-
psnet.ahrq.gov/node/34612/psn-pdf
January 21, 2015 - Canadian Patient Safety Dictionary.
January 21, 2015
Royal College of Physicians and Surgeons of Canada
https://psnet.ahrq.gov/issue/canadian-patient-safety-dictionary
Developed by the Systems Issues Working Group of the National Steering Committee on Patient Safety,
the dictionary represents an effort to establis…
-
psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - SPOTLIGHT CASE
Diagnosing Diagnostic Mistakes
Citation Text:
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google S…
-
psnet.ahrq.gov/node/49786/psn-pdf
March 01, 2017 - Consequences of Medical Overuse
March 1, 2017
Morgan DJ, Foy AJ. Consequences of Medical Overuse. PSNet [internet]. 2017.
https://psnet.ahrq.gov/web-mm/consequences-medical-overuse
Case Objectives
Define overuse and overdiagnosis.
State how much of all care is estimated to be overuse.
Describe why the likelihood…
-
psnet.ahrq.gov/node/34123/psn-pdf
November 02, 2014 - Preventing Infections in the Hospital—What You As a
Patient Can Do.
November 2, 2014
National Patient Safety Foundation; NPSF
https://psnet.ahrq.gov/issue/preventing-infections-hospital-what-you-patient-can-do
Postoperative infections represent a common and often preventable event. This patient fact sheet outlines…
-
psnet.ahrq.gov/node/851653/psn-pdf
July 26, 2023 - Content analysis of nurses' reflections on medication
errors in a regional hospital.
July 26, 2023
Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a
regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.2220432.
https://psnet.ahrq.gov/issue/co…
-
psnet.ahrq.gov/node/60535/psn-pdf
May 27, 2020 - Dramatic drop in cancer diagnoses amid COVID pandemic
is cause for concern, doctors say.
May 27, 2020
Abdelmalek M, Bruggeman L. ABC News. May 14, 2020.
https://psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern-
doctors-say
The COVID-19 pandemic has reduced patient use of prima…
-
psnet.ahrq.gov/node/74209/psn-pdf
December 22, 2021 - Aligning patient safety and stewardship: a harm reduction
strategy for children.
December 22, 2021
Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for
children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-00227-6.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/74128/psn-pdf
December 01, 2021 - Call to action: addressing pediatric fall safety in
ambulatory environments.
December 1, 2021
Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory
environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012.
https://psnet.ahrq.gov/issue/call-action-ad…
-
psnet.ahrq.gov/node/74850/psn-pdf
February 16, 2022 - Medicare penalizes dozens of hospitals it also gives five
stars.
February 16, 2022
Rau J. Kaiser Health News. February 8, 2022.
https://psnet.ahrq.gov/issue/medicare-penalizes-dozens-hospitals-it-also-gives-five-stars
Rating systems face challenges to accurately represent the safety and quality of patient ca…
-
psnet.ahrq.gov/node/856636/psn-pdf
January 01, 2024 - Public opinion of resident physician work hours in 2022.
November 29, 2023
Weaver MD, Barger LK, Sullivan JP, et al. Public opinion of resident physician work hours in 2022. Sleep
Health. 2024;10(1supp):s194-s200. doi:10.1016/j.sleh.2023.08.016.
https://psnet.ahrq.gov/issue/public-opinion-resident-physician-work-ho…
-
psnet.ahrq.gov/node/38793/psn-pdf
August 12, 2016 - Pediatric Quality Indicators Overview.
August 12, 2016
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/pediatric-quality-indicators-overview
The Agency for Healthcare Research and Quality's (AHRQ) Quality Indicators (QIs) represent quality
measures that make use of a hospital's available ad…
-
psnet.ahrq.gov/issue/missed-diagnoses-acute-myocardial-infarction-emergency-department-variation-patient-and
April 08, 2018 - Study
Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and facility characteristics.
Citation Text:
Moy E, Barrett M, Coffey R, et al. Missed diagnoses of acute myocardial infarction in the emergency department: variation by patient and fa…
-
psnet.ahrq.gov/node/865970/psn-pdf
May 29, 2024 - A scoping review of the methodological approaches used
in retrospective chart reviews to validate adverse event
rates in administrative data.
May 29, 2024
Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in
retrospective chart reviews to validate adverse event rates in admin…
-
psnet.ahrq.gov/node/867192/psn-pdf
November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook:
Medication and Other Substance Events.
November 20, 2024
2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville,
MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/36604/psn-pdf
June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports.
June 4, 2024
St Paul, MN: Minnesota Department of Health.
https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
The National Quality Forum has defined 29 never events—patient safety problems that should never occur,
such as wrong-…
-
psnet.ahrq.gov/node/862124/psn-pdf
February 07, 2024 - The TeamSTEPPS for Improving Diagnosis Team
Assessment Tool: scale development and psychometric
evaluation.
February 7, 2024
Ali KJ, Goeschel CA, Eckroade MM, et al. The TeamSTEPPS for Improving Diagnosis Team Assessment
Tool: scale development and psychometric evaluation. Jt Comm J Qual Patient Saf. 2024;50(2):95…
-
psnet.ahrq.gov/node/45948/psn-pdf
January 01, 2021 - Preoperative site marking: are we adhering to good
surgical practice?
July 26, 2017
Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508.
doi:10.1097/pts.0000000000000398.
https://psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice…
-
psnet.ahrq.gov/node/73185/psn-pdf
April 28, 2021 - Balancing patient safety, clinical efficacy, and
cybersecurity with clinician partners.
April 28, 2021
Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.
Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/852284/psn-pdf
August 09, 2023 - ‘Medical errors are the third leading cause of death’ and
other statistics you should question.
August 9, 2023
Jaklevic MC. HealthJournalism.org. July 27, 2023.
https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-
question
Published rates of medical errors con…
-
psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
August 17, 2018 - Study
Factors associated with hospital admission after outpatient surgery in the Veterans Health Administration.
Citation Text:
Mull HJ, Rosen AK, O'Brien WJ, et al. Factors Associated with Hospital Admission after Outpatient Surgery in the Veterans Health Administration. Health Serv Res…