-
psnet.ahrq.gov/node/837152/psn-pdf
May 18, 2022 - AHRQ Safety Program for Intensive Care Units:
Preventing CLABSI and CAUTI: Final Report.
May 18, 2022
Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and Quality; 2022. AHRQ
Publication No. 17(22)-0019.
https://psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-…
-
psnet.ahrq.gov/node/45745/psn-pdf
August 02, 2017 - Emergency diagnosis of cancer and previous general
practice consultations: insights from linked patient
survey data.
August 2, 2017
Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice
consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…
-
psnet.ahrq.gov/node/48034/psn-pdf
May 22, 2019 - Chasing zero harm in radiation oncology: using pre-
treatment peer review.
May 22, 2019
Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-
treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302.
https://psnet.ahrq.gov/issue/chasing-zero-harm-ra…
-
psnet.ahrq.gov/node/854255/psn-pdf
October 04, 2023 - Empowering telemetry technicians and enhancing
communication to improve in-hospital cardiac arrest
survival.
October 4, 2023
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to
improve in-hospital cardiac arrest survival. BMJ Open Qual. 2023;12(3):e002220. doi:10.11…
-
psnet.ahrq.gov/node/854826/psn-pdf
October 25, 2023 - Observing sources of system resilience using in situ
alarm simulations.
October 25, 2023
McLoone M, McNamara M, Jennings MA, et al. Observing sources of system resilience using in situ alarm
simulations. J Hosp Med. 2023;18(11):994-998. doi:10.1002/jhm.13217.
https://psnet.ahrq.gov/issue/observing-sources-system-r…
-
psnet.ahrq.gov/node/46129/psn-pdf
September 28, 2017 - Missed diagnosis of cardiovascular disease in outpatient
general medicine: insights from malpractice claims data.
September 28, 2017
Quinn GR, Ranum D, Song E, et al. Missed Diagnosis of Cardiovascular Disease in Outpatient General
Medicine: Insights from Malpractice Claims Data. Jt Comm J Qual Patient Saf. 2017;43…
-
psnet.ahrq.gov/node/47713/psn-pdf
June 14, 2019 - Medication appropriateness in vulnerable older adults:
healthy skepticism of appropriate polypharmacy.
June 14, 2019
Fried TR, Mecca MC. Medication Appropriateness in Vulnerable Older Adults: Healthy Skepticism of
Appropriate Polypharmacy. J Am Geriatr Soc. 2019;67(6):1123-1127. doi:10.1111/jgs.15798.
https://psne…
-
psnet.ahrq.gov/node/72832/psn-pdf
March 10, 2021 - Communication and Transparency as a Means to
Strengthening Workplace Culture During COVID-19.
March 10, 2021
Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To
Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021.
doi:10.31478/202103a.
https:/…
-
psnet.ahrq.gov/node/60213/psn-pdf
April 08, 2020 - FDA alerts patients and health care professionals of
EpiPen auto-injector errors related to device malfunctions
and user administration.
April 8, 2020
FDA alerts patients and health care professionals of EpiPen auto-injector errors related to device
malfunctions and user administration. MedWatch Safety Alert. Silv…
-
psnet.ahrq.gov/node/73956/psn-pdf
October 13, 2021 - Acute care nurses' perceptions of leadership, teamwork,
turnover intention and patient safety - a mixed methods
study.
October 13, 2021
Zaheer S, Ginsburg LR, Wong HJ, et al. Acute care nurses’ perceptions of leadership, teamwork, turnover
intention and patient safety – a mixed methods study. BMC Nurs. 2021;20(1):…
-
psnet.ahrq.gov/node/73352/psn-pdf
June 02, 2021 - Improving diagnosis by feedback and deliberate practice:
one-on-one coaching for diagnostic maturation.
June 2, 2021
Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one
coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):157-160. doi:10.1515/dx-2020-0129.
…
-
psnet.ahrq.gov/node/836827/psn-pdf
March 30, 2022 - Economic evaluation of quality improvement
interventions to prevent catheter-associated urinary tract
infections in the hospital setting: a systematic review.
March 30, 2022
McCleskey SG, Shek L, Grein J, et al. Economic evaluation of quality improvement interventions to prevent
catheter-associated urinary tract i…
-
psnet.ahrq.gov/node/73372/psn-pdf
June 09, 2021 - Impact of COVID-19 on inpatient clinical emergencies: a
single-center experience.
June 9, 2021
Mitchell OJL, Neefe S, Ginestra JC, et al. Impact of COVID-19 on inpatient clinical emergencies: a single-
center experience. Resusc Plus. 2021;6:100135. doi:10.1016/j.resplu.2021.100135.
https://psnet.ahrq.gov/issue/imp…
-
psnet.ahrq.gov/node/845076/psn-pdf
February 22, 2023 - Advancing diagnostic equity through clinician
engagement, community partnerships, and connected
care.
February 22, 2023
Giardina TD, Woodard LCD, Singh H. Advancing diagnostic equity through clinician engagement,
community partnerships, and connected care. J Gen Intern Med. 2023;38(5):1293-1295.
doi:10.1007/s1160…
-
psnet.ahrq.gov/node/35332/psn-pdf
September 21, 2005 - Are language barriers associated with serious medical
events in hospitalized pediatric patients?
September 21, 2005
Cohen AL. Are Language Barriers Associated With Serious Medical Events in Hospitalized Pediatric
Patients? Pediatrics. 2005;116(3):575-579. doi:10.1542/peds.2005-0521.
https://psnet.ahrq.gov/issue/ar…
-
psnet.ahrq.gov/node/866325/psn-pdf
July 17, 2024 - "What do health inequities have to do with anything?".
July 17, 2024
Kalinowski J. "What do health inequities have to do with anything?". N Engl J Med. 2024;390(23):e61.
doi:10.1056/nejmpv2404787.
https://psnet.ahrq.gov/issue/what-do-health-inequities-have-do-anything
Personal stories of poor care can catalyze the…
-
psnet.ahrq.gov/node/50416/psn-pdf
September 04, 2019 - Perceptual and interpretive error in diagnostic
radiology—causes and potential solutions.
September 4, 2019
Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes
and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.1016/j.acra.2018.11.006.
https://psnet…
-
psnet.ahrq.gov/node/47278/psn-pdf
August 15, 2018 - Drawing boundaries: the difficulty in defining clinical
reasoning.
August 15, 2018
Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning.
Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0000000000002142.
https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defi…
-
psnet.ahrq.gov/node/50916/psn-pdf
February 19, 2020 - Patient safety and suicide prevention in mental health
services: time for a new paradigm?
February 19, 2020
Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services:
time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi:10.1080/09638237.2020.1714013.
https…
-
psnet.ahrq.gov/node/73069/psn-pdf
March 24, 2021 - Evaluation of the quality of 'do not use' medication
abbreviation audits: a key enabler to successful
implementation of audit and feedback.
March 24, 2021
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation
audits: a key enabler to successful implementation of a…