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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73120/psn-pdfApril 07, 2021 - Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study. April 7, 2021 Volpi E, Giannelli A, Toccafondi G, et al. Medication reconciliation during hospitalization and in hospital- home interface: an observational retrospective study. J Patient Saf. 2021… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38096/psn-pdfJanuary 02, 2017 - Handoffs causing patient harm: a survey of medical and surgical house staff. January 2, 2017 Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. https://psnet.ahrq.gov/issue/handoffs-causing-patient-harm-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50778/psn-pdfJanuary 08, 2020 - A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. January 8, 2020 Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. BMJ Qual Saf. 2020;29(6):499-5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73363/psn-pdfJune 09, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. June 9, 2021 Hada A, Coyer F. Shift?to?shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60277/psn-pdfJanuary 01, 2021 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. April 29, 2020 Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts.0000000000000621. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837429/psn-pdfJanuary 01, 2022 - Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. January 1, 2022 Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43363/psn-pdfSeptember 12, 2016 - Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. September 12, 2016 Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843414/psn-pdfFebruary 01, 2023 - Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. February 1, 2023 Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Jt Comm J Qual Patient Saf. 2023;49(3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842762/psn-pdfJanuary 18, 2023 - Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. January 18, 2023 Aubin DL, Soprovich A, Diaz Carvallo F, et al. Support for healthcare workers and patients after medical error through mutual healing: another step towards patient safety. B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47190/psn-pdfJanuary 01, 2021 - Disclosure coaching: an ask-tell-ask model to support clinicians in disclosure conversations. July 25, 2018 Shapiro J, Robins L, Galowitz P, et al. Disclosure Coaching: An Ask-Tell-Ask Model to Support Clinicians in Disclosure Conversations. J Patient Saf. 2021;17(8):e1364-e1370. doi:10.1097/PTS.0000000000000491. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47198/psn-pdfAugust 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866401/psn-pdfJanuary 01, 2025 - Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: a factorial survey experiment. July 31, 2024 Groves PS, Farag A, Perkhounkova Y, et al. Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861768/psn-pdfJanuary 31, 2024 - "We're all truly pulling in the exact same direction": A qualitative study of attending and resident physician impressions of structured bedside interdisciplinary rounds. January 31, 2024 Mastalerz KA, Jordan SR, Townsley N. “We're all truly pulling in the exact same direction”: a qualitative study of attending a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839816/psn-pdfJanuary 01, 2023 - Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. November 9, 2022 Andraska EA, Phillips AR, Asaadi S, et al. Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. J Surg Educ. 2023;80(1):102-109. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866730/psn-pdfSeptember 18, 2024 - Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. September 18, 2024 Adams MA, Bevan C, Booker M, et al. Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study. Health Soc Care Deliv Res. 2023;12(22):1-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40513/psn-pdfJune 08, 2011 - "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. June 8, 2011 Vashi A, Rhodes K. "Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions. Ann Emerg Med. 2011;57(4):315-322.e1. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44237/psn-pdfNovember 03, 2015 - Surgical never events and contributing human factors. November 3, 2015 Thiels CA, Lal TM, Nienow JM, et al. Surgical never events and contributing human factors. Surgery. 2015;158(2):515-21. doi:10.1016/j.surg.2015.03.053. https://psnet.ahrq.gov/issue/surgical-never-events-and-contributing-human-factors Never even… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867752/psn-pdfMarch 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. March 12, 2025 Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36409/psn-pdfSeptember 28, 2016 - The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. September 28, 2016 Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. IntJ Med Inform. 2007;76… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47007/psn-pdfMay 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi…
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