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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36928/psn-pdfSeptember 09, 2011 - Characteristics of pediatric chemotherapy medication errors in a national error reporting database. September 9, 2011 Rinke ML, Shore AD, Morlock L, et al. Characteristics of pediatric chemotherapy medication errors in a national error reporting database. Cancer. 2007;110(1):186-95. https://psnet.ahrq.gov/issue/ch… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73246/psn-pdfMay 12, 2021 - Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. May 12, 2021 Lurvey LD, Fassett MJ, Kanter MH. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. Jt Comm J Qual Patient Saf. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37480/psn-pdfJanuary 23, 2008 - Lost opportunities: how physicians communicate about medical errors. January 23, 2008 Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246. https://psnet.ahrq.gov/issue/lost-opportunities… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45355/psn-pdfSeptember 28, 2016 - Getting it right for patient safety: specimen collection process improvement from operating room to pathology. September 28, 2016 D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46031/psn-pdfApril 12, 2017 - Chief of Residents for Quality Improvement and Patient Safety: a recipe for a new role in graduate medical education. April 12, 2017 Ferraro K, Zernzach R, Maturo S, et al. Chief of Residents for Quality Improvement and Patient Safety: A Recipe for a New Role in Graduate Medical Education. Mil Med. 2017;182(3):e17… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41686/psn-pdfSeptember 19, 2012 - The association between sepsis and potential medical injury among hospitalized patients. September 19, 2012 Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556. https://psnet.ahrq.gov/issue/as… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46732/psn-pdfJune 07, 2018 - The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. June 7, 2018 Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464- 017-5933-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860714/psn-pdfJanuary 17, 2024 - Diagnostic errors in hospitalized adults who died or were transferred to intensive care. January 17, 2024 Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Intern Med. 2024:184(2):164-173. https://psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-tr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47719/psn-pdfJuly 01, 2019 - Medication errors in community pharmacies: the need for commitment, transparency, and research. July 1, 2019 Hong K, Hong YD, Cooke CE. Medication errors in community pharmacies: the need for commitment, transparency, and research. Res Social Adm Pharm. 2019;15(7):823-826. doi:10.1016/j.sapharm.2018.11.014. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41301/psn-pdfApril 18, 2012 - Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. April 18, 2012 Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74268/psn-pdfJanuary 19, 2022 - Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta- analysis. January 19, 2022 Mekonnen AB, Redley B, Courten B, et al. Potentially inappropriate prescribing and its associations with health?related … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46848/psn-pdfOctober 13, 2018 - Identifying what is known about improving operating room to intensive care handovers: a scoping review. October 13, 2018 Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548. doi:10.1177… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39512/psn-pdfJune 11, 2010 - An intervention to decrease patient identification band errors in a children's hospital. June 11, 2010 Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838629/psn-pdfOctober 19, 2022 - Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19. October 19, 2022 Friebel R, Maynou L. Assessing the dangers of a hospital stay for patients with developmental disability In England, 2017–19. Health Aff (Millwood). 2022;41(10):1486-1495. doi:10.1377/hlthaff.20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854825/psn-pdfOctober 25, 2023 - Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023 Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. J Patient Saf. 2023;19(8… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72637/psn-pdfJanuary 13, 2021 - Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. January 13, 2021 Ricci-Cabello I, Gangannagaripalli J, Mounce LTA, et al. Identifying Factors Leading to Harm in English G… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855084/psn-pdfNovember 08, 2023 - Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care. November 8, 2023 Garzón González G, Alonso Safont T, Conejos Míquel D, et al. Validation of a reduced set of high- performance triggers for identifying patient safety incidents with harm in … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46871/psn-pdfJuly 14, 2018 - Understanding diagnostic safety in emergency medicine: a case?by?case review of closed ED malpractice claims. July 14, 2018 Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case- by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60580/psn-pdfJanuary 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844058/psn-pdfFebruary 08, 2023 - ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. February 8, 2023 ISMP Medication Safety Alert! Acute care edition. January 26, 2023:28(2):1-4. https://psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey- results Look-a…
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