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psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbookApril 12, 2019 - Organizational Policy/Guidelines VHA National Patient Safety Improvement Handbook. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 17, 2012 A handbook developed by the …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43280/psn-pdfNovember 30, 2016 - Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 30, 2016 Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. Report No. 14-0032-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45231/psn-pdfFebruary 14, 2017 - 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. February 14, 2017 Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. BMJ. 2016;352:h6781. doi:10.1136/bmj.h6781. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41694/psn-pdfSeptember 19, 2012 - Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. September 19, 2012 Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter- associated urinary tract infection: a statewide analysis. Ann Intern Med. 2012;157(5):3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37768/psn-pdfApril 27, 2010 - The wisdom and justice of not paying for "preventable complications." April 27, 2010 Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197. https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45208/psn-pdfApril 22, 2017 - Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. April 22, 2017 Schroeder SR, Salomon MM, Galanter W, et al. Cognitive tests predict real-world errors: the relationsh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60314/psn-pdfMay 13, 2020 - Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. May 13, 2020 Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br J Anaesth. 2020;125(2):e236-e239. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43037/psn-pdfOctober 31, 2014 - Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. October 31, 2014 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; February 2014. Report No. OEI-06-11-00370. https://psnet.ahrq.gov/issue/adverse-events-skilled-nu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42895/psn-pdfDecember 18, 2014 - National trends in patient safety for four common conditions, 2005–2011. December 18, 2014 Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005- 2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991. https://psnet.ahrq.gov/issue/national-trends-patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40785/psn-pdfMay 04, 2012 - A framework for evaluating the appropriateness of clinical decision support alerts and responses. May 4, 2012 McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19(3):346-52. doi:10.1136/amiajnl- 2011-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47136/psn-pdfJuly 02, 2019 - Adherence to recommended electronic health record safety practices across eight health care organizations. July 2, 2019 Sittig DF, Salimi M, Aiyagari R, et al. Adherence to recommended electronic health record safety practices across eight health care organizations. J Am Med Inform Assoc. 2018;25(7):913-918. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61087/psn-pdfJanuary 01, 2022 - A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. November 4, 2020 Sculli GL, Pendley-Louis R, Neily J, et al. A high-reliability organization framework for health care: a multiyear implementation strategy and associated outcomes. J Patient Saf.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43016/psn-pdfMay 28, 2014 - Identification of serious and reportable events in home care: a Delphi survey to develop consensus. May 28, 2014 Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40393/psn-pdfDecember 21, 2014 - Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. December 21, 2014 O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Med. 2011;171(7):678-684. doi:10.1001/archinternmed.2011.128. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46932/psn-pdfApril 22, 2018 - Hospital Survey on Patient Safety Culture: 2018 User Database Report. April 22, 2018 Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publication No. 18-0025-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48095/psn-pdfJune 26, 2019 - Exposure to incivility hinders clinical performance in a simulated operative crisis. June 26, 2019 Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;28(9):750-757. doi:10.1136/bmjqs-2019-009598. https://psnet.ahrq.gov/issue/ex… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42740/psn-pdfDecember 31, 2014 - ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. December 31, 2014 Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547-57. doi:10.1136/amiajnl- 2013-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44372/psn-pdfJune 21, 2016 - Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital- Acquired Condition Reduction Program. June 21, 2016 Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & Medicaid Services Hospital-Acquire… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47058/psn-pdfAugust 20, 2018 - The first U.S. study on nurses' evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. August 20, 2018 Melnyk BM, Gallagher-Ford L, Zellefrow C, et al. The First U.S. Study on Nurses' Evidence-Based Practice Competencies Indicates Major Deficit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45356/psn-pdfMay 09, 2017 - Screening for medication errors using an outlier detection system. May 9, 2017 Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171. https://psnet.ahrq.gov/issue/screening-medication-errors-u…
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