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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41497/psn-pdfApril 05, 2013 - Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. April 5, 2013 Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ Qual Saf. 2012;21(11):925-32. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36975/psn-pdfMarch 24, 2011 - Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? March 24, 2011 Giesen P, Ferwerda R, Tijssen R, et al. Safety of telephone triage in general practitioner cooperatives: do triage nurses correctly estimate urgency? Qual Saf Health Care. 2007;16(3):181-4. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41732/psn-pdfOctober 03, 2012 - Double checking the administration of medicines: what is the evidence? A systematic review. October 3, 2012 Alsulami Z, Conroy S, Choonara I. Double checking the administration of medicines: what is the evidence? A systematic review. Arch Dis Child. 2012;97(9):833-7. doi:10.1136/archdischild-2011-301093. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43965/psn-pdfJuly 16, 2015 - Decision making in trauma settings: simulation to improve diagnostic skills. July 16, 2015 Murray DJ, Freeman BD, Boulet JR, et al. Decision making in trauma settings: simulation to improve diagnostic skills. Simul Healthc. 2015;10(3):139-145. doi:10.1097/SIH.0000000000000073. https://psnet.ahrq.gov/issue/decision… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841149/psn-pdfDecember 07, 2022 - A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts. December 7, 2022 Malik MA, Motta-Calderon D, Piniella N, et al. A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41437/psn-pdfJanuary 03, 2017 - Making the transition to nursing bedside shift reports. January 3, 2017 Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports Efforts to improve comm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866901/psn-pdfOctober 09, 2024 - Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support-a reader study. October 9, 2024 Al-Bazzaz H, Janicijevic M, Strand F. Reader bias in breast cancer screening related to cancer prevalence and artificial intelligence decision support—a reader study. Eur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838912/psn-pdfDecember 01, 2005 - Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology: a meta-analysis and review. December 1, 2005 Roulson J, Benbow EW, Hasleton PS. Discrepancies between clinical and autopsy diagnosis and the value of post mortem histology; a meta-analysis and review. Histopathology. 2005;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50711/psn-pdfJanuary 01, 2020 - Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. December 4, 2019 Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38538/psn-pdfJanuary 02, 2017 - Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? January 2, 2017 Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety: sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4):206-15. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38366/psn-pdfJanuary 28, 2009 - Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. January 28, 2009 Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Surg. 2008;143(12):1192-7. doi:10.1001/archsu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866643/psn-pdfSeptember 04, 2024 - Three scans are better than two for follow-up: an automatic method for finding missed and misidentified lesions in cross-sectional follow-up of oncology patients. September 4, 2024 Joskowicz L, Di Veroli B, Lederman R, et al. Three scans are better than two for follow-up: an automatic method for finding missed and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72670/psn-pdfJanuary 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. January 27, 2021 Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. https://psnet.ahrq.gov/issue/sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42835/psn-pdfApril 21, 2015 - Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. April 21, 2015 Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Milbank Q. 2013;91(4):7… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39729/psn-pdfSeptember 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38205/psn-pdfNovember 12, 2008 - Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. November 12, 2008 Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39748/psn-pdfAugust 11, 2010 - Information transfer and communication in surgery: a systematic review. August 11, 2010 Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2. https://psnet.ahrq.gov/issue/information-transfer-and-comm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39570/psn-pdfSeptember 20, 2011 - Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. September 20, 2011 Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patient Population. Ann Surg. 2010;251(5). doi:10.1097/sla.0b013e3181d9… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45535/psn-pdfJanuary 23, 2017 - Surgical specimen management: a descriptive study of 648 adverse events and near misses. January 23, 2017 Steelman VM, Williams TL, Szekendi MK, et al. Surgical specimen management: a descriptive study of 648 adverse events and near misses. Arch Pathol Lab Med. 2016;140(12):1390-1396. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60347/psn-pdfJanuary 01, 2021 - Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. May 20, 2020 Arora S, Tsang F, Kekecs Z, et al. Patient safety education 20 years after the Institute of Medicine report: results from a cross-sectional national survey. J Patient Saf. 2021;17(…
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