-
psnet.ahrq.gov/node/41203/psn-pdf
December 18, 2014 - A multicenter collaborative approach to reducing
pediatric codes outside the ICU.
December 18, 2014
Hayes LW, Dobyns EL, DiGiovine B, et al. A multicenter collaborative approach to reducing pediatric codes
outside the ICU. Pediatrics. 2012;129(3):e785-91. doi:10.1542/peds.2011-0227.
https://psnet.ahrq.gov/issue/mu…
-
psnet.ahrq.gov/node/47645/psn-pdf
April 17, 2019 - When a nurse is prosecuted for a fatal medical mistake,
does it make medicine safer?
April 17, 2019
Gordon M. Health Shots. National Public Radio. April 10, 2019.
https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
Punitive responses to medical errors persist despit…
-
psnet.ahrq.gov/node/41873/psn-pdf
November 28, 2012 - A new tool to give hospitalists feedback to improve
interprofessional teamwork and advance patient care.
November 28, 2012
Chesluk BJ, Bernabeo E, Hess B, et al. A new tool to give hospitalists feedback to improve
interprofessional teamwork and advance patient care. Health Aff (Millwood). 2012;31(11):2485-2492.
do…
-
psnet.ahrq.gov/node/37943/psn-pdf
January 17, 2012 - Comparison of adverse events during procedural
sedation between specially trained pediatric residents
and pediatric emergency physicians in Israel.
January 17, 2012
Shavit I, Steiner IP, Idelman S, et al. Comparison of adverse events during procedural sedation between
specially trained pediatric residents and pedi…
-
psnet.ahrq.gov/node/35244/psn-pdf
December 17, 2008 - Representative case series from public hospital
admissions 1998 II: surgical adverse events.
December 17, 2008
Briant R, Morton J, Lay-Yee R, et al. Representative case series from public hospital admissions 1998 II:
surgical adverse events. N Z Med J. 2005;118(1219):U1591.
https://psnet.ahrq.gov/issue/representat…
-
psnet.ahrq.gov/node/838317/psn-pdf
October 12, 2022 - Prevalence and sources of duplicate information in the
electronic medical record.
October 12, 2022
Steinkamp J, Kantrowitz JJ, Airan-Javia S. Prevalence and sources of duplicate information in the
electronic medical record. JAMA Netw Open. 2022;5(9):e2233348.
doi:10.1001/jamanetworkopen.2022.33348.
https://psnet.…
-
psnet.ahrq.gov/node/46384/psn-pdf
November 14, 2018 - Peggy Lillis Foundation.
November 14, 2018
266 12th Street #6, Brooklyn, NY 11215.
https://psnet.ahrq.gov/issue/peggy-lillis-foundation
Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots
foundation employs educational, policy, and advocacy strategies aimed at red…
-
psnet.ahrq.gov/node/38511/psn-pdf
March 25, 2009 - The High Costs of Weak Compliance With the New York
State Hospital Adverse Event Reporting and Tracking
System.
March 25, 2009
Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management;
2009.
https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-a…
-
psnet.ahrq.gov/node/45257/psn-pdf
July 27, 2016 - Exploring approaches to patient safety: the case of spinal
manipulation therapy.
July 27, 2016
Rozmovits L, Mior S, Boon H. Exploring approaches to patient safety: the case of spinal manipulation
therapy. BMC Complement Altern Med. 2016;16:164. doi:10.1186/s12906-016-1149-2.
https://psnet.ahrq.gov/issue/exploring-…
-
psnet.ahrq.gov/node/40511/psn-pdf
June 08, 2011 - A patient safety curriculum for medical residents based
on the perspectives of residents and supervisors.
June 8, 2011
Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the
perspectives of residents and supervisors. J Patient Saf. 2011;7(2):99-105.
doi:10.1097/PTS.0b013e318…
-
psnet.ahrq.gov/node/37259/psn-pdf
March 23, 2011 - Using a survey of incident reporting and learning
practices to improve organisational learning at a cancer
care centre.
March 23, 2011
Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve
organisational learning at a cancer care centre. Qual Saf Health Care. 2007;16…
-
psnet.ahrq.gov/node/46023/psn-pdf
May 03, 2017 - Patient safety and leadership: do you walk the walk?
May 3, 2017
Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92.
doi:10.1097/JHM-D-17-00005.
https://psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk
Hospital leaders are increasingly encouraged t…
-
psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - How to Improve Electronic Health Record Usability and
Patient Safety.
October 5, 2016
Philadelphia, PA: Pew Charitable Trusts; September 6, 2016.
https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety
The usability of electronic health record (EHR) systems can affect clinici…
-
psnet.ahrq.gov/node/37067/psn-pdf
October 03, 2011 - Using an interactive voice response system to improve
patient safety following hospital discharge.
October 3, 2011
Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following
hospital discharge. J Eval Clin Pract. 2007;13(3):346-51.
https://psnet.ahrq.gov/issue/using-…
-
psnet.ahrq.gov/node/46854/psn-pdf
June 20, 2018 - FDA Safety Communication: recommendations to reduce
surgical fires and related patient injury.
June 20, 2018
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018.
https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-
patient-inju…
-
psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - Nontechnical skills in pediatric surgery: factors
influencing operative performance.
April 20, 2016
Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J
Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062.
https://psnet.ahrq.gov/issue/nontechnical-skil…
-
psnet.ahrq.gov/node/46789/psn-pdf
March 20, 2018 - Healthcare professionals' views of smart glasses in
intensive care: a qualitative study.
March 20, 2018
Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative
study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.2017.11.006.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/48042/psn-pdf
June 12, 2019 - Analysis of medical malpractice claims to improve quality
of care: cautionary remarks.
June 12, 2019
Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J
Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178.
https://psnet.ahrq.gov/issue/analysis-medical-mal…
-
psnet.ahrq.gov/node/43347/psn-pdf
September 03, 2014 - POPI (Pediatrics: Omission of Prescriptions and
Inappropriate prescriptions): development of a tool to
identify inappropriate prescribing.
September 3, 2014
Prot-Labarthe S, Weil T, Angoulvant F, et al. POPI (Pediatrics: Omission of Prescriptions and Inappropriate
prescriptions): development of a tool to identify …
-
psnet.ahrq.gov/node/41017/psn-pdf
February 01, 2013 - Safe surgery: how accurate are we at predicting intra-
operative blood loss?
February 1, 2013
Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood
loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x.
https://psnet.ahrq.gov/issue/safe-surge…