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psnet.ahrq.gov/node/34701/psn-pdf
January 04, 2017 - Making the business case for patient safety.
January 4, 2017
Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4,
1.
https://psnet.ahrq.gov/issue/making-business-case-patient-safety
While the costs of medical error to patients are well appreciated, the direct costs…
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psnet.ahrq.gov/node/34994/psn-pdf
September 29, 2017 - Advances in Patient Safety: From Research to
Implementation.
September 29, 2017
Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality
(US); 2005.
https://psnet.ahrq.gov/issue/advances-patient-safety-research-implementation
With 4 volumes and 140 articles (all of …
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psnet.ahrq.gov/node/34625/psn-pdf
July 22, 2013 - National Center for Patient Safety (NCPS).
July 22, 2013
Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI
48106-0486. Phone: (734) 930-5890.
https://psnet.ahrq.gov/issue/national-center-patient-safety-ncps
The NCPS represents a unified and cohesive patient safe…
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psnet.ahrq.gov/node/45654/psn-pdf
July 11, 2017 - Hospital prescribing of opioids to Medicare beneficiaries.
July 11, 2017
Jena AB, Goldman D, Karaca-Mandic P. Hospital Prescribing of Opioids to Medicare Beneficiaries. JAMA
Intern Med. 2016;176(7):990-7. doi:10.1001/jamainternmed.2016.2737.
https://psnet.ahrq.gov/issue/hospital-prescribing-opioids-medicare-benefic…
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psnet.ahrq.gov/node/45637/psn-pdf
February 17, 2017 - Opportunities to enhance laboratory professionals' role
on the diagnostic team.
February 17, 2017
Taylor JR, Thompson PJ, Genzen JR, et al. Opportunities to enhance laboratory professionals' role on the
diagnostic team. Lab Med. 2017;48(1):97-103. doi:10.1093/labmed/lmw048.
https://psnet.ahrq.gov/issue/opportuniti…
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psnet.ahrq.gov/node/46701/psn-pdf
December 20, 2017 - The other big drug problem: older people taking too many
pills.
December 20, 2017
Boodman SG. Washington Post. December 9, 2017.
https://psnet.ahrq.gov/issue/other-big-drug-problem-older-people-taking-too-many-pills
The prevalence of polypharmacy among older patients represents an important concern for health care…
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psnet.ahrq.gov/node/41649/psn-pdf
December 21, 2014 - Last orders: follow-up of tests ordered on the day of
hospital discharge.
December 21, 2014
Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital
Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836.
https://psnet.ahrq.gov/issue/last-orde…
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psnet.ahrq.gov/node/34744/psn-pdf
January 07, 2019 - Judgment under Uncertainty: Heuristics and Biases.
January 7, 2019
Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press;
1982. ISBN: 0521284147.
https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases
Judgement is an inherently human activity tha…
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psnet.ahrq.gov/node/46726/psn-pdf
January 31, 2018 - Toolkit to Promote Safe Surgery.
January 31, 2018
Rockville, MD: Agency for Healthcare Research and Quality; November 2017.
https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery
Preventing surgical complications including surgical site infections are a worldwide target for improvement.
This toolkit builds on t…
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psnet.ahrq.gov/node/60551/psn-pdf
January 01, 2021 - Improvement in patient safety may precede policy
changes: trends in patient safety indicators in the United
States, 2000-2013.
June 3, 2020
Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes:
trends in patient safety indicators in the United States, 2000-2013. J Patient …
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psnet.ahrq.gov/node/47877/psn-pdf
June 15, 2019 - End-to-end lung cancer screening with three-dimensional
deep learning on low-dose chest computed tomography.
June 15, 2019
Ardila D, Kiraly AP, Bharadwaj S, et al. End-to-end lung cancer screening with three-dimensional deep
learning on low-dose chest computed tomography. Nat Med. 2019;25(6):954-961. doi:10.1038/s4…
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psnet.ahrq.gov/node/50883/psn-pdf
February 12, 2020 - Time series evaluation of improvement interventions to
reduce alarm notifications in a paediatric hospital.
February 12, 2020
Pater CM, Sosa TK, Boyer J, et al. Time series evaluation of improvement interventions to reduce alarm
notifications in a paediatric hospital. BMJ Qual Saf. 2020;29(9):717-726. doi:10.1136/b…
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psnet.ahrq.gov/node/74061/psn-pdf
November 10, 2021 - Oncologic errors in diagnostic radiology: a 10-year
analysis based on medical malpractice claims.
November 10, 2021
Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis
based on medical malpractice claims. J Am Coll Radiol. 2021;18(9):1310-1316.
doi:10.1016/j.…
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psnet.ahrq.gov/node/60549/psn-pdf
June 03, 2020 - Rate of diagnostic errors and serious misdiagnosis-
related harms for major vascular events, infections, and
cancers: toward a national incidence estimate using the
“Big Three”.
June 3, 2020
Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis-related
harms for major vascular …
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psnet.ahrq.gov/node/50868/psn-pdf
February 05, 2020 - Adverse medication events related to hospitalization in
the United States: a comparison between adults with
intellectual and developmental disabilities and those
without.
February 5, 2020
Erickson SR, Kamdar N, Wu C-H. Adverse Medication Events Related to Hospitalization in the United
States: A Comparison Between…
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psnet.ahrq.gov/node/72743/psn-pdf
February 17, 2021 - Preventable medication harm across health care settings:
a systematic review and meta-analysis.
February 17, 2021
Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a
systematic review and meta-analysis. BMC Med. 2020;18(1):313. doi:10.1186/s12916-020-01774-9.
https:…
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psnet.ahrq.gov/node/74854/psn-pdf
February 23, 2022 - Nursing guidelines for comprehensive harm prevention
strategies for adult patients in acute hospitals: an
integrative review and synthesis.
February 23, 2022
Redley B, Douglas T, Hoon L, et al. Nursing guidelines for comprehensive harm prevention strategies for
adult patients in acute hospitals: An integrative rev…
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psnet.ahrq.gov/node/33901/psn-pdf
August 01, 2023 - Patient Safety Indicators Overview.
August 1, 2023
Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
The AHRQ Patient Safety Indicators (PSIs) represent quality measures that make use of a hospital's
available administrative data. The PSIs reflect the qualit…
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psnet.ahrq.gov/node/72855/psn-pdf
March 17, 2021 - We asked the experts: the WHO Surgical Safety Checklist
and the COVID-19 pandemic: recommendations for
content and implementation adaptations.
March 17, 2021
Panda N, Etheridge JC, Singh T, et al. The WHO Surgical Safety Checklist and the COVID-19 pandemic:
recommendations for content and implementation adaptation…
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psnet.ahrq.gov/node/852750/psn-pdf
August 23, 2023 - Cognitive biases and moral characteristics of healthcare
workers and their treatment approach for persons with
advanced dementia in acute care settings.
August 23, 2023
Erel M, Marcus E-L, DeKeyser Ganz F. Cognitive biases and moral characteristics of healthcare workers
and their treatment approach for persons wit…