-
psnet.ahrq.gov/node/48028/psn-pdf
August 28, 2019 - Error Reduction and Prevention in Surgical Pathology,
Second Edition.
August 28, 2019
Nakhleh RE, Volmar KE, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030184636.
https://psnet.ahrq.gov/issue/error-reduction-and-prevention-surgical-pathology-2nd-edition
Surgical specimen and laboratory process proble…
-
psnet.ahrq.gov/node/838137/psn-pdf
September 21, 2022 - How insight contributes to diagnostic excellence.
September 21, 2022
Shimizu T, Graber ML. How insight contributes to diagnostic excellence. Diagnosis (Berl). 2022;9(3):311-
315. doi:10.1515/dx-2022-0007.
https://psnet.ahrq.gov/issue/how-insight-contributes-diagnostic-excellence
Improving diagnostic reasoning skil…
-
psnet.ahrq.gov/node/74186/psn-pdf
January 01, 2022 - Staffing, teamwork and scope of practice: analysis of the
association with patient safety in the context of
rehabilitation.
December 15, 2021
Jomaa C, Dubois C?A, Caron I, et al. Staffing, teamwork and scope of practice: analysis of the association
with patient safety in the context of rehabilitation. J Adv Nurs. …
-
psnet.ahrq.gov/node/74724/psn-pdf
February 02, 2022 - Using smart IV infusion pumps outside of patient rooms.
February 2, 2022
Messing EG, Abraham RS, Quinn NJ, et al. Using smart IV infusion pumps outside of patient rooms. Am J
Nurs. 2022;122(2). doi:10.1097/01.naj.0000819772.45006.5d.
https://psnet.ahrq.gov/issue/using-smart-iv-infusion-pumps-outside-patient-rooms
…
-
psnet.ahrq.gov/node/72813/psn-pdf
March 10, 2021 - Racial/ethnic inequities in pregnancy-related morbidity
and mortality.
March 10, 2021
Minehart RD, Bryant AS, Jackson J, et al. Racial/ethnic inequities in pregnancy-related morbidity and
mortality. Obstet Gynecol Clin North Am. 2021;48(1):31-51. doi:10.1016/j.ogc.2020.11.005.
https://psnet.ahrq.gov/issue/racialet…
-
psnet.ahrq.gov/node/840163/psn-pdf
November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and
Healthcare.
November 16, 2022
Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022.
https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare
Racist behavior directed at either patients or clinicians…
-
psnet.ahrq.gov/node/45035/psn-pdf
January 23, 2017 - Premature closure? Not so fast.
January 23, 2017
Dhaliwal G. Premature closure? Not so fast. BMJ Qual Saf. 2017;26(2):87-89. doi:10.1136/bmjqs-2016-
005267.
https://psnet.ahrq.gov/issue/premature-closure-not-so-fast
Analyzing clinician decision making is increasingly suggested as a strategy to reduce diagnostic er…
-
psnet.ahrq.gov/node/47514/psn-pdf
October 31, 2018 - Making Hospitals Safe for People With Diabetes.
October 31, 2018
Watts E, Rayman G. Diabetes UK. London, UK; 2018.
https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes
Chronic disease management can add complexity to inpatient care regimens. Researchers worked with
patients, system leaders, and clini…
-
psnet.ahrq.gov/node/837695/psn-pdf
July 20, 2022 - Narrowing the mindware gap in medicine.
July 20, 2022
Croskerry P. Narrowing the mindware gap in medicine. Diagnosis (Berl). 2022;9(2):176-183.
doi:10.1515/dx-2020-0128.
https://psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine
In dual process thinking, Type 1 decisions are made rapidly, but can result in diagn…
-
psnet.ahrq.gov/node/74011/psn-pdf
October 27, 2021 - Dashboards for visual display of patient safety data: a
systematic review.
October 27, 2021
Murphy DR, Savoy A, Satterly T, et al. Dashboards for visual display of patient safety data: a systematic
review. BMJ Health Care Inform. 2021;28(1):e100437. doi:10.1136/bmjhci-2021-100437.
https://psnet.ahrq.gov/issue/dash…
-
psnet.ahrq.gov/node/46501/psn-pdf
March 20, 2018 - Blind obedience and an unnecessary workup for
hypoglycemia: a teachable moment.
March 20, 2018
Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A
Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.7104.
https://psnet.ahrq.gov/issue/blind…
-
psnet.ahrq.gov/node/47681/psn-pdf
January 30, 2019 - Infection prevention in the operating room anesthesia
work area.
January 30, 2019
Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work
area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303.
https://psnet.ahrq.gov/issue/infection-prevention-operat…
-
psnet.ahrq.gov/node/46640/psn-pdf
August 08, 2018 - IDEA4PS: the development of a research-oriented
learning healthcare system.
August 8, 2018
Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented
Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044.
https://psnet.ahrq.gov/issue/idea4ps-…
-
psnet.ahrq.gov/node/41717/psn-pdf
September 01, 2016 - A clinical data warehouse-based process for refining
medication orders alerts.
September 1, 2016
Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication
orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-000850.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/844800/psn-pdf
September 25, 2019 - Patient Options for Safe and Effective Disposal of Unused
Opioids.
September 25, 2019
Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19-
650.
https://psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
One strategy to reduce the potentia…
-
psnet.ahrq.gov/node/47881/psn-pdf
July 10, 2019 - Cognitive Errors and Diagnostic Mistakes: A Case-Based
Guide to Critical Thinking in Medicine.
July 10, 2019
Howard J. Cham, Switzerland: Springer Nature Switzerland; 2019. ISBN: 9783319932231.
https://psnet.ahrq.gov/issue/cognitive-errors-and-diagnostic-mistakes-case-based-guide-critical-thinking-
medicine
Cogni…
-
psnet.ahrq.gov/node/43045/psn-pdf
August 02, 2015 - A multistep approach to improving biopsy site
identification in dermatology: physician, staff, and patient
roles based on a Delphi consensus.
August 2, 2015
Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in
dermatology: physician, staff, and patient roles based on a…
-
psnet.ahrq.gov/node/862613/psn-pdf
February 14, 2024 - Standardizing medication reconciliation in a pediatric
emergency department.
February 14, 2024
Sheth S, Bialostozky M, Hollenbach K, et al. Standardizing medication reconciliation in a pediatric
emergency department. Pediatrics. 2024;153(2):e2023061964. doi:10.1542/peds.2023-061964.
https://psnet.ahrq.gov/issue/st…
-
psnet.ahrq.gov/node/61047/psn-pdf
October 21, 2020 - COVID-19: an emerging threat to antibiotic stewardship in
the emergency department.
October 21, 2020
Pulia M, Wolf I, Schulz L, et al. COVID-19: an emerging threat to antibiotic stewardship in the emergency
department. West J Emerg Med. 2020;21(5):1283-1286. doi:10.5811/westjem.2020.7.48848.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/45373/psn-pdf
November 18, 2016 - Prevalence, risk factors, and outcomes of idle
intravenous catheters: an integrative review.
November 18, 2016
Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An
integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073.
ht…