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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34753/psn-pdf
    March 28, 2005 - Report on the Medical Insurance Feasibility Study. March 28, 2005 Mills DH. San Francisco, CA: California Medical Association; 1977. https://psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study Escalating professional liability costs prompted this study on the nature of adverse outcomes related to medic…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40160/psn-pdf
    January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. January 19, 2011 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011. https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46997/psn-pdf
    July 25, 2018 - Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review. July 25, 2018 Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018. https://psnet.ahrq.gov/issue/gross-negligence-manslaughter-healthcare-report-rapid-policy-review Accountability for errors and or…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44873/psn-pdf
    March 21, 2016 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. March 21, 2016 Cambridge, MA: CRICO Strategies; 2016. https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report Communication failures are known to contribute to medical errors. Analyzing more …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45185/psn-pdf
    August 03, 2016 - Final Report of the Commission on Care. August 3, 2016 Washington, DC: Commission on Care; June 2016. https://psnet.ahrq.gov/issue/final-report-commission-care The Veterans Affairs health system has recently faced challenges associated with access and quality. Providing an assessment of the current and future stat…

  6. New AHRQ Surveys on Patient Safety Culture™ Diagnostic Safety Supplemental Items for Medical Offices. | PSNet

    psnet.ahrq.gov/issue/new-ahrq-surveys-patient-safety-culturetm-diagnostic-safety-supplemental-items-medical
    July 14, 2021 - Meeting/Conference Proceedings New AHRQ Surveys on Patient Safety Culture™ Diagnostic Safety Supplemental Items for Medical Offices. Citation Text: Agency for Healthcare Research and Quality. June 2, 2021. Copy Citation Save Save to your library Print …

  7. Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. | PSNet

    psnet.ahrq.gov/issue/safeguarding-medication-administration-understanding-pre-registration-nursing-students-survey
    June 27, 2012 - Study Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. Citation Text: Andrew S, Mansour M. Safeguarding in medication administration: understanding pre-registration nursing students' s…

  8. Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. | PSNet

    psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therapy-and-clinical-outcomes
    November 10, 2015 - Study Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. Citation Text: Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. Copy Citation Format: DOI Googl…

  9. Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. | PSNet

    psnet.ahrq.gov/issue/journal-reporting-medical-errors-wisdom-solomon-bravery-achilles-and-foolishness-pan
    April 24, 2018 - Review Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. Citation Text: Murphy JG, Stee LA, McEvoy MT, et al. Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. Ch…

  10. Leadership To Improve Diagnosis: A Call to Action. | PSNet

    psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
    June 28, 2023 - Book/Report Leadership To Improve Diagnosis: A Call to Action. Citation Text: Leadership To Improve Diagnosis: A Call to Action. Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF. Copy …

  11. AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. | PSNet

    psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
    April 06, 2022 - Book/Report AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Citation Text: AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …

  12. Guide to Reducing Unintended Consequences of Electronic Health Records. | PSNet

    psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
    May 25, 2016 - Book/Report Guide to Reducing Unintended Consequences of Electronic Health Records. Citation Text: Guide to Reducing Unintended Consequences of Electronic Health Records. Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and …

  13. Simulation based adverse event reporting system: development and feasibility. | PSNet

    psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
    July 08, 2020 - Study Simulation based adverse event reporting system: development and feasibility. Citation Text: Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. Copy Citation Format: …

  14. Pediatric antidepressant medication errors in a national error reporting database. | PSNet

    psnet.ahrq.gov/issue/pediatric-antidepressant-medication-errors-national-error-reporting-database
    September 21, 2008 - Study Pediatric antidepressant medication errors in a national error reporting database. Citation Text: Rinke ML, Bundy DG, Shore AD, et al. Pediatric antidepressant medication errors in a national error reporting database. J Dev Behav Pediatr. 2010;31(2):129-36. doi:10.1097/DBP.0b013e…

  15. How to Talk About Patient Safety. | PSNet

    psnet.ahrq.gov/issue/how-talk-about-patient-safety
    June 24, 2019 - Book/Report How to Talk About Patient Safety. Citation Text: How to Talk About Patient Safety. Hendricks R, O'Neil M, Volmert A. Boston, MA: Betsy Lehman Center for Patient Safety; March 2019. Copy Citation Save Save to your library Print Download PDF …

  16. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet

    psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
    June 30, 2011 - Study Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Citation Text: Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…

  17. Health information technology-related wrong-patient errors: context is critical. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
    June 01, 2022 - Study Health information technology-related wrong-patient errors: context is critical. Citation Text: Health information technology-related wrong-patient errors: context is critical. Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57.    Copy Citation …

  18. Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. | PSNet

    psnet.ahrq.gov/issue/report-6-managing-risk-and-minimising-mistakes-services-children-and-families
    June 13, 2012 - Book/Report Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. Citation Text: Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families. Bostock L, Bairstow S, Fish S, et al. London, UK: Social Care Institute for Excellenc…

  19. Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
    October 12, 2022 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Washington DC: Un…

  20. Identification and Prioritization of Health IT Patient Safety Measures. | PSNet

    psnet.ahrq.gov/issue/identification-and-prioritization-health-it-patient-safety-measures
    September 29, 2017 - Book/Report Classic Identification and Prioritization of Health IT Patient Safety Measures. Citation Text: Identification and Prioritization of Health IT Patient Safety Measures. Washington, DC: National Quality Forum; February 2016. Copy Citation …
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