-
psnet.ahrq.gov/node/862987/psn-pdf
February 21, 2024 - Use of professional interpreters for patients with limited
English proficiency undergoing surgery.
February 21, 2024
Cevallos J, Lee C, Bongiovanni T. Use of professional interpreters for patients with limited English
proficiency undergoing surgery. JAMA Netw Open. 2024;7(2):e2355014.
doi:10.1001/jamanetworkopen.2…
-
psnet.ahrq.gov/node/836862/psn-pdf
April 06, 2022 - What are we missing? The quality of intraoperative
handover before and after introduction of a checklist.
April 6, 2022
Lane S, Gross M, Arzola C, et al. What are we missing? The quality of intraoperative handover before and
after introduction of a checklist. Can J Anaesth. 2022;69(7):832-840. doi:10.1007/s12630-02…
-
psnet.ahrq.gov/node/854260/psn-pdf
October 04, 2023 - Surgeons' leadership style and team behavior in the
hybrid operating room: prospective cohort study.
October 4, 2023
Soenens G, Marchand B, Doyen B, et al. Surgeons' leadership style and team behavior in the hybrid
operating room: prospective cohort study. Ann Surg. 2023;278(1):e5-e12.
doi:10.1097/sla.000000000000…
-
psnet.ahrq.gov/node/853610/psn-pdf
September 20, 2023 - Ten years later, alarm fatigue is still a safety concern.
September 20, 2023
Albanowski K, Burdick KJ, Bonafide CP, et al. Ten years later, alarm fatigue is still a safety concern. AACN
Adv Crit Care. 2023;34(3):189-197. doi:10.4037/aacnacc2023662.
https://psnet.ahrq.gov/issue/ten-years-later-alarm-fatigue-still-sa…
-
psnet.ahrq.gov/node/47438/psn-pdf
June 02, 2019 - Developing an intervention to reduce harm in hospitalized
patients: patients and families in research.
June 2, 2019
Schenk EC, Bryant RA, Van Son CR, et al. Developing an Intervention to Reduce Harm in Hospitalized
Patients: Patients and Families in Research. J Nurs Care Qual. 2019;34(3):273-278.
doi:10.1097/NCQ.0…
-
psnet.ahrq.gov/node/846147/psn-pdf
March 15, 2023 - Automated capture of intraoperative adverse events using
artificial intelligence: a systematic review and meta-
analysis.
March 15, 2023
Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial
intelligence: a systematic review and meta-analysis. J Clin Med. 2023;12(…
-
psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia
Citation Text:
Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…
-
psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
January 29, 2021 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.
Citation Text:
Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation.. PSNet [internet]. Rockville (MD): Ag…
-
psnet.ahrq.gov/node/74240/psn-pdf
January 01, 2024 - Use and impact of virtual primary care on quality and
safety: the public's perspectives during the COVID-19
pandemic.
January 12, 2022
Neves AL, van Dael J, O’Brien N, et al. Use and impact of virtual primary care on quality and safety: The
public's perspectives during the COVID-19 pandemic. J Telemed Telecare. 20…
-
psnet.ahrq.gov/
March 25, 2025 - This website is up to date as of March 24, 2025. You will not be able to register for an account and will no longer be able to obtain Continuing Medical Education (CME), Maintenance of Certification (MOC), or Continuing Pharmacy Education (CPE) credits. We are not taking submissions for WebM&M cases, Innovations, Train…
-
psnet.ahrq.gov/node/46241/psn-pdf
January 30, 2018 - Interventions to improve oral chemotherapy safety and
quality: a systematic review.
January 30, 2018
Zerillo JA, Goldenberg BA, Kotecha RR, et al. Interventions to Improve Oral Chemotherapy Safety and
Quality. JAMA Oncol. 2017;4(1):105-117. doi:10.1001/jamaoncol.2017.0625.
https://psnet.ahrq.gov/issue/intervention…
-
psnet.ahrq.gov/node/44695/psn-pdf
June 07, 2016 - Enhancing surgical safety using digital multimedia
technology.
June 7, 2016
Dixon JL, Mukhopadhyay D, Hunt J, et al. Enhancing surgical safety using digital multimedia technology.
Am J Surg. 2016;211(6):1095-8. doi:10.1016/j.amjsurg.2015.08.023.
https://psnet.ahrq.gov/issue/enhancing-surgical-safety-using-digital-…
-
psnet.ahrq.gov/node/72797/psn-pdf
March 03, 2021 - Evaluating the impact of a pharmacist-led prescribing
feedback intervention on prescribing errors in a hospital
setting.
March 3, 2021
Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback
intervention on prescribing errors in a hospital setting. Res Social Adm Pha…
-
psnet.ahrq.gov/node/73624/psn-pdf
August 25, 2021 - System factors affecting patient safety in the OR: an
analysis of safety threats and resiliency.
August 25, 2021
Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an
analysis of safety threats and resiliency. Ann Surg. 2021;274(1):114-119.
doi:10.1097/sla.00000000…
-
psnet.ahrq.gov/node/865813/psn-pdf
May 08, 2024 - Quality framework for remote antenatal care: qualitative
study with women, healthcare professionals and system-
level stakeholders.
May 8, 2024
Hinton L, Dakin FH, Kuberska K, et al. Quality framework for remote antenatal care: qualitative study with
women, healthcare professionals and system-level stakeholders. B…
-
psnet.ahrq.gov/node/865875/psn-pdf
May 15, 2024 - Digital health interventions and patient safety in
abdominal surgery: a systematic review and meta-
analysis.
May 15, 2024
Grygorian A, Montano D, Shojaa M, et al. Digital health interventions and patient safety in abdominal
surgery: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(4):e248555.
doi:10…
-
psnet.ahrq.gov/node/863214/psn-pdf
February 28, 2024 - Appropriate use of medical interpreters in the breast
imaging clinic.
February 28, 2024
Feliciano-Rivera YZ, Yepes MM, Sanchez P, et al. Appropriate use of medical interpreters in the breast
imaging clinic. J Breast Imaging. 2024;27(3):296-303. doi:10.1093/jbi/wbad109.
https://psnet.ahrq.gov/issue/appropriate-use-…
-
psnet.ahrq.gov/node/38970/psn-pdf
July 05, 2013 - Joint Commission Center for Transforming Healthcare.
July 5, 2013
Joint Commission.
https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare
The Joint Commission has traditionally focused on accreditation of health care organizations and, through
its Joint Commission Resources arm, on quality i…
-
psnet.ahrq.gov/node/43249/psn-pdf
June 18, 2014 - Automated and electronically assisted hand hygiene
monitoring systems: a systematic review.
June 18, 2014
Ward MA, Schweizer ML, Polgreen PM, et al. Automated and electronically assisted hand hygiene
monitoring systems: a systematic review. Am J Infect Control. 2014;42(5):472-8.
doi:10.1016/j.ajic.2014.01.002.
ht…
-
psnet.ahrq.gov/node/42839/psn-pdf
January 09, 2014 - Teaching medical error disclosure to residents using
patient-centered simulation training.
January 9, 2014
Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered
simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.0000000000000046.
https://psnet.ahrq.…