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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47764/psn-pdfFebruary 13, 2019 - Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. February 13, 2019 Horn SR, Liu TC, Horowitz JA, et al. Clinical impact and economic burden of hospital-acquired conditions following common surgical procedures. Spine (Phila Pa 1976). 2018;43(22):E1358-E1363. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45974/psn-pdfMay 03, 2017 - Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. May 3, 2017 Ancker JS, Edwards A, Nosal S, et al. Effects of workload, work complexity, and repeated alerts on alert fatigue in a clinical decision support system. BMC Med Inform Decis Mak. 2017;17(1):3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37310/psn-pdfJanuary 05, 2012 - Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? January 5, 2012 Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens-- are we ready for a DNA time-out? J Urol. 2007;178(4 Pt 1):1245-8. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46858/psn-pdfMay 11, 2019 - Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery. May 11, 2019 Ban KA, Gibbons MM, Ko CY, et al. Evidence Review Conducted for the Agency for Healthcare Research and Quality Safety … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836785/psn-pdfMarch 23, 2022 - Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. March 23, 2022 Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. BMC Med Inform Decis Mak. 2022;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73863/psn-pdfSeptember 22, 2021 - Electronic health record interoperability-why electronically discontinued medications are still dispensed. September 22, 2021 Shervani S, Madden W, Gleason LJ. Electronic health record interoperability-why electronically discontinued medications are still dispensed. JAMA Intern Med. 2021;181(10):1383-1384. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43673/psn-pdfNovember 19, 2014 - Work-arounds observed by fourth-year nursing students. November 19, 2014 Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. https://psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students Accordi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44069/psn-pdfOctober 08, 2016 - An anesthesia preinduction checklist to improve information exchange, knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams. October 8, 2016 Tscholl DW, Weiss M, Kolbe M, et al. An Anesthesia Preinduction Checklist to Improve Information Exchange, Knowled… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72650/psn-pdfJanuary 20, 2021 - A roadmap to advance patient safety in ambulatory care. January 20, 2021 Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481- 2482. doi:10.1001/jama.2020.18551. https://psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care Preventable harm, such as diag… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865706/psn-pdfMay 01, 2024 - Stigmatizing language, patient demographics, and errors in the diagnostic process. May 1, 2024 Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47659/psn-pdfJanuary 27, 2019 - Medical overuse as a physician cognitive error: looking under the hood. January 27, 2019 Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46260/psn-pdfJuly 26, 2017 - ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. July 26, 2017 American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2016;128:e237-e240. https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44360/psn-pdfJuly 29, 2015 - Maximizing smart pump technology to enhance patient safety. July 29, 2015 Makic MBF. Maximizing smart pump technology to enhance patient safety. Clin Nurs Spec. 2015;29(4):195-197. doi:10.1097/NUR.0000000000000139. https://psnet.ahrq.gov/issue/maximizing-smart-pump-technology-enhance-patient-safety Smart pumps ar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44730/psn-pdfDecember 08, 2015 - Why studying human behavior is a critical component of patient safety. December 8, 2015 Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004. https://psnet.ahrq.gov/issue/why-studying-human-behavior-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838624/psn-pdfOctober 19, 2022 - Association of rapid response teams with hospital mortality in Medicare patients. October 19, 2022 Girotra S, Jones PG, Peberdy MA, et al. Association of rapid response teams with hospital mortality in Medicare patients. Circ Cardiovasc Qual Outcomes. 2022;15(9):e008901. doi:10.1161/circoutcomes.122.008901. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43669/psn-pdfNovember 12, 2014 - Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. November 12, 2014 Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative stu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43828/psn-pdfJanuary 14, 2015 - Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. January 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4. https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all- hospitals This newsletter article … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44308/psn-pdfJuly 22, 2015 - Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. July 22, 2015 Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated Primary and Secondary Care Electronic Health Records: A … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46378/psn-pdfApril 16, 2018 - Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia. A randomised crossover study. April 16, 2018 Arzalier-Daret S, Buléon C, Bocca M-L, et al. Effect of sleep deprivation after a night shift duty on simulated crisis management by residents in anaesthesia… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842773/psn-pdfJanuary 01, 2009 - Dissemination of Lean methods to improve Pap testing quality and patient safety. April 8, 2008 Raab SS, Andrew-JaJa C, Grzybicki DM, et al. Dissemination of Lean methods to improve Pap testing quality and patient safety. J Low Genit Tract Dis. 2009;12(2):103-110. doi:10.1097/lgt.0b013e31815ae9a1. https://psnet.ahr…
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