890/psn-pdf
    September 29, 2021 - Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? September 29, 2021 Martin GP, Chew S, Dixon-Woods M. Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualitative study. Soc Sci Med. 2021…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44672/psn-pdf
    October 11, 2017 - Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. October 11, 2017 Magrabi F, Liaw ST, Arachi D, et al. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. BMJ…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73443/psn-pdf
    June 30, 2021 - Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year period. June 30, 2021 Le Cornu E, Murray S, Brown EJ, et al. Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen?year period. J Med Radiat Sci. 2021;6…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74217/psn-pdf
    December 22, 2021 - NPSD Data Spotlight, Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency, 2021. December 22, 2021 Rockville, MD: Agency for Healthcare Research and Quality; November 2021. AHRQ Pub. No. 22-0005. https://psnet.ahrq.gov/issue/npsd-data-spotlight-patient-safety-and-covid…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837700/psn-pdf
    July 20, 2022 - Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. July 20, 2022 Lou SS, Lew D, Harford DR, et al. Temporal associations between EHR-derived workload, burnout, and errors: a prospective cohort study. J Gen Intern Med. 2022;37(9):2165-2172. doi:10.1007/s11606-022- 0…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43662/psn-pdf
    November 05, 2014 - A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. November 5, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5. https://psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly- fr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37454/psn-pdf
    January 09, 2008 - Quantifying nursing workflow in medication administration. January 9, 2008 Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc. https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866819/psn-pdf
    September 25, 2024 - Machine learning to enhance electronic detection of diagnostic errors. September 25, 2024 Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. https://psnet.ahrq.gov/issue/machine-learnin…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45817/psn-pdf
    October 25, 2017 - The Case for Investing in Patient Safety in Canada. October 25, 2017 RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/case-investing-patient-safety-canada Medical error and patient harm affect individuals and organizations around the world. This report estimates that…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74184/psn-pdf
    May 05, 2017 - Systematic review of the impact of physician implicit racial bias on clinical decision making. May 5, 2017 Dehon E, Weiss N, Jones J, et al. Systematic review of the impact of physician implicit racial bias on clinical decision making. Acad Emerg Med. 2017;24(8):895-904. doi:10.1111/acem.13214. https://psnet.ahrq.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45765/psn-pdf
    April 05, 2017 - Clinical reasoning in the context of active decision support during medication prescribing. April 5, 2017 Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.ijmedinf.2016.09.004. https://psne…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72823/psn-pdf
    March 10, 2021 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. March 10, 2021 Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. J Gen Intern Med.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45247/psn-pdf
    August 15, 2016 - Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. August 15, 2016 Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatric Residency Program. Acad Pediat…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849128/psn-pdf
    May 17, 2023 - Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. May 17, 2023 Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837029/psn-pdf
    May 04, 2022 - Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. May 4, 2022 doi:10.1001/jamaoncol.2022.0114. https://psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment- breast-radiotherapy Concordance of patient-reported symptoms and p…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45463/psn-pdf
    April 12, 2017 - Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality improvement. April 12, 2017 de Wet C, Black C, Luty S, et al. Implementation of the trigger review method in Scottish general practices: patient safety outcomes and potential for quality imp…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73440/psn-pdf
    June 30, 2021 - Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes. June 30, 2021 Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients’ subsequent clinical course and outcomes. BMJ Qual …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34653/psn-pdf
    March 07, 2005 - Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. March 7, 2005 Gaba DM. California Manage Rev. 2000;43(1):83-102. https://psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care- other-high-hazard Gaba ana…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851648/psn-pdf
    July 26, 2023 - Perspectives about racism and patient-clinician communication among black adults with serious illness. July 26, 2023 Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication among black adults with serious illness. JAMA Netw Open. 2023;6(7):e2321746. doi:10.1001/jamane…
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