-
psnet.ahrq.gov/node/73214/psn-pdf
May 05, 2021 - Patient and physician perspectives of deprescribing
potentially inappropriate medications in older adults with
a history of falls: a qualitative study.
May 5, 2021
Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially
inappropriate medications in older adults with …
-
psnet.ahrq.gov/node/37510/psn-pdf
March 04, 2011 - Rare adverse medical events in VA inpatient care:
reliability limits to using patient safety indicators as
performance measures.
March 4, 2011
West AN, Weeks WB, Bagian JP. Rare adverse medical events in VA inpatient care: reliability limits to
using patient safety indicators as performance measures. Health Serv R…
-
psnet.ahrq.gov/node/40891/psn-pdf
January 19, 2012 - Electronic health record-based surveillance of diagnostic
errors in primary care.
January 19, 2012
Singh H, Giardina TD, Forjuoh SN, et al. Electronic health record-based surveillance of diagnostic errors in
primary care. BMJ Qual Saf. 2012;21(2):93-100. doi:10.1136/bmjqs-2011-000304.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/42232/psn-pdf
May 08, 2013 - The Measurement and Monitoring of Safety.
May 8, 2013
Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.
https://psnet.ahrq.gov/issue/measurement-and-monitoring-safety
Despite great effort, health care organizations are still learning how to identify safety problems, es…
-
psnet.ahrq.gov/node/61098/psn-pdf
November 04, 2020 - Nursing home staff turnover and perceived patient safety
culture: results from a national survey.
November 4, 2020
Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results
from a national survey. Gerontologist. 2020;60(7):1303-1311. doi:10.1093/geront/gnaa015.
https:…
-
psnet.ahrq.gov/node/61018/psn-pdf
October 14, 2020 - Association of current opioid use with serious adverse
events among older adult survivors of breast cancer.
October 14, 2020
Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among
older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858.
doi:10.100…
-
psnet.ahrq.gov/node/867082/psn-pdf
November 06, 2024 - Learning in radiation oncology: 12-month experience with
a new incident learning system.
November 6, 2024
Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with
a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823.
https://psnet.a…
-
psnet.ahrq.gov/node/862611/psn-pdf
February 14, 2024 - Review: application of the Safety Attitudes Questionnaire
(SAQ) in primary care - a systematic synthesis on validity,
descriptive and comparative results, and variance across
organisational units.
February 14, 2024
Olesen AE, Juhl MH, Deilkås ET, et al. Review: application of the Safety Attitudes Questionnaire (SA…
-
psnet.ahrq.gov/node/39985/psn-pdf
November 10, 2010 - Establishing a global learning community for incident-
reporting systems.
November 10, 2010
Pham JC, Gianci S, Battles J, et al. Establishing a global learning community for incident-reporting
systems. Qual Saf Health Care. 2010;19(5):446-51. doi:10.1136/qshc.2009.037739.
https://psnet.ahrq.gov/issue/establishing-…
-
psnet.ahrq.gov/node/853428/psn-pdf
September 13, 2023 - Intensive care unit critical incident analysis as an
objective tool to select content for a simulation
curriculum.
September 13, 2023
Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a
simulation curriculum. Simul Healthc. 2023;18(4):279-282. doi:10.1097/…
-
psnet.ahrq.gov/node/42568/psn-pdf
December 29, 2014 - Hospital readmission and parent perceptions of their
child's hospital discharge.
December 29, 2014
Berry JG, Ziniel SI, Freeman L, et al. Hospital readmission and parent perceptions of their child's hospital
discharge. Int J Qual Health Care. 2013;25(5):573-81. doi:10.1093/intqhc/mzt051.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/74126/psn-pdf
December 01, 2021 - Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: an
uncontrolled before-and-after study.
December 1, 2021
Jessurun JG, Hunfeld NGM, Van Rosmalen J, et al. Effect of automated unit dose dispensing with barcode
scanning on medication administration errors: an uncont…
-
psnet.ahrq.gov/node/837136/psn-pdf
May 18, 2022 - What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the emergency
department: an analysis of serious adverse event reports.
May 18, 2022
Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors
resulting in diagnostic errors in the em…
-
psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis.
January 27, 2021
Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294.
https://psnet.ahrq.gov/issue/sys…
-
psnet.ahrq.gov/node/50863/psn-pdf
February 05, 2020 - Patient safety in inpatient mental health settings: a
systematic review.
February 5, 2020
Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic
review. BMJ Open. 2019;9(12):e030230. doi:10.1136/bmjopen-2019-030230.
https://psnet.ahrq.gov/issue/patient-safety-inpat…
-
psnet.ahrq.gov/node/37923/psn-pdf
July 23, 2008 - Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients.
July 23, 2008
Kaushal R, Bates DW, Abramson EL, et al. Unit-based clinical pharmacists' prevention of serious
medication errors in pediatric inpatients. Am J Health-Syst Pharm. 2008;65(13):1254-1260.
doi:10.2146/ajhp0…
-
psnet.ahrq.gov/node/60579/psn-pdf
June 10, 2020 - Outbreak investigation of COVID-19 among residents and
staff of an independent and assisted living community for
older adults in Seattle, Washington.
June 10, 2020
Roxby AC, Greninger AL, Hatfield KM, et al. Outbreak investigation of COVID-19 among residents and staff
of an independent and assisted living communit…
-
psnet.ahrq.gov/node/60642/psn-pdf
July 01, 2020 - Opioid prescribing after childbirth and risk for serious
opioid-related events: a cohort study.
July 1, 2020
Osmundson SS, Min JY, Wiese AD, et al. Opioid Prescribing After Childbirth and Risk for Serious Opioid-
Related Events: A Cohort Study. Ann Intern Med. 2020;173(5):412-414. doi:10.7326/m19-3805.
https://psn…
-
psnet.ahrq.gov/node/42759/psn-pdf
April 24, 2017 - A longitudinal study of clinical peer review's impact on
quality and safety in US hospitals.
April 24, 2017
Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J
Healthc Manag. 2013;58(5):369-85.
https://psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-re…
-
psnet.ahrq.gov/node/73083/psn-pdf
March 31, 2021 - Suicide as an incident of severe patient harm: a
retrospective cohort study of investigations after suicide
in Swedish healthcare in a 13-year perspective.
March 31, 2021
Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort
study of investigations after suicid…