-
psnet.ahrq.gov/issue/safety-attitudes-questionnaire-psychometric-properties-benchmarking-data-and-emerging
June 16, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed
-
psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
January 18, 2013 - January 18, 2013
The effect of hospital electronic health record adoption on nurse-assessed
-
psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
January 17, 2018 - SPOTLIGHT CASE
Physical Diagnosis: A Lost Art?
Citation Text:
Thompson GR, Verghese A. Physical Diagnosis: A Lost Art?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
Copy Citation
Format:
Google Schola…
-
psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - Project BOOST Increases Patient Understanding of Treatment and Follow-up Care
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
May 26, 2021
Innovation
Contact
…
-
psnet.ahrq.gov/node/73103/psn-pdf
March 31, 2021 - Delayed Diagnosis in the Setting of Virtual Care:
Remembering the Physical Examination
March 31, 2021
Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical
Examination. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-…
-
psnet.ahrq.gov/perspective/implementing-fall-prevention-program
November 29, 2023 - Implementing a Fall Prevention Program
Frances Healey, RN, PhD | December 1, 2011
View more articles from the same authors.
Citation Text:
Healey F. Implementing a Fall Prevention Program. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qualit…
-
psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - SPOTLIGHT CASE
Diagnosing Diagnostic Mistakes
Citation Text:
McNutt RA, Abrams RI, Hasler S. Diagnosing Diagnostic Mistakes. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google S…
-
psnet.ahrq.gov/node/865411/psn-pdf
March 27, 2024 - Uterine Artery Injury during Cesarean Delivery Leads to
Cardiac Arrests and Emergency Hysterectomy
March 27, 2024
Lopez C, Tache V. Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and
Emergency Hysterectomy. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/uterine-artery-injury-during-…
-
psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - Project BOOST Increases Patient Understanding of
Treatment and Follow-up Care
May 26, 2021
https://psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
Summary
The Patient Safe-D(ischarge) program used standardized tools to educate patients about their discharge
needs,…
-
psnet.ahrq.gov/node/47456/psn-pdf
April 30, 2019 - ISMP Gap Analysis Tool (GAT) for Safe IV Push
Medication Practices.
April 30, 2019
Horsham, PA: Institute for Safe Medication Practices; 2018.
https://psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
Standardized practices have not been uniformly adopted to support safe IV medicati…
-
psnet.ahrq.gov/node/46479/psn-pdf
October 04, 2017 - Managing the Costs of Clinical Negligence in Trusts.
October 4, 2017
Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN:
9781786041395.
https://psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts
Applying evidence generated from complaints submitted to h…
-
psnet.ahrq.gov/node/838623/psn-pdf
October 19, 2022 - Resident and nurse perspectives on the use of secure
text messaging systems.
October 19, 2022
Aziz S, Barber J, Singh A, et al. Resident and nurse perspectives on the use of secure text messaging
systems. J Hosp Med. 2022;17(11):880-887. doi:10.1002/jhm.12953.
https://psnet.ahrq.gov/issue/resident-and-nurse-perspe…
-
psnet.ahrq.gov/node/60764/psn-pdf
August 05, 2020 - As coronavirus ravaged nursing homes, inspectors were
not being tested.
August 5, 2020
Dolan J, Mejia B. As coronavirus ravaged nursing homes, inspectors were not being tested. Los Angeles
Times. 2020;July 24.
https://psnet.ahrq.gov/issue/coronavirus-ravaged-nursing-homes-inspectors-were-not-being-tested
Worker s…
-
psnet.ahrq.gov/node/45251/psn-pdf
August 24, 2016 - 5 cataract surgeries, 5 people blinded: what went wrong?
August 24, 2016
Kowalczyk L. Boston Globe. August 14, 2016.
https://psnet.ahrq.gov/issue/5-cataract-surgeries-5-people-blinded-what-went-wrong
Certain elements of the ambulatory surgery environment can increase risk of adverse events. Reporting on
a series o…
-
psnet.ahrq.gov/node/837973/psn-pdf
August 31, 2022 - Acute clinical deterioration and consumer escalation: the
understanding and perceptions of hospital staff.
August 31, 2022
Thiele L, Flabouris A, Thompson C. Acute clinical deterioration and consumer escalation: the
understanding and perceptions of hospital staff. PLoS ONE. 2022;17(6):e0269921.
doi:10.1371/journal…
-
psnet.ahrq.gov/node/43485/psn-pdf
December 15, 2014 - Implementation of an emergency department sign-out
checklist improves transfer of information at shift change.
December 15, 2014
Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist
improves transfer of information at shift change. J Emerg Med. 2014;47(5):580-5.
doi:10…
-
psnet.ahrq.gov/node/837744/psn-pdf
July 27, 2022 - Medication orders with future start dates: how far away is
too far?
July 27, 2022
ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4.
https://psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
Human errors that occur while interacting with electronic health recor…
-
psnet.ahrq.gov/node/74016/psn-pdf
October 27, 2021 - Malnutrition in Hospitalized Adults: A Systematic Review.
October 27, 2021
Uhl S, Siddique SM, McKeever L, et al. Rockville, MD: Agency for Healthcare Research and Quality;
October 2021. AHRQ Publication No. 21(22)-EHC035.
https://psnet.ahrq.gov/issue/malnutrition-hospitalized-adults-systematic-review
Patien…
-
psnet.ahrq.gov/node/47344/psn-pdf
September 11, 2018 - Quality and Safety Between Ward and Board: a Biography
of Artefacts Study.
September 11, 2018
Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals
Library; 2018.
https://psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study
The …
-
psnet.ahrq.gov/node/44736/psn-pdf
December 16, 2015 - Harms from discharge to primary care: mixed methods
analysis of incident reports.
December 16, 2015
Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of
incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687877.
https://psnet.ahrq.gov/is…