-
psnet.ahrq.gov/node/47509/psn-pdf
December 21, 2018 - Prevalence and predictors of delayed clinical diagnosis of
Type 2 diabetes: a longitudinal cohort study.
December 21, 2018
Gopalan A, Mishra P, Alexeeff SE, et al. Prevalence and predictors of delayed clinical diagnosis of Type 2
diabetes: a longitudinal cohort study. Diabet Med. 2018;35(12):1655-1662. doi:10.1111/…
-
psnet.ahrq.gov/node/43628/psn-pdf
October 29, 2014 - Factors associated with post-intensive care unit adverse
events: a clinical validation study.
October 29, 2014
Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a
clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.1111/nicc.12091.
https://psnet.…
-
psnet.ahrq.gov/node/45374/psn-pdf
April 24, 2018 - Two-year longitudinal assessment of physicians'
perceptions after replacement of a longstanding
homegrown electronic health record: does a J-curve of
satisfaction really exist?
April 24, 2018
Hanauer DA, Branford GL, Greenberg G, et al. Two-year longitudinal assessment of physicians'
perceptions after replacement…
-
psnet.ahrq.gov/node/73116/psn-pdf
April 07, 2021 - Communication on safe caregiving between community
nurse case managers and family caregivers.
April 7, 2021
Macías-Colorado ME, Rodríguez-Pérez M, Rojas-Ocaña MJ, et al. Communication on safe caregiving
between community nurse case managers and family caregivers. Healthcare (Basel). 2021;9(2):205.
doi:10.3390/heal…
-
psnet.ahrq.gov/node/73141/psn-pdf
April 14, 2021 - Investigating hospital supervision: a case study of
regulatory inspectors' roles as potential co-creators of
resilience.
April 14, 2021
Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory
Inspectors’ Roles as Potential Co-creators of Resilience. J Patient Saf. 2021;17…
-
psnet.ahrq.gov/node/74760/psn-pdf
February 09, 2022 - We're all in this together: how COVID-19 revealed the co-
construction of mindful organising and organisational
reliability.
February 9, 2022
Vogus TJ, Wilson AD, Randall KH, et al. We’re all in this together: how COVID-19 revealed the co-
construction of mindful organising and organisational reliability. BMJ Qual…
-
psnet.ahrq.gov/node/34829/psn-pdf
April 06, 2011 - Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests.
April 6, 2011
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4.
https://psnet.ahrq.gov/issue/use-medical-emerg…
-
psnet.ahrq.gov/node/837698/psn-pdf
July 20, 2022 - White patients’ physical responses to healthcare
treatments are influenced by provider race and gender.
July 20, 2022
Howe LC, Hardebeck EJ, Eberhardt JL, et al. White patients’ physical responses to healthcare treatments
are influenced by provider race and gender. Proc Natl Acad Sci USA. 2022;119(27):e2007717119.
…
-
psnet.ahrq.gov/node/836966/psn-pdf
April 20, 2022 - Performance variability in perioperative sentinel events:
report on a nationwide data set.
April 20, 2022
Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on
a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/47250/psn-pdf
September 26, 2018 - Hospital-acquired infections under pay-for-performance
systems: an administrative perspective on management
and change.
September 26, 2018
Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an
Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…
-
psnet.ahrq.gov/node/74199/psn-pdf
January 01, 2022 - Association of differences in treatment intensification,
missed visits, and scheduled follow-up interval with racial
or ethnic disparities in blood pressure control.
December 22, 2021
Fontil V, Pacca L, Bellows BK, et al. Association of differences in treatment intensification, missed visits,
and scheduled follow-…
-
psnet.ahrq.gov/node/73283/psn-pdf
May 19, 2021 - Assessment of overuse of medical tests and treatments at
US hospitals using Medicare claims.
May 19, 2021
Chalmers K, Smith P, Garber J, et al. Assessment of overuse of medical tests and treatments at US
hospitals using Medicare claims. JAMA Netw Open. 2021;4(4):e218075.
doi:10.1001/jamanetworkopen.2021.8075.
htt…
-
psnet.ahrq.gov/node/45596/psn-pdf
January 09, 2018 - More holes than cheese. What prevents the delivery of
effective, high quality, and safe healthcare in England?
January 9, 2018
Hignett S, Lang A, Pickup L, et al. More holes than cheese. What prevents the delivery of effective, high
quality and safe health care in England? Ergonomics. 2018;61(1):5-14.
doi:10.1080/…
-
psnet.ahrq.gov/node/60232/psn-pdf
April 15, 2020 - Sustaining innovations in complex health care
environments: a multiple-case study of rapid response
teams.
April 15, 2020
Stolldorf DP, Havens DS, Jones CB. Sustaining innovations in complex health care environments: a
multiple-case study of rapid response teams. J Patient Saf. 2020;16(1).
doi:10.1097/pts.0000000…
-
psnet.ahrq.gov/node/72575/psn-pdf
January 01, 2021 - Missing the near miss: recognizing valuable learning
opportunities in radiation oncology.
December 16, 2020
Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in
radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.1016/j.prro.2020.09.007.
https://…
-
psnet.ahrq.gov/node/47034/psn-pdf
May 16, 2018 - Disruptive physician behavior: the importance of
recognition and intervention and its impact on patient
safety.
May 16, 2018
John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its
Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945.
htt…
-
psnet.ahrq.gov/node/45159/psn-pdf
June 15, 2016 - Opioid abuse in chronic pain—misconceptions and
mitigation strategies.
June 15, 2016
Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New
Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771.
https://psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconception…
-
psnet.ahrq.gov/node/45501/psn-pdf
October 28, 2016 - Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events on general
wards: a systematic review and meta-analysis.
October 28, 2016
Cardona-Morrell M, Prgomet M, Turner RM, et al. Effectiveness of continuous or intermittent vital signs
monitoring in preventing adverse events o…
-
psnet.ahrq.gov/node/47952/psn-pdf
January 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese
Model example. Analysis of a case and review of the
literature.
May 15, 2019
Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model
example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3…
-
psnet.ahrq.gov/node/34795/psn-pdf
December 23, 2008 - Preventable adverse drug events in hospitalized patients:
a comparative study of intensive care and general care
units.
December 23, 2008
Cullen DJ, Sweitzer BJ, Bates DW, et al. Preventable adverse drug events in hospitalized patients. Crit
Care Med. 1997;25(8):1289-1297. doi:10.1097/00003246-199708000-00014.
ht…