-
psnet.ahrq.gov/node/74216/psn-pdf
December 22, 2021 - To eliminate bias, some seek out doctors of their own
race or ethnicity.
December 22, 2021
Glicksman E. Washington Post. December 11, 2021.
https://psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity
A successful patient/physician relationship enables care that is specific for the…
-
psnet.ahrq.gov/node/836835/psn-pdf
March 30, 2022 - Bias in mental health diagnosis gets in the way of
treatment.
March 30, 2022
Garb HN. Psyche. March 22, 2022.
https://psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment
A wide array of biases can affect clinical judgement and contribute to diagnostic error. This article
discusses the impact of i…
-
psnet.ahrq.gov/node/47708/psn-pdf
February 13, 2019 - The role of purple pens in learning to prescribe.
February 13, 2019
Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach.
2019;16(6):598-603. doi:10.1111/tct.12991.
https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe
Interventions utilizing color as visual c…
-
psnet.ahrq.gov/node/44896/psn-pdf
March 23, 2016 - Computer-assisted diagnostic checklist in clinical
neurology.
March 23, 2016
Finelli PF, McCabe AL. Computer-assisted Diagnostic Checklist in Clinical Neurology. Neurologist.
2016;21(2):23-7. doi:10.1097/NRL.0000000000000071.
https://psnet.ahrq.gov/issue/computer-assisted-diagnostic-checklist-clinical-neurology
C…
-
psnet.ahrq.gov/node/41810/psn-pdf
January 31, 2018 - Toolkit for Reduction of Clostridium difficile Infections
Through Antimicrobial Stewardship.
January 31, 2018
Boston University School of Public Health. Rockville, MD: Agency for Healthcare Research and Quality;
September 2012. AHRQ Publication No. 120082EF.
https://psnet.ahrq.gov/issue/toolkit-reduction-clostridi…
-
psnet.ahrq.gov/node/43743/psn-pdf
December 03, 2014 - Conflict of interest, Dr Charles Denham and the Journal of
Patient Safety.
December 3, 2014
Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of
Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144.
https://psnet.ahrq.gov/issue/conflict-int…
-
psnet.ahrq.gov/node/38659/psn-pdf
May 27, 2009 - The Henry Ford Production System: reduction of surgical
pathology in-process misidentification defects by bar
code-specified work process standardization.
May 27, 2009
Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology
in-process misidentification defects by b…
-
psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - neuronal excitability, and thereby
mimicking the neurodepressant effect of alcohol.12,13 This mechanism reduces
-
psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
September 13, 2023 - Study
Classic
Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial.
Citation Text:
Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…
-
psnet.ahrq.gov/issue/program-prevent-catheter-associated-urinary-tract-infection-acute-care
December 21, 2017 - Study
Classic
A program to prevent catheter-associated urinary tract infection in acute care.
Citation Text:
Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. New Engl J Med. 2016;374(22):2111-211…
-
psnet.ahrq.gov/issue/do-variations-hospital-mortality-patterns-after-weekend-admission-reflect-reduced-quality
April 12, 2019 - Study
Classic
Do variations in hospital mortality patterns after weekend admission reflect reduced quality of care or different patient cohorts? A population-based study.
Citation Text:
Concha OP, Gallego B, Hillman K, et al. Do variations in hospital mortality …
-
psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
January 11, 2023 - Study
Classic
A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.
Citation Text:
Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led info…
-
psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
May 31, 2023
Innovation
Contact
…
-
psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Interdisciplinary teamwork
Curated Library
Foundations
Medical teamwork and the evolution of safety science: a critical review.
Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27.
In this narrative review, the authors contr…
-
psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Failure to Report
March 1, 2007
Spath P. Failure to Report. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/failure-report
Case Objectives
List common causes of medical errors.
Appreciate the magnitude of underreporting of adverse events.
List the common barriers to reporting adverse events and near misses…
-
psnet.ahrq.gov/node/72552/psn-pdf
December 09, 2020 - Hospital-acquired SARS-CoV-2 infection: lessons for
public health.
December 9, 2020
Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public
health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399.
https://psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-less…
-
psnet.ahrq.gov/node/41434/psn-pdf
June 06, 2012 - ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing—2010.
June 6, 2012
Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital
settings: prescribing and transcribing--2010. Am J Health Syst Pharm. 2011;68(8):669-88.
doi:10.2146/ajhp…
-
psnet.ahrq.gov/node/45382/psn-pdf
January 23, 2017 - The impact of major intraoperative adverse events on
hospital readmissions.
January 23, 2017
Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital
readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018.
https://psnet.ahrq.gov/issue/impact-major-…
-
psnet.ahrq.gov/node/50557/psn-pdf
October 16, 2019 - Effect of an Electronic Medication Reconciliation
Intervention on Adverse Drug Events: A Cluster
Randomized Trial
October 16, 2019
Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation
Intervention on Adverse Drug Events: A Cluster Randomized Trial. JAMA Netw Open. 2019…
-
psnet.ahrq.gov/node/45281/psn-pdf
September 01, 2016 - Screen flashes and pop-up reminders: 'alert fatigue'
spreads through medicine.
September 1, 2016
Luthra S. Kaiser Health News. June 15, 2016.
https://psnet.ahrq.gov/issue/screen-flashes-and-pop-reminders-alert-fatigue-spreads-through-medicine
Alert fatigue is known to contribute to medical error. This news article…