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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35553/psn-pdfJuly 03, 2013 - Maximizing the Use of State Adverse Event Data to Improve Patient Safety. July 3, 2013 Rosenthal J, Booth M. National Academy for State Health Policy; 2005. https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety This report, generated by the National Academy for State Health Po… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46900/psn-pdfAugust 29, 2018 - Developing agreement on never events in primary care dentistry: an international eDelphi study. August 29, 2018 Ensaldo-Carrasco E, Carson-Stevens A, Cresswell K, et al. Developing agreement on never events in primary care dentistry: an international eDelphi study. Br Dent J. 2018;224(9):733-740. doi:10.1038/sj.bd… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847050/psn-pdfApril 05, 2023 - CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. April 5, 2023 McIntosh MS, Garvan C, Kalynych CJ, et al. CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event. Jt Comm J Qual Patient Saf. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847048/psn-pdfApril 05, 2023 - Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. April 5, 2023 Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementation of a communication and optima… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60224/psn-pdfApril 15, 2020 - Information transfer at hospital discharge: a systematic review. April 15, 2020 Kattel S, Manning DM, Erwin PJ, et al. Information transfer at hospital discharge: a systematic review. J Patient Saf. 2020;16(1):e25-e33. doi:10.1097/pts.0000000000000248. https://psnet.ahrq.gov/issue/information-transfer-hospital-dis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73608/psn-pdfJanuary 01, 2022 - Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non- randomized intervention studies. August 18, 2021 Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention on the reduction of inappropri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60051/psn-pdfMarch 18, 2020 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. March 18, 2020 Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836724/psn-pdfMarch 09, 2022 - When no news is bad news: improving diagnostic testing communication through patient engagement. March 9, 2022 Zomerlei T, Carraher A, Chao A, et al. When no news is bad news: improving diagnostic testing communication through patient engagement. J Patient Saf Risk Manage. 2021;26(5):221-224. doi:10.1177/251604352… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853429/psn-pdfSeptember 13, 2023 - Multifaceted intervention to improve patient safety incident reporting in intensive care units. September 13, 2023 Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428. doi:10.1097/pts.0000000000001… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73363/psn-pdfJune 09, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. June 9, 2021 Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837761/psn-pdfAugust 03, 2022 - The effectiveness of improving healthcare teams' human factor skills using simulation-based training: a systematic review. August 3, 2022 Abildgren L, Lebahn-Hadidi M, Mogensen CB, et al. The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review. Adv … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60580/psn-pdfJanuary 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846446/psn-pdfMarch 22, 2023 - The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study. March 22, 2023 Moraes SM, Ferrari TCA, Beleigoli A. The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test stud… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43970/psn-pdfMay 19, 2015 - Organisational reporting and learning systems: innovating inside and outside of the box. May 19, 2015 Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203. https://psnet.ahrq.gov/issue/organisational-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35990/psn-pdfSeptember 17, 2010 - Misunderstanding of prescription drug warning labels among patients with low literacy. September 17, 2010 Wolf MS, Davis TC, Tilson HH, et al. Misunderstanding of prescription drug warning labels among patients with low literacy. Am J Health Syst Pharm. 2006;63(11):1048-55. https://psnet.ahrq.gov/issue/misundersta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36529/psn-pdfAugust 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34812/psn-pdfMarch 05, 2008 - The critical incident technique. March 5, 2008 FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. https://psnet.ahrq.gov/issue/critical-incident-technique This review details the background of a methodology aimed to record specific behaviors, rather than opinions or estimates, in evalu… -
psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrongMay 29, 2024 - must not simply try to avoid the use of nonanalytic, pattern recognition decision-making but instead aim
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866353/psn-pdfJuly 24, 2024 - A clinical pharmacist-led transitions of care program for veterans with two planned care transitions (hospital to skilled care and skilled care to home) amid the COVID-19 pandemic. July 24, 2024 Scannell GA, Bevan DJ, Cowan A, et al. A clinical pharmacist-led transitions of care program for veterans with two plan… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865708/psn-pdfMay 01, 2024 - Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. May 1, 2024 Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE programme. BMC Nurs. 2024;23(1):233. d…
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