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  1. Physician use of stigmatizing language in patient medical records. | PSNet

    psnet.ahrq.gov/issue/physician-use-stigmatizing-language-patient-medical-records
    June 06, 2021 - Study Physician use of stigmatizing language in patient medical records. Citation Text: Park J, Saha S, Chee B, et al. Physician use of stigmatizing language in patient medical records. JAMA Netw Open. 2021;4(7):e2117052. doi:10.1001/jamanetworkopen.2021.17052. Copy Citation Format…

  2. Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. | PSNet

    psnet.ahrq.gov/issue/assessment-patient-preferred-language-achieve-goal-aligned-deprescribing-older-adults
    December 19, 2018 - Study Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. Citation Text: Green AR, Aschmann H, Boyd CM, et al. Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults. JAMA Netw Open. 2021;4(4):e212633. do…

  3. Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. | PSNet

    psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence
    November 18, 2016 - Commentary Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. Citation Text: Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the S…

  4. Improving shared situation awareness for high-risk therapies in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/improving-shared-situation-awareness-high-risk-therapies-hospitalized-children
    October 20, 2021 - Study Improving shared situation awareness for high-risk therapies in hospitalized children. Citation Text: Sosa T, Mayer B, Chakkalakkal B, et al. Improving shared situation awareness for high-risk therapies in hospitalized children. Hosp Pediatr. 2022;12(1):37-46. doi:10.1542/hpeds.202…

  5. Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
    September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…

  6. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. | PSNet

    psnet.ahrq.gov/issue/patients-diagnostic-collaborators-sharing-visit-notes-promote-accuracy-and-safety
    April 15, 2020 - Commentary Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Citation Text: Blease CR, Bell SK. Patients as diagnostic collaborators: sharing visit notes to promote accuracy and safety. Diagnosis (Berl). 2019;6(3):213-221. doi:10.1515/dx-2018-0106.…

  7. How safe are paediatric emergency departments? A national prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/how-safe-are-paediatric-emergency-departments-national-prospective-cohort-study
    May 20, 2020 - Study How safe are paediatric emergency departments? A national prospective cohort study. Citation Text: Plint AC, Newton AS, Stang A, et al. How safe are paediatric emergency departments? A national prospective cohort study. BMJ Qual Saf. 2022;31(11):806-817. doi:10.1136/bmjqs-2021-0146…

  8. Safety and risk management interventions in hospitals: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/safety-and-risk-management-interventions-hospitals-systematic-review-literature
    April 01, 2010 - Review Safety and risk management interventions in hospitals: a systematic review of the literature. Citation Text: Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):…

  9. Analysis of critical incident reports using natural language processing. | PSNet

    psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
    June 14, 2023 - Study Analysis of critical incident reports using natural language processing. Citation Text: Denecke K, Paula H. Analysis of critical incident reports using natural language processing. Stud Health Technol Inform. 2024;313:1-6. doi:10.3233/shti240002. Copy Citation Format: …

  10. A machine learning approach to reclassifying miscellaneous patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
    July 22, 2020 - Study A machine learning approach to reclassifying miscellaneous patient safety event reports. Citation Text: Fong A, Behzad S, Pruitt Z, et al. A machine learning approach to reclassifying miscellaneous patient safety event reports. J Patient Saf. 2021;17(8):e829-e833. doi:10.1097/pts.0…

  11. Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
    January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Medication Error During Procedural Sedation in the Pediatric ED_03.27.2023.pptx Spotlight The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department Source and Credits • This presentation is based on the April 2023 AH…

  12. Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/rinke2-report.pdf
    January 01, 2025 - Final Progress Report: Comprehensive Pediatric Hypertension Diagnosis and Management 1. TITLE PAGE Comprehensive Pediatric Hypertension Diagnosis and Management Principal Investigator: Michael L. Rinke, MD, PhD Co-Investigators: David G. Bundy, MD, MPH, Tammy M. Brady, MD, PhD, Beth Tarini, MD, Katherine E. Twomb…

  13. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. | PSNet

    psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
    January 23, 2017 - SPOTLIGHT CASE The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. Citation Text: Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department.. PSNet [internet]. Rockv…

  14. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
    January 01, 2004 - Diagnostic Failure: A Cognitive and Affective Approach 241 Diagnostic Failure: A Cognitive and Affective Approach Pat Croskerry Abstract Diagnosis is the foundation of medicine. Effective treatment cannot begin until an accurate diagnosis has been made. Diagnostic reasoning is a critical aspect of clinic…

  15. Promoting Best Practice and Safety Through Preprinted Physician Orders (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Ehringer_17.pdf
    February 08, 2008 - Promoting Best Practice and Safety Through Preprinted Physician Orders Promoting Best Practice and Safety Through Preprinted Physician Orders George Ehringer, MD; Barbara Duffy, RN, LHRM, MPH Abstract Defining how preprinted physician orders are developed within a hospital has the potential to positi…

  16. Pillars of a Smart, Safe Operating Room (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Seagull_98.pdf
    April 07, 2008 - Pillars of a Smart, Safe Operating Room Pillars of a Smart, Safe Operating Room F. Jacob Seagull, MD; Gerald R. Moses, PhD; Adrian E. Park, MD Abstract Major gains in patient safety can be achieved through development of innovative approaches to the care of surgical patients. Investigators and clinicians have…

  17. Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2023 Year in Review (pdf file)

    digital.ahrq.gov/sites/default/files/ahrq-dhr-2023-year-in-review.pdf
    January 01, 2023 - Effective Clinical Decision Support Tool for Pneumonia Displaying Patient Photos in Medical Records Reduces … safety using digital healthcare solutions COMPLETED Displaying Patient Photos in Medical Records Reduces … Healthcare Research Program: 2023 Year in Review 42 Displaying Patient Photos in Medical Records Reduces

  18. Rapid Response: Efficacy of Dental Services for Reducing Adverse Events in Those Undergoing Insertion of Implantable Cardiovascular Devices (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/rapid-response-cardio-dental.pdf
    July 01, 2023 - Rapid Response: Efficacy of Dental Services for Reducing Adverse Events in Those Undergoing Insertion of Implantable Cardiovascular Devices Rapid Response July 2023 Efficacy of Dental Services for Reducing Adverse Events in Those Undergoing Insertion of Implantable Cardiovascular Devices Main Points …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38845/psn-pdf
    August 05, 2009 - Hospitals tally their avoidable mistakes. August 5, 2009 Rein L. Washington Post. July 21, 2009:E1. https://psnet.ahrq.gov/issue/hospitals-tally-their-avoidable-mistakes This news article reports on Washington, DC–area initiatives to track preventable patient injury and discusses strategies to hold hospitals accou…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42478/psn-pdf
    August 07, 2013 - A guide for HCAs on safe patient transfers. August 7, 2013 Lees L. https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers This commentary offers practical advice for health care assistants to reduce risks during patient transfers. https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers https://psnet…
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