-
psnet.ahrq.gov/node/49750/psn-pdf
January 01, 2016 - A Room Without Orders
January 1, 2016
Vogelsmeier A, Despins L. A Room Without Orders. PSNet [internet]. 2016.
https://psnet.ahrq.gov/web-mm/room-without-orders
Case Objectives
Review a common process for planned direct hospital admissions.
Describe challenges of prioritizing day-to-day patient care activities wi…
-
psnet.ahrq.gov/node/865309/psn-pdf
May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate
Post-Tracheostomy Care
May 29, 2024
Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-
Tracheostomy Care. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…
-
psnet.ahrq.gov/node/33863/psn-pdf
August 01, 2018 - In Conversation With… Matthew Weinger, MD
August 1, 2018
In Conversation With… Matthew Weinger, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
Editor's note: Dr. Weinger is Director of the Center for Research and Innovation in Systems Safety and
Professor of Anesthes…
-
psnet.ahrq.gov/perspective/conversation-carole-stockmeier-about-zero-harm-striving-reduce-preventable-harms-point
September 24, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement
Carole Stockmeier, Sarah Mossburg, Lee Merton | September 24, 2024
Also Read the Essay
View more articles from the same authors.
…
-
psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
January 27, 2021 - Complications of ECMO During Transport
Citation Text:
Broman M. Complications of ECMO During Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML End…
-
psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond
the Pandemic: Creating Total Systems Safety
August 30, 2023
McGaffigan P, Van CM, Mossburg S. In Conversation with.. Patricia McGaffigan about Beyond the
Pandemic: Creating Total Systems Safety . PSNet [internet]. 2023.
https://psnet.ahrq.gov/perspective/con…
-
psnet.ahrq.gov/node/847532/psn-pdf
April 12, 2023 - The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue.
April 12, 2023
Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum
maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023…
-
psnet.ahrq.gov/node/764390/psn-pdf
March 02, 2022 - Does root cause analysis improve patient safety? A
systematic review at the Department of Veterans Affairs.
March 2, 2022
Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at
the Department of Veterans Affairs. Qual Manag Health Care. 2022;31(4):231-241.
doi:10.…
-
psnet.ahrq.gov/node/42696/psn-pdf
March 21, 2017 - Evaluation of a problem-specific SBAR tool to improve
after-hours nurse-physician phone communication: a
randomized trial.
March 21, 2017
Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours
nurse-physician phone communication: a randomized trial. Jt Comm J Qual Pa…
-
psnet.ahrq.gov/node/36889/psn-pdf
May 28, 2024 - Surveys on Patient Safety Culture.
May 28, 2024
Rockville MD: Agency for Healthcare Research and Quality
https://psnet.ahrq.gov/issue/surveys-patient-safety-culture
Safety culture has been described as a key to establishing high reliability organizations. The National
Quality Forum's Safe Practices for Healthcare …
-
psnet.ahrq.gov/node/35856/psn-pdf
June 16, 2011 - The Safety Attitudes Questionnaire: psychometric
properties, benchmarking data, and emerging research.
June 16, 2011
Sexton JB, Helmreich RL, Neilands TB, et al. The Safety Attitudes Questionnaire: psychometric properties,
benchmarking data, and emerging research. BMC Health Serv Res. 2006;6(1):44. doi:10.1186/1472…
-
psnet.ahrq.gov/node/867441/psn-pdf
January 08, 2025 - Consumer involvement in the design and development of
medication safety interventions or services in primary
care: a scoping review.
January 8, 2025
DelDot M, Lau E, Rayner N, et al. Consumer involvement in the design and development of medication
safety interventions or services in primary care: a scoping review.…
-
psnet.ahrq.gov/node/867437/psn-pdf
January 08, 2025 - Handoff mnemonics used in perioperative handoff
intervention studies: a systematic review.
January 8, 2025
Patel SM, Fuller S, Michael MM, et al. Handoff mnemonics used in perioperative handoff intervention
studies: a systematic review. Anesth Analg. 2024;Epub Nov 26. doi:10.1213/ane.0000000000007261.
https://psne…
-
psnet.ahrq.gov/node/60319/psn-pdf
May 13, 2020 - Predictors of nursing home nurses' willingness to report
medication near-misses.
May 13, 2020
Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication
near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-03.
https://psnet.ahrq.gov/issue/pre…
-
psnet.ahrq.gov/node/60224/psn-pdf
April 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…
-
psnet.ahrq.gov/node/837640/psn-pdf
July 06, 2022 - Identifying and reconciling patients' allergy information
within the electronic health record.
July 6, 2022
Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the
electronic health record. Stud Health Technol Inform. 2022;290:120-124. doi:10.3233/shti220044.
ht…
-
psnet.ahrq.gov/node/72682/psn-pdf
January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as
an effective mechanism in preventing infection caused by
accompanying caregivers during COVID-19-experience of
a city medical center in Taiwan.
January 27, 2021
Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…
-
psnet.ahrq.gov/node/46034/psn-pdf
April 05, 2017 - Design and reliability of a specific instrument to evaluate
patient safety for patients with acute myocardial
infarction treated in a predefined care track: a
retrospective patient record review study in a single
tertiary hospital in the Netherlands.
April 5, 2017
Eindhoven DC, Borleffs JW, Dietz MF, et al. Desig…
-
psnet.ahrq.gov/node/47877/psn-pdf
June 15, 2019 - End-to-end lung cancer screening with three-dimensional
deep learning on low-dose chest computed tomography.
June 15, 2019
Ardila D, Kiraly AP, Bharadwaj S, et al. End-to-end lung cancer screening with three-dimensional deep
learning on low-dose chest computed tomography. Nat Med. 2019;25(6):954-961. doi:10.1038/s4…
-
psnet.ahrq.gov/node/34043/psn-pdf
March 11, 2011 - Some unintended consequences of information
technology in health care: the nature of patient care
information system-related errors.
March 11, 2011
Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the
nature of patient care information system-related errors. J Am Med…