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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45981/psn-pdfJune 21, 2017 - State sepsis mandates—a new era for regulation of hospital quality. June 21, 2017 Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928. https://psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47617/psn-pdfDecember 12, 2018 - Medicare cuts payments to nursing homes whose patients keep ending up in hospital. December 12, 2018 Rau J. Kaiser Health News. December 3, 2018. https://psnet.ahrq.gov/issue/medicare-cuts-payments-nursing-homes-whose-patients-keep-ending-hospital Long-term care environments harbor various challenges to patient sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34982/psn-pdfJuly 14, 2010 - Development of the ICU safety reporting system. July 14, 2010 Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32. https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting system. T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43465/psn-pdfFebruary 18, 2015 - Hospital Readmissions Reduction Program: implications for pharmacy. February 18, 2015 Boesen KAG, Leal S, Sheehan VC, et al. Hospital Readmissions Reduction Program: implications for pharmacy. Am J Health Syst Pharm. 2015;72(3):237-44. doi:10.2146/ajhp140177. https://psnet.ahrq.gov/issue/hospital-readmissions-redu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45046/psn-pdfJuly 05, 2016 - Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. July 5, 2016 Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1186/s13054-016-1266-9. https://psne… -
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/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/60866/psn-pdfJanuary 01, 2022 - Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. September 2, 2020 Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. J Patient … -
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/851647/psn-pdfJuly 26, 2023 - Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023 Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188. doi:10.109… -
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/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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