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241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44675/psn-pdf
     July 05, 2016 - Why July matters. July 5, 2016 Petrilli CM, Del Valle J, Chopra V. Why July Matters. Acad Med. 2016;91(7):910-912. doi:10.1097/ACM.0000000000001196. https://psnet.ahrq.gov/issue/why-july-matters Studies have reached conflicting conclusions about whether the "July Effect"—the belief that inpatient mortality increa…

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45271/psn-pdf
     August 10, 2016 - Patient identification and tube labelling—a call for harmonisation. August 10, 2016 van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015- 1089. https://psnet.ah…

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43385/psn-pdf
     August 06, 2014 - Medicines management support to older people: understanding the context of systems failure. August 6, 2014 Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302. https://psnet.ahrq.gov/issu…

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34706/psn-pdf
     December 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. December 23, 2012 Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident- monitoring study. Med J Aust. 1998;169(2):73-6. https://psnet.ahrq.gov/issue/analysing-potential-harm…

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44076/psn-pdf
     May 19, 2018 - The trigger tool as a method to measure harmful medication errors in children. May 19, 2018 Maaskant JM, Smeulers M, Bosman D, et al. The Trigger Tool as a Method to Measure Harmful Medication Errors in Children. J Patient Saf. 2018;14(2):95-100. doi:10.1097/PTS.0000000000000177. https://psnet.ahrq.gov/issue/trigg…

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36964/psn-pdf
     March 24, 2011 - Patients use an internet technology to report when things go wrong. March 24, 2011 Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong …

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44572/psn-pdf
     January 22, 2016 - Can social media be used as a hospital quality improvement tool? January 22, 2016 Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486. https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34692/psn-pdf
     February 10, 2011 - The economic consequences of medical injuries: implications for a no-fault insurance plan. February 10, 2011 Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. Implications for a no-fault insurance plan. JAMA. 1992;267(18):2487-92. https://psnet.ahrq.gov/issue/economic-conse…

249. Diagnostic Errors Case Studies | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
     March 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Errors Case Studies  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Maria Mirica, PRIDE Group …

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47238/psn-pdf
     October 13, 2018 - Evaluating shared decision making for lung cancer screening. October 13, 2018 Brenner AT, Malo TL, Margolis M, et al. Evaluating Shared Decision Making for Lung Cancer Screening. JAMA Intern Med. 2018;178(10):1311-1316. doi:10.1001/jamainternmed.2018.3054. https://psnet.ahrq.gov/issue/evaluating-shared-decision-ma…

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34639/psn-pdf
     March 02, 2011 - Preventable deaths: who, how often, and why? March 2, 2011 Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why One of the first studies to examine the link between quality of care and hospital deat…

252. Psn-Pdf (pdf file)
     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…

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35456/psn-pdf
     February 19, 2010 - The working hours of hospital staff nurses and patient safety. February 19, 2010 Rogers AE, Hwang W-T, Scott LD, et al. The working hours of hospital staff nurses and patient safety. Health Aff (Millwood). 2004;23(4):202-212. https://psnet.ahrq.gov/issue/working-hours-hospital-staff-nurses-and-patient-safety This…

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45996/psn-pdf
     May 10, 2017 - Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. May 10, 2017 Wong A, Amato MG, Seger DL, et al. Evaluation of medication-related clinical decision support alert overrides in the intensive care unit. J Crit Care. 2017;39:156-161. doi:10.1016/j.jcrc.2017.02.027. …

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34907/psn-pdf
     August 03, 2009 - Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? August 3, 2009 Rosen AB, Blendon RJ, DesRoches CM, et al. Physicians' views of interventions to reduce medical errors: does evidence of effectiveness matter? Acad Med. 2005;80(2):189-92. https://psnet.ahrq.gov/issue…

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49784/psn-pdf
     February 01, 2017 - Safeguarding Diagnostic Testing at the Point of Care February 1, 2017 Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care The Case A 23-year-old woman presented to the family medicine clinic for…

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33665/psn-pdf
     March 01, 2008 - Creation of a Medical Procedure Service to Improve Patient Safety March 1, 2008 Smith CC, CHuang G. Creation of a Medical Procedure Service to Improve Patient Safety. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/creation-medical-procedure-service-improve-patient-safety Perspective Introduction and …

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47602/psn-pdf
     January 27, 2019 - Association of nurse workload with missed nursing care in the neonatal intensive care unit. January 27, 2019 Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. JAMA Pediatr. 2019;173(1):44-51. doi:10.1001/jamapediatrics.2018.3619. …

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47671/psn-pdf
     January 01, 2019 - Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. December 19, 2018 Stockwell DC, Landrigan CP, Toomey SL, et al. Racial, Ethnic, and Socioeconomic Disparities in Patient Safety Events for Hospitalized Children. Hosp Pediatr. 2019;9(1):1-5. doi:10.1542/hpeds.2018-0131…

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46656/psn-pdf
     February 07, 2018 - Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? February 7, 2018 Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71. doi:10.1136/jclinpath-2017-204…