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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50905/psn-pdf
    February 19, 2020 - Patient activation related to fall prevention: a multisite study February 19, 2020 Christiansen TL, Lipsitz S, Scanlan M, et al. Patient activation related to fall prevention: a multisite study . Jt Comm J Qual Patient Saf. 2020. doi:10.1016/j.jcjq.2019.11.010. https://psnet.ahrq.gov/issue/patient-activation-relat…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40350/psn-pdf
    April 20, 2011 - Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. April 20, 2011 Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of cas…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38663/psn-pdf
    May 27, 2009 - Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. May 27, 2009 Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision- analytic model predicting relative cost-effectiveness. Surgery. 2009;145(5):527-35. doi:10.1016…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61123/psn-pdf
    November 11, 2020 - Organizational Evidence-Based and Promising Practices for Improving Clinician Well-Being. November 11, 2020 Sinsky CA, Biddison LD, Mallick A, et al. NAM Perspectives. Washington DC: National Academy of Medicine; 2020. https://psnet.ahrq.gov/issue/organizational-evidence-based-and-promising-practices-improvin…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46942/psn-pdf
    September 24, 2018 - Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. September 24, 2018 Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual Saf. 2018;27(10):818-826. doi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42997/psn-pdf
    May 28, 2014 - Exploring perinatal shift-to-shift handover communication and process: an observational study. May 28, 2014 Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166-75. doi:10.1111/jep.12103. https:/…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844793/psn-pdf
    September 11, 2019 - PC standards for maternal safety. September 11, 2019 The Joint Commission. R3 Report. August 21, 2019;24:1-6. https://psnet.ahrq.gov/issue/pc-standards-maternal-safety Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This report reviews the new Joint Commission Pro…

  8. Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
    September 13, 2023 - Study Classic Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. Citation Text: Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…

  9. 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. | PSNet

    psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-hfmea-effective-mechanism-preventing-infection
    April 05, 2023 - Study 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. Citation Text: Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Eff…

  10. Relationship between state malpractice environment and quality of health care in the United States. | PSNet

    psnet.ahrq.gov/issue/relationship-between-state-malpractice-environment-and-quality-health-care-united-states
    June 21, 2017 - Study Relationship between state malpractice environment and quality of health care in the United States. Citation Text: Bilimoria KY, Chung JW, Minami CA, et al. Relationship Between State Malpractice Environment and Quality of Health Care in the United States. Jt Comm J Qual Patient Sa…

  11. Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. | PSNet

    psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reform-general-surgery-patient-outcomes-and
    September 09, 2015 - Study Classic Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. Citation Text: Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform wi…

  12. Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. | PSNet

    psnet.ahrq.gov/issue/risk-wrong-patient-orders-among-multiple-vs-singleton-births-neonatal-intensive-care-units-2
    December 21, 2017 - Study Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems. Citation Text: Adelman JS, Applebaum JR, Southern WN, et al. Risk of Wrong-Patient Orders Among Multiple vs Singleton Births in the Neonatal Int…

  13. Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. | PSNet

    psnet.ahrq.gov/issue/pharmacist-physician-communications-highly-computerised-hospital-sign-and-action-electronic
    February 27, 2019 - Study Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages. Citation Text: Pontefract SK, Hodson J, Marriott JF, et al. Pharmacist-Physician Communications in a Highly Computerised Hospital: Sign-Off and Action of Electr…

  14. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
    December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. Citation Text: Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…

  15. Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. | PSNet

    psnet.ahrq.gov/issue/safe-practice-recommendations-use-copy-forward-nursing-flow-sheets-hospital-settings
    May 18, 2022 - Study Safe practice recommendations for the use of copy-forward with nursing flow sheets in hospital settings. Citation Text: Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qu…

  16. Safety of the Manchester Triage System to detect critically ill children at the emergency department. | PSNet

    psnet.ahrq.gov/issue/safety-manchester-triage-system-detect-critically-ill-children-emergency-department
    October 18, 2023 - Study Safety of the Manchester Triage System to detect critically ill children at the emergency department. Citation Text: Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically Ill Children at the Emergency Department. J Pediatr. 2016;17…

  17. Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. | PSNet

    psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
    December 16, 2020 - Study Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. Citation Text: Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology interven…

  18. Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. | PSNet

    psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and
    August 04, 2021 - Study Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. Citation Text: Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic surgical suite improve…

  19. Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina. | PSNet

    psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
    February 07, 2018 - Study Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina. Citation Text: Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating R…

  20. Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. | PSNet

    psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
    December 15, 2021 - Study Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. Citation Text: Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors …
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