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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46082/psn-pdf
    February 25, 2019 - The opioid crisis: can improving diagnosis help solve the problem? February 25, 2019 Carr S. ImproveDx. April 2017;4:1-4. https://psnet.ahrq.gov/issue/opioid-crisis-can-improving-diagnosis-help-solve-problem The opioid epidemic has been widely discussed, but little research has examined how misdiagnosis can contr…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45986/psn-pdf
    March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34750/psn-pdf
    May 21, 2019 - The Basics of FMEA. 2nd ed. May 21, 2019 McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773. https://psnet.ahrq.gov/issue/basics-fmea-2nd-edition The authors provide a handbook that serves as the core tool for understanding and implementing the failure mode and effect analy…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39603/psn-pdf
    February 16, 2011 - The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support. February 16, 2011 Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850938/psn-pdf
    June 21, 2023 - AI in medicine needs to be carefully deployed to counter bias – and not entrench it. June 21, 2023 Levi R, Gorenstein D. Health Shots. National Public Radio. June 6, 2023. https://psnet.ahrq.gov/issue/ai-medicine-needs-be-carefully-deployed-counter-bias-and-not-entrench-it Systemic biases are present in data …

  6. Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/figure-1.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Med…

  7. Long-term Care Facilities | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/index.html
    September 01, 2021 - Long-term Care Facilities Resources for long-term care facilities Improving Patient Safety in Long-Term Care Facilities Detecting and promptly reporting changes in a nursing home resident's condition are critical for ensuring the resident's well-being and safety. Such changes may represent a patient s…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44473/psn-pdf
    September 27, 2016 - Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. September 27, 2016 Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration. J Clin Nurs. 2…

  9. Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-1.html
    July 01, 2022 - Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Figure 1: Medication Reconciliation Upon Admission: High Level Process Map Before Redesign Previous Page Next Page Table of Contents Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Med…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43781/psn-pdf
    March 14, 2016 - Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study. March 14, 2016 McLennan SR, Diebold M, Rich LE, et al. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud. 2016;54:16-22. doi:10.1016/j.ijnurstu.2014.10.001. https://psne…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34801/psn-pdf
    February 10, 2011 - Medication prescribing errors in a teaching hospital. February 10, 2011 Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital This study analyzed nearly 290,000 medica…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40359/psn-pdf
    May 30, 2011 - Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. May 30, 2011 Roland M, Rao SR, Sibbald B, et al. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. BMJ Qual Saf. 2011;20(6):515-21. doi:10.1136/bmjqs.2010.048173. https://psne…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47211/psn-pdf
    November 16, 2018 - A conceptual framework to reduce inpatient preventable deaths. November 16, 2018 Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003. https://psnet.ahrq.gov/issue/conceptual-framework-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865818/psn-pdf
    May 08, 2024 - The role for policy in AI-assisted medical diagnosis. May 8, 2024 Newman-Toker DE, Sharfstein JM. The role for policy in AI-assisted medical diagnosis. JAMA Health Forum. 2024;5(4):e241339. doi:10.1001/jamahealthforum.2024.1339. https://psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis Artificial inte…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42171/psn-pdf
    April 17, 2013 - Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. April 17, 2013 Bauer P, Hoffmann RG, Bragg D, et al. Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists. Saf Sci. 2012;53. doi:10.1016/j.ssci.2012.09.009. http…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74238/psn-pdf
    January 12, 2022 - Program access, depressive symptoms, and medical errors among resident physicians with disability. January 12, 2022 Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):e2141511. doi:10.1001/jamanetwo…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36917/psn-pdf
    September 01, 2011 - Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. September 1, 2011 Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996- 2004 from closed claims registered by the Danish…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837605/psn-pdf
    June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74014/psn-pdf
    October 27, 2021 - Adopting system models for multiple incident analysis: utility and usability. October 27, 2021 Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135. https://psnet.ahrq.gov/issue/adopting-system-model…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44469/psn-pdf
    September 16, 2015 - Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. September 16, 2015 Washington, DC: VA Office of Inspector General. August 6, 2015. Report No. 15-02131-471. https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medication…
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