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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844059/psn-pdfFebruary 08, 2023 - Misdiagnosis in the emergency department: time for a system solution. February 8, 2023 Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. https://psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836792/psn-pdfMarch 23, 2022 - Remote patient monitoring during COVID-19: an unexpected patient safety benefit. March 23, 2022 Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. https://psnet.ahrq.gov/issue/remote-patient-mo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47737/psn-pdfMarch 06, 2019 - Quality improvement and safety in pediatric emergency medicine. March 6, 2019 Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. https://psnet.ahrq.gov/issue/quality-improvement-and-safety-pedia… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44465/psn-pdfNovember 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866073/psn-pdfJune 05, 2024 - Improving communication of diagnostic uncertainty to families of hospitalized children. June 5, 2024 Young EE, Kane J, Timmons K, et al. Improving communication of diagnostic uncertainty to families of hospitalized children. Diagnosis (Berl). 2024;11(2):186-191. doi:10.1515/dx-2023-0088. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46489/psn-pdfJanuary 01, 2021 - Intervening in interruptions: what exactly is the risk we are trying to manage? October 11, 2017 Gao J, Rae AJ, Dekker SWA. Intervening in Interruptions: What Exactly Is the Risk We Are Trying to Manage? J Patient Saf. 2021;17(7):e684-e688. doi:10.1097/PTS.0000000000000429. https://psnet.ahrq.gov/issue/intervening… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44853/psn-pdfFebruary 03, 2016 - Aviation and healthcare: a comparative review with implications for patient safety. February 3, 2016 Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/2054270415616548. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847056/psn-pdfApril 05, 2023 - Early diagnosis of cancer: systems approach to support clinicians in primary care. April 5, 2023 Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225. https://psnet.ahrq.gov/issue/early-di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838078/psn-pdfSeptember 14, 2022 - Patient safety issues from information overload in electronic medical records. September 14, 2022 Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002. https://psnet.ahrq.gov/issue/pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47222/psn-pdfOctober 03, 2018 - Decision support tools, systems, and artificial intelligence in cardiac imaging. October 3, 2018 Massalha S, Clarkin O, Thornhill R, et al. Decision Support Tools, Systems, and Artificial Intelligence in Cardiac Imaging. Can J Cardiol. 2018;34(7):827-838. doi:10.1016/j.cjca.2018.04.032. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73683/psn-pdfSeptember 08, 2021 - Why and how to approach user experience in safety- critical domains: the example of health care. September 8, 2021 Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832. doi:10.1177/0018720819887575. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841155/psn-pdfFebruary 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46149/psn-pdfJune 28, 2017 - Clinical outcomes associated with medication regimen complexity in older people: a systematic review. June 28, 2017 Wimmer BC, Cross AJ, Jokanovic N, et al. Clinical Outcomes Associated with Medication Regimen Complexity in Older People: A Systematic Review. J Am Geriatr Soc. 2016;65(4):747-753. doi:10.1111/jgs.14… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44739/psn-pdfJanuary 13, 2016 - Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. January 13, 2016 Goyder CR, Jones CHD, Heneghan CJ, et al. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. Br J Gen Pract. 2015;65(641):e838-e844. doi:10.3399/bjgp15X687889. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48189/psn-pdfAugust 14, 2019 - Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. August 14, 2019 Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/ACM.0000000000002793. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45301/psn-pdfApril 22, 2017 - Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. April 22, 2017 Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837777/psn-pdfAugust 03, 2020 - To err is human, unless you are a healthcare provider. August 3, 2020 Zajicek J. Belmont Health Law J. 2020;4:79-135. https://psnet.ahrq.gov/issue/err-human-unless-you-are-healthcare-provider Intent to harm is a primary factor in the criminalization of patient injury. This article discusses the increase of crimina… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72481/psn-pdfNovember 18, 2020 - Computer-based simulation to reduce EHR-related chemotherapy ordering errors. November 18, 2020 Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496. https://psnet.ahrq.gov/issue/computer-base… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43836/psn-pdfMarch 11, 2015 - Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. March 11, 2015 Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846148/psn-pdfMarch 15, 2023 - Near-miss events detected using the emergency department trigger tool. March 15, 2023 Griffey RT, Schneider RM, Todorov AA. Near-miss events detected using the emergency department trigger tool. J Patient Saf. 2023;19(2):59-66. doi:10.1097/pts.0000000000001092. https://psnet.ahrq.gov/issue/near-miss-events-detecte…
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