-
psnet.ahrq.gov/node/46562/psn-pdf
April 16, 2018 - "To err is human" but disclosure must be taught: a
simulation-based assessment study.
April 16, 2018
Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-
Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.0000000000000273.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/852278/psn-pdf
August 09, 2023 - Identifying failure modes in telemedicine: an instructional
needs assessment.
August 9, 2023
Monkman H, Kuziemsky C, Homco J, et al. Identifying failure modes in telemedicine: an instructional needs
assessment. Stud Health Technol Inform. 2023;304:39-43. doi:10.3233/shti230365.
https://psnet.ahrq.gov/issue/identif…
-
psnet.ahrq.gov/node/864866/psn-pdf
March 20, 2024 - 2024 National Impact Assessment of the Centers for
Medicare & Medicaid Services (CMS) Quality Measures
Report.
March 20, 2024
Baltimore, MD: US Department of Health and Human Services; 2024.
https://psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms-
quality-measures
Data…
-
psnet.ahrq.gov/node/43119/psn-pdf
April 16, 2014 - Still outside the bull's eye: 2014–2015 Targeted
Medication Safety Best Practices.
April 16, 2014
ISMP Medication Safety Alert! Acute care edition. March 27, 2014;19:1-5.
https://psnet.ahrq.gov/issue/still-outside-bulls-eye-2014-2015-targeted-medication-safety-best-practices
This newsletter article reports results…
-
psnet.ahrq.gov/node/852452/psn-pdf
August 16, 2023 - Value assessment of deprescribing interventions:
suggestions for improvement.
August 16, 2023
Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for
improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298.
https://psnet.ahrq.gov/issue/value-assessment…
-
psnet.ahrq.gov/node/843328/psn-pdf
February 01, 2023 - Self-assessment and learning motivation in the second
victim phenomenon.
February 1, 2023
Bushuven S, Trifunovic-Koenig M, Bentele M, et al. Self-assessment and learning motivation in the second
victim phenomenon. Int J Environ Res Public Health. 2022;19(23):16016. doi:10.3390/ijerph192316016.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/74729/psn-pdf
February 02, 2022 - Healing our own: a randomized trial to assess benefits of
peer support.
February 2, 2022
Rivera-Chiauzzi EY, Smith HA, Moore-Murray T, et al. Healing our own: a randomized trial to assess
benefits of peer support. J Patient Saf. 2022;18(1):e308-e314. doi:10.1097/pts.0000000000000771.
https://psnet.ahrq.gov/issue/h…
-
psnet.ahrq.gov/node/847727/psn-pdf
April 19, 2023 - Impact of sleep deficiency on surgical performance: a
prospective assessment.
April 19, 2023
Quan SF, Landrigan CP, Barger LK, et al. Impact of sleep deficiency on surgical performance: a
prospective assessment. J Clin Sleep Med. 2023;19(4):673-683. doi:10.5664/jcsm.10406.
https://psnet.ahrq.gov/issue/impact-sleep…
-
psnet.ahrq.gov/node/39790/psn-pdf
March 21, 2017 - Integrating incident data from five reporting systems to
assess patient safety: making sense of the elephant.
March 21, 2017
Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to
assess patient safety: making sense of the elephant. Jt Comm J Qual Saf. 2010;36(9):40…
-
psnet.ahrq.gov/node/47530/psn-pdf
June 19, 2019 - Two decades since To Err Is Human: an assessment of
progress and emerging priorities in patient safety.
June 19, 2019
Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging
Priorities In Patient Safety. Health Aff (Millwood). 2018;37(11):1736-1743. doi:10.1377/hlthaff.2018.0738…
-
psnet.ahrq.gov/issue/evidence-based-tool-pe-ps-healthcare-managers-assess-patient-engagement-patient-safety
June 08, 2010 - Study
An evidence-based tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations.
Citation Text:
Aho-Glele U, Pomey M-P, Gomes de Sousa MR, et al. An evidence-based tool (PE for PS) for healthcare managers to assess patient enga…
-
psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
December 17, 2014 - Study
Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients.
Citation Text:
Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. An…
-
psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
March 01, 2023 - Study
Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors.
Citation Text:
Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…
-
psnet.ahrq.gov/issue/evaluation-patient-safety-improvement-corps-experiences-first-two-groups-trainees
May 21, 2014 - Book/Report
Evaluation of the Patient Safety Improvement Corps: Experiences of the First Two Groups of Trainees.
Citation Text:
Evaluation of the Patient Safety Improvement Corps: Experiences of the First Two Groups of Trainees. Teleki S, Santa Monica, CA: RAND Corporation; 2006. ISBN: 9…
-
psnet.ahrq.gov/node/49615/psn-pdf
December 01, 2010 - The Forgotten Turn
December 1, 2010
Barbour S. The Forgotten Turn. PSNet [internet]. 2010.
https://psnet.ahrq.gov/web-mm/forgotten-turn
Case Objectives
Describe the six stages of pressure ulceration per the National Pressure Ulcer Advisory Panel.
List risk factors for the development of pressure ulcers in hospita…
-
psnet.ahrq.gov/issue/nurses-shift-length-and-overtime-working-12-european-countries-association-perceived-quality
August 20, 2018 - December 19, 2018
RN assessments of excellent quality of care and patient safety are
-
psnet.ahrq.gov/issue/empirical-model-estimate-potential-impact-medication-safety-alerts-patient-safety-health-care
September 01, 2016 - Download Citation
Related Resources From the Same Author(s)
Clinicians' assessments
-
psnet.ahrq.gov/issue/improving-patient-safety-through-involvement-patients-development-and-evaluation-novel
October 12, 2016 - October 5, 2022
Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries
-
psnet.ahrq.gov/issue/differing-perceptions-safety-culture-across-job-roles-ambulatory-setting-analysis-ahrq
March 15, 2017 - December 15, 2010
Exploring relationships between patient safety culture and patients' assessments
-
psnet.ahrq.gov/issue/governing-board-c-suite-and-clinical-management-perceptions-quality-and-safety-structures
July 14, 2010 - Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments