-
psnet.ahrq.gov/node/837501/psn-pdf
June 22, 2022 - Development and validation of a brief culture-of-safety
survey.
June 22, 2022
Barnard C, Chung JW, Flaherty V, et al. Development and validation of a brief culture-of-safety survey. Jt
Comm J Qual Patient Saf. 2022;48(9):430-438. doi:10.1016/j.jcjq.2022.04.006.
https://psnet.ahrq.gov/issue/development-and-validati…
-
psnet.ahrq.gov/node/60280/psn-pdf
April 29, 2020 - Missed, rationed or unfinished nursing care: a scoping
review of patient outcomes.
April 29, 2020
Kalánková D, Kirwan M, Bartoní?ková D, et al. Missed, rationed or unfinished nursing care: A scoping
review of patient outcomes. J Nurs Manag. 2020;28(8):1783-1797. doi:10.1111/jonm.12978.
https://psnet.ahrq.gov/issue…
-
psnet.ahrq.gov/node/837801/psn-pdf
August 10, 2022 - Decreasing misdiagnoses of urinary tract infections in a
pediatric emergency department.
August 10, 2022
Ostrow O, Prodanuk M, Foong Y, et al. Decreasing misdiagnoses of urinary tract infections in a pediatric
emergency department. Pediatrics. 2022;150(1):e2021055866. doi:10.1542/peds.2021-055866.
https://psnet.ah…
-
psnet.ahrq.gov/node/44898/psn-pdf
November 23, 2016 - Types and patterns of safety concerns in home care:
client and family caregiver perspectives.
November 23, 2016
Tong CE, Sims-Gould J, Martin-Matthews A. Types and patterns of safety concerns in home care: client
and family caregiver perspectives. Int J Qual Health Care. 2016;28(2):214-220.
doi:10.1093/intqhc/mzw0…
-
psnet.ahrq.gov/node/836776/psn-pdf
March 23, 2022 - Potentially inappropriate medications and their effect on
falls during hospital admission.
March 23, 2022
Damoiseaux-Volman BA, Raven K, Sent D, et al. Potentially inappropriate medications and their effect on
falls during hospital admission. Age Ageing. 2022;51(1):afab205. doi:10.1093/ageing/afab205.
https://psne…
-
psnet.ahrq.gov/node/844780/psn-pdf
September 11, 2019 - Commissioning simulations to test new healthcare
facilities: a proactive and innovative approach to
healthcare system safety.
September 11, 2019
Kaba A, Barnes S. Commissioning simulations to test new healthcare facilities: a proactive and innovative
approach to healthcare system safety. Adv Simul (Lond). 2019;4:1…
-
psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
-
psnet.ahrq.gov/node/60013/psn-pdf
March 04, 2020 - Development and implementation of a suicide prevention
checklist to create a safe environment.
March 4, 2020
Frost DA, Snydeman CK, Lantieri MJ, et al. Development and Implementation of a Suicide Prevention
Checklist to Create a Safe Environment. Psychosomatics. 2019;61(2):154-160.
doi:10.1016/j.psym.2019.10.008.
…
-
psnet.ahrq.gov/node/838146/psn-pdf
September 21, 2022 - HSIB Maternity Investigation Programme Year in Review
2021/22. Summary of Highlights, Themes and Future
Work.
September 21, 2022
Farnborough, UK: Healthcare Safety Investigation Branch; 2022.
https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary-
highlights-themes-and
Thi…
-
psnet.ahrq.gov/node/36118/psn-pdf
September 24, 2010 - Implementing patient safety practices in small ambulatory
care settings.
September 24, 2010
Schauberger CW, Larson P. Implementing patient safety practices in small ambulatory care settings. Jt
Comm J Qual Patient Saf. 2006;32(8):419-425.
https://psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-amb…
-
psnet.ahrq.gov/node/44798/psn-pdf
November 02, 2016 - From the closest observers of patient care: a thematic
analysis of online narrative reviews of hospitals.
November 2, 2016
Bardach N, Lyndon A, Asteria-Peñaloza R, et al. From the closest observers of patient care: a thematic
analysis of online narrative reviews of hospitals. BMJ Qual Saf. 2016;25(11):889-897. doi:…
-
psnet.ahrq.gov/node/44210/psn-pdf
September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety.
September 9, 2015
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824.
https://psnet.ahrq.gov/issue/futur…
-
psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - The architecture of safety: an emerging priority for
improving patient safety.
November 21, 2018
Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient
Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/45935/psn-pdf
September 29, 2017 - Radiology research in quality and safety: current trends
and future needs.
September 29, 2017
Zygmont ME, Itri JN, Rosenkrantz AB, et al. Radiology Research in Quality and Safety: Current Trends and
Future Needs. Acad Radiol. 2017;24(3):263-272. doi:10.1016/j.acra.2016.07.021.
https://psnet.ahrq.gov/issue/radiolog…
-
psnet.ahrq.gov/node/73878/psn-pdf
September 29, 2021 - Interventions to improve communication at hospital
discharge and rates of readmission: a systematic review
and meta-analysis.
September 29, 2021
Becker C, Zumbrunn S, Beck K, et al. Interventions to improve communication at hospital discharge and
rates of readmission. JAMA Netw Open. 2021;4(8):e2119346. doi:10.100…
-
psnet.ahrq.gov/node/47636/psn-pdf
December 12, 2018 - Learning from tragedy: the Julia Berg story.
December 12, 2018
Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl).
2018;5(4):257-266. doi:10.1515/dx-2018-0067.
https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story
This commentary provides a clinical review of …
-
psnet.ahrq.gov/node/847722/psn-pdf
April 19, 2023 - Factors associated with diagnostic error: an analysis of
closed medical malpractice claims.
April 19, 2023
Grenon V, Szymonifka J, Adler-Milstein J, et al. Factors associated with diagnostic error: an analysis of
closed medical malpractice claims. J Patient Saf. 2023;19(3):211-215.
doi:10.1097/pts.0000000000001105…
-
psnet.ahrq.gov/node/46872/psn-pdf
May 09, 2018 - Obstetric Care Consensus No. 5: Severe Maternal
Morbidity: Screening and Review.
May 9, 2018
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review. Obstet Gynecol.
2016;128(3):e54-60. doi:10.1097/AOG.0000000000001642.
https://psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-mater…
-
psnet.ahrq.gov/node/72570/psn-pdf
January 01, 2021 - Provider-patient communication and hospital ratings:
perceived gaps and forward thinking about the effects of
COVID-19.
December 16, 2020
Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings:
perceived gaps and forward thinking about the effects of COVID-19. Int J Qual …
-
psnet.ahrq.gov/node/42627/psn-pdf
October 02, 2013 - How much diagnostic safety can we afford, and how
should we decide? A health economics perspective.
October 2, 2013
Newman-Toker DE, McDonald KM, Meltzer DO. How much diagnostic safety can we afford, and how
should we decide? A health economics perspective. BMJ Qual Saf. 2013;22(Suppl 2):ii11-ii20.
doi:10.1136/bmj…