-
psnet.ahrq.gov/node/44148/psn-pdf
November 06, 2015 - Role of cognition in generating and mitigating clinical
errors.
November 6, 2015
Patel VL, Kannampallil TG, Shortliffe EH. Role of cognition in generating and mitigating clinical errors. BMJ
Qual Saf. 2015;24(7):468-474. doi:10.1136/bmjqs-2014-003482.
https://psnet.ahrq.gov/issue/role-cognition-generating-and-miti…
-
psnet.ahrq.gov/node/35726/psn-pdf
February 09, 2011 - Sleep deprivation and clinical performance.
February 9, 2011
Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7.
https://psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance
This review discusses evidence for the role sleep deprivation plays on performance in…
-
psnet.ahrq.gov/node/60583/psn-pdf
June 10, 2020 - Containing COVID-19 in the emergency department: the
role of improved case detection and segregation of
suspect cases.
June 10, 2020
Wee LE, Fua T?P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of
improved case detection and segregation of suspect cases. Acad Emerg Med. 2020;27(5):379…
-
psnet.ahrq.gov/node/50451/psn-pdf
October 09, 2019 - Pharmacist-led, video-stimulated feedback to reduce
prescribing errors in doctors-in-training: A mixed
methods evaluation
October 9, 2019
Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing
errors in doctors-in-training: A mixed methods evaluation. Br J Clin Pharm…
-
psnet.ahrq.gov/node/45396/psn-pdf
August 10, 2016 - Examining the July Effect: a national survey of academic
leaders in medicine.
August 10, 2016
Levy K, Voit J, Gupta A, et al. Examining the July Effect: A National Survey of Academic Leaders in
Medicine. Am J Med. 2016;129(7):754.e1-5. doi:10.1016/j.amjmed.2016.05.001.
https://psnet.ahrq.gov/issue/examining-july-e…
-
psnet.ahrq.gov/node/39638/psn-pdf
July 02, 2014 - Teaching quality improvement and patient safety to
trainees: a systematic review.
July 2, 2014
Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a
systematic review. Acad Med. 2010;85(9):1425-39. doi:10.1097/ACM.0b013e3181e2d0c6.
https://psnet.ahrq.gov/issue/teaching…
-
psnet.ahrq.gov/node/46132/psn-pdf
September 24, 2017 - The "Quality Minute"—a new, brief, and structured
technique for quality improvement education during the
morbidity and mortality conference.
September 24, 2017
Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality
Improvement Education During the Morbidity and Mort…
-
psnet.ahrq.gov/node/72547/psn-pdf
December 09, 2020 - The effects of rudeness, experience, and perspective-
taking on challenging premature closure after pediatric
ICU physicians receive hand-off with the wrong
diagnosis: a randomized controlled simulation trial.
December 9, 2020
Avesar M, Erez A, Essakow J, et al. The effects of rudeness, experience, and perspective…
-
psnet.ahrq.gov/node/50798/psn-pdf
January 15, 2020 - Testing alertness of emergency physicians: a novel
quantitative measure of alertness and implications for
worker and patient care.
January 15, 2020
Ferguson BA, Lauriski DR, Huecker M, et al. Testing Alertness of Emergency Physicians: A Novel
Quantitative Measure of Alertness and Implications for Worker and Patien…
-
psnet.ahrq.gov/node/37294/psn-pdf
May 21, 2013 - Improving Hand-Off Communication.
May 21, 2013
Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907.
https://psnet.ahrq.gov/issue/improving-hand-communication
The process of transferring primary responsibility for patient care is commonly referred to as a handoff.
Handoffs are inherently dange…
-
psnet.ahrq.gov/node/854988/psn-pdf
November 01, 2023 - Use of design thinking and human factors approach to
improve situation awareness in the pediatric intensive
care unit.
November 1, 2023
Gifford A, Butcher B, Chima RS, et al. Use of design thinking and human factors approach to improve
situation awareness in the pediatric intensive care unit. J Hosp Med. 2023;18(1…
-
psnet.ahrq.gov/node/72775/psn-pdf
February 24, 2021 - Improving medication appropriateness in nursing homes
via structured interprofessional medication-review
supported by health information technology: a non-
randomized controlled study.
February 24, 2021
Dellinger JK, Pitzer S, Schaffler-Schaden D, et al. Improving medication appropriateness in nursing homes
via s…
-
psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses
Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015
View more articles from the same authors.
Citation Text:
Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…
-
psnet.ahrq.gov/node/33697/psn-pdf
June 01, 2010 - What Do We Know About Emergency Department Safety?
June 1, 2010
Sklar DP, Crandall CS. What Do We Know About Emergency Department Safety? PSNet [internet]. 2010.
https://psnet.ahrq.gov/perspective/what-do-we-know-about-emergency-department-safety
Perspective
Emergency medicine has evolved from a location, with var…
-
psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
September 27, 2017 - especially at the level of the most immediate caregivers (bedside nurses) and those placing orders (resident
-
psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - March 18, 2009
Implementation of resident work hour restrictions is associated with a
-
psnet.ahrq.gov/web-mm/outbreak
January 29, 2015 - Department of Emergency Medicine Johns Hopkins University School of Medicine Sahael Stapleton, MD Resident
-
psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
June 01, 2014 - The resident used the codes on each pill to identify them and discovered that one bottle labeled as "
-
psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - Root cause analysis and actions for the prevention of medical errors: quality improvement and resident
-
psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - Cervical Spine Surgery
February 28, 2024
Department of Veterans Affairs Chief Resident