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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44266/psn-pdf
    May 19, 2019 - Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. May 19, 2019 Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation Settings. J Patient Saf. 2019;15(2):154-160. doi:10…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39302/psn-pdf
    February 17, 2010 - Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. February 17, 2010 Einav Y, Gopher D, Kara I, et al. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. Chest. 2010;137(2):443-9. doi:10.1378/chest.08-1732. https://psnet.ahrq.gov/i…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46323/psn-pdf
    October 29, 2017 - Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. October 29, 2017 O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43207/psn-pdf
    April 25, 2016 - Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. April 25, 2016 Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2014;40(6):253-62. https://…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38076/psn-pdf
    February 15, 2011 - Consequences of inadequate sign-out for patient care. February 15, 2011 Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care W…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43341/psn-pdf
    July 23, 2014 - Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014 Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46110/psn-pdf
    January 01, 2019 - Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction. December 21, 2018 Mazurenko O, Richter J, Kazley AS, et al. Examination of the relationship between management and clinician perception of patient safety climate and patient satisfaction.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38455/psn-pdf
    January 02, 2017 - Clinical triggers: an alternative to a rapid response team. January 2, 2017 Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team A national cam…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45536/psn-pdf
    October 05, 2016 - Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. October 5, 2016 Car LT, Papachristou N, Bull A, et al. Clinician-identified problems and solutions for delayed diagnosis in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):131. doi:10.1186/s12875-016-0…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865531/psn-pdf
    April 10, 2024 - Implicit bias and patient care: mitigating bias, preventing harm. April 10, 2024 Barber Doucet H, Wilson T, Vrablik L, et al. Implicit bias and patient care: mitigating bias, preventing harm. MedEdPORTAL. 2023;19:11343. doi:10.15766/mep_2374-8265.11343. https://psnet.ahrq.gov/innovation/implicit-bias-and-patient-c…

  12. Large-scale implementation of the I-PASS handover system at an academic medical centre. | PSNet

    psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
    March 27, 2018 - Study Large-scale implementation of the I-PASS handover system at an academic medical centre. Citation Text: Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjq…

  13. Failure to follow-up test results for ambulatory patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/failure-follow-test-results-ambulatory-patients-systematic-review
    March 23, 2012 - Review Classic Failure to follow-up test results for ambulatory patients: a systematic review. Citation Text: Callen JL, Westbrook JI, Georgiou A, et al. Failure to Follow-Up Test Results for Ambulatory Patients: A Systematic Review. J Gen Intern Med. 2011;27(10…

  14. Medication errors in the home: a multisite study of children with cancer. | PSNet

    psnet.ahrq.gov/issue/medication-errors-home-multisite-study-children-cancer
    October 19, 2022 - Study Medication errors in the home: a multisite study of children with cancer. Citation Text: Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434. Copy Citation…

  15. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? | PSNet

    psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
    April 04, 2011 - Study Classic Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Citation Text: Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…

  16. Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. | PSNet

    psnet.ahrq.gov/issue/variation-printed-handoff-documents-results-and-recommendations-multicenter-needs-assessment
    June 25, 2014 - Study Variation in printed handoff documents: results and recommendations from a multicenter needs assessment. Citation Text: Rosenbluth G, Bale JF, Starmer AJ, et al. Variation in printed handoff documents: Results and recommendations from a multicenter needs assessment. J Hosp Med. 201…

  17. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. | PSNet

    psnet.ahrq.gov/issue/rates-medical-errors-and-preventable-adverse-events-among-hospitalized-children-following
    November 12, 2014 - Study Classic Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. Citation Text: Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events…

  18. Dedicated teams to optimize quality and safety of surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
    October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…

  19. Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. | PSNet

    psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
    June 16, 2021 - Study Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. Citation Text: Schulz-Moore JS, Bismark M, Jenkinson C, et al. Assessing patients 2019 experiences with medical injury reconciliation processes: item …

  20. Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. | PSNet

    psnet.ahrq.gov/issue/rethinking-resident-supervision-improve-safety-hierarchical-interprofessional-models
    April 09, 2013 - Study Rethinking resident supervision to improve safety: from hierarchical to interprofessional models. Citation Text: Tamuz M, Giardina TD, Thomas EJ, et al. Rethinking resident supervision to improve safety: From hierarchical to interprofessional models. J Hosp Med. 2011;6(8):445-452…
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