-
psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures
Citation Text:
Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
Copy Citation
Format:
…
-
psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
September 23, 2024 - Rescue Improvement Conference Innovation Summary
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
July 23, 2024
View more articles from the same authors.
Innovation
Contact
…
-
psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
January 01, 2020 - Spotlight
Spotlight
Fatal PCA Opioid-Induced
Respiratory Depression
Source and Credits
• This presentation is based on the May 2020 AHRQ
WebM&M Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
• Commentary by: Sarina Fazio, PhD, RN and Rachelle
Firestone, PharmD, BCCCP
o Editors in Chie…
-
psnet.ahrq.gov/web-mm/distraction-anesthesiologist-and-lack-resuscitation-drugs-resulting-delayed-treatment
January 29, 2021 - Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.
Citation Text:
Bohringer C. Distraction of the Anesthesiologist and Lack of Resuscitation Drugs Resulting in Delayed Treatment of Laryngospasm.. PSNet [internet]. Rockville (MD): Agency for He…
-
psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
April 13, 2022 - Review
Disclosure of errors in surgical procedures.
Citation Text:
Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Faceboo…
-
psnet.ahrq.gov/issue/patient-safety-4
September 21, 2022 - Special or Theme Issue
On Patient Safety.
Citation Text:
On Patient Safety. Rickert J, Järvinen TLN, Lee MJ, et al. Clin Orthop Relat Res. 2013-2024.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
…
-
psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
July 24, 2024 - Study
The additional cost of perioperative medication errors
Citation Text:
Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136.
Copy Citation
Format:
DOI Google…
-
psnet.ahrq.gov/issue/how-do-hospital-inpatients-conceptualise-patient-safety-qualitative-interview-study-using
July 08, 2020 - Study
How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist grounded theory.
Citation Text:
Barrow E, Lear RA, Morbi A, et al. How do hospital inpatients conceptualise patient safety? A qualitative interview study using constructivist…
-
psnet.ahrq.gov/classics
August 01, 2023 - Classics and Emerging Classics
To help our readers navigate the tremendous breadth of the PSNet Collection, AHRQ PSNet editors and advisors have given the designation of “Classic” to review articles, empirical studies, government and stakeholder reports, commentaries, and books of lasting importance to the patient sa…
-
psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
July 01, 2017 - Commentary
The eNOTSS platform for surgeons’ nontechnical skills performance improvement.
Citation Text:
Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880.
Copy …
-
psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-after-error
September 23, 2020 - Commentary
What constitutes effective team communication after an error?
Citation Text:
Hart WM, Doerr P, Qian Y, et al. What constitutes effective team communication after an error? AMA J Ethics. 2020;22(4):E298-E304. doi:10.1001/amajethics.2020.298.
Copy Citation
Format:
…
-
psnet.ahrq.gov/web-mm/check-twice-transport-once
March 15, 2023 - Check Twice, Transport Once
Citation Text:
DePew A, Rice J, Chou J. Check Twice, Transport Once. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 …
-
psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
August 23, 2023 - Study
A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.
Citation Text:
Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …
-
psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
April 08, 2011 - Commentary
Classic
Anesthetic mishaps: breaking the chain of accident evolution.
Citation Text:
Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6.
Copy Citation
Format:
Goo…
-
psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
March 13, 2013 - Commentary
Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.
Citation Text:
Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…
-
psnet.ahrq.gov/issue/eleven-basic-procedurespractices-dental-patient-safety
March 27, 2013 - Commentary
Eleven basic procedures/practices for dental patient safety.
Citation Text:
Perea-Pérez B, Labajo-González E, Acosta-Gío AE, et al. Eleven basic procedures/practices for dental patient safety. J Patient Saf. 2020;16(1). doi:10.1097/pts.0000000000000234.
Copy Citation
For…
-
psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
August 03, 2017 - Review
How to perform a root cause analysis for workup and future prevention of medical errors: a review.
Citation Text:
Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…
-
psnet.ahrq.gov/issue/can-we-make-postoperative-patient-handovers-safer-systematic-review-literature
June 10, 2015 - Review
Can we make postoperative patient handovers safer? A systematic review of the literature.
Citation Text:
Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:1…
-
psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Rapid Response Systems
Download
Share
Facebook
Twitter
Linkedin
Copy URL
Subscribe
Created By: AHRQ
Date Created: January 24, 20…
-
psnet.ahrq.gov/web-mm/communication-error-closed-icu
July 01, 2016 - Communication Error in a Closed ICU
Citation Text:
Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML En…