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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41597/psn-pdfDecember 02, 2014 - Medical errors in US pediatric inpatients with chronic conditions. December 2, 2014 Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555. https://psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72649/psn-pdfJanuary 20, 2021 - Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. January 20, 2021 Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. Patient Safety. 2020;2(4):24-39. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46450/psn-pdfAugust 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73084/psn-pdfMarch 31, 2021 - Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. March 31, 2021 Haidari E, Main EK, Cui X, et al. Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic. J Perinatol. 2021;41(5):961-969. doi:10.1038/s41372-0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61099/psn-pdfNovember 04, 2020 - Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. November 4, 2020 Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection errors and user-Initiated "good… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43402/psn-pdfOctober 20, 2014 - The WHO surgical safety checklist: survey of patients' views. October 20, 2014 Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46064/psn-pdfApril 19, 2017 - Prognosis of undiagnosed chest pain: linked electronic health record cohort study. April 19, 2017 Jordan KP, Timmis A, Croft P, et al. Prognosis of undiagnosed chest pain: linked electronic health record cohort study. BMJ. 2017;357:j1194. doi:10.1136/bmj.j1194. https://psnet.ahrq.gov/issue/prognosis-undiagnosed-ch… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43965/psn-pdfJuly 16, 2015 - Decision making in trauma settings: simulation to improve diagnostic skills. July 16, 2015 Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073. https://psnet.ahrq.gov/issue/decision… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41437/psn-pdfJanuary 03, 2017 - Making the transition to nursing bedside shift reports. January 3, 2017 Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports Efforts to improve comm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45225/psn-pdfJune 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47769/psn-pdfMay 11, 2019 - Avoiding chemotherapy prescribing errors: analysis and innovative strategies. May 11, 2019 Reinhardt H, Otte P, Eggleton AG, et al. Avoiding chemotherapy prescribing errors: Analysis and innovative strategies. Cancer. 2019;125(9):1547-1557. doi:10.1002/cncr.31950. https://psnet.ahrq.gov/issue/avoiding-chemotherapy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41119/psn-pdfJuly 03, 2016 - How can we make diagnosis safer? July 3, 2016 Schiff G, Leape L. Commentary: how can we make diagnosis safer? Acad Med. 2012;87(2):135-138. doi:10.1097/ACM.0b013e31823f711c. https://psnet.ahrq.gov/issue/how-can-we-make-diagnosis-safer Autopsy studies spanning five decades consistently show an error rate of almost … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74029/psn-pdfJanuary 01, 2022 - Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. November 3, 2021 Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):245-252. doi:10.1097/pts.000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41404/psn-pdfDecember 31, 2014 - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. December 31, 2014 Schnipper JL, Gandhi TK, Wald JS, et al. Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. J Am Med Inform Assoc. 2012;19(5):728-34. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40026/psn-pdfSeptember 20, 2011 - Effect of a comprehensive surgical safety system on patient outcomes. September 20, 2011 de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/NEJMsa0911535. https://psnet.ahrq.gov/issue/effect-comprehensive-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43193/psn-pdfJune 17, 2014 - Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. June 17, 2014 Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediatric intensive care unit: applicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866643/psn-pdfSeptember 04, 2024 - Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. September 4, 2024 Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic method for finding missed and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837136/psn-pdfMay 18, 2022 - What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. May 18, 2022 Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the em… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39655/psn-pdfJuly 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44042/psn-pdfNovember 03, 2015 - Deployment of rapid response teams by 31 hospitals in a statewide collaborative. November 3, 2015 Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-…
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