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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47092/psn-pdfOctober 13, 2018 - Organizational response to known medical errors: does peer review protection impede improvement? October 13, 2018 Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1062860618769429. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47457/psn-pdfJanuary 17, 2019 - Developing a reporting culture: learning from close calls and hazardous conditions. January 17, 2019 Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert. 2018;(60):1-8. https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41405/psn-pdfDecember 30, 2014 - Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. December 30, 2014 Gurses AP, Kim G, Martinez EA, et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary appr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73707/psn-pdfSeptember 15, 2021 - Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. September 15, 2021 Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. Int… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858171/psn-pdfDecember 13, 2023 - Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. December 13, 2023 Jacobson JO, Zerillo JA, Doolin J, et al. Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41813/psn-pdfJuly 02, 2014 - The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. July 2, 2014 Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med. 2012;87(8):1105-24. doi:10.1097/ACM.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853427/psn-pdfJanuary 01, 2024 - Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a mixed method analysis. September 13, 2023 Bell SK, Harcourt K, Dong J, et al. Patient and family contributions to improve the diagnostic process through the OurDX electronic health record tool: a m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856584/psn-pdfJanuary 01, 2024 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). November 29, 2023 Ravindran S, Matharoo M, Rutter MD, et al. Patient safety incidents in endoscopy: a human factors analysis of nonprocedural signific… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44249/psn-pdfFebruary 12, 2019 - Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative Database Report. February 12, 2019 Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Publication No. 15-0041-EF. https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39892/psn-pdfSeptember 20, 2011 - How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data. September 20, 2011 Helmchen LA, Richards MR, McDonald TB. How does routine disclosure of medical error affect patients' propensity to sue and their assessment of pro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45992/psn-pdfJanuary 01, 2020 - Barriers and facilitators of adverse event reporting by adolescent patients and their families. March 29, 2017 Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237. doi:10.1097/pts.000000000000029… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47063/psn-pdfNovember 19, 2018 - I-PASS handoff program: use of a campaign to effect transformational change. November 19, 2018 Rosenbluth G, Destino LA, Starmer AJ, et al. I-PASS Handoff Program: Use of a Campaign to Effect Transformational Change. Ped Qual Saf. 2018;3(4):e088. doi:10.1097/pq9.0000000000000088. https://psnet.ahrq.gov/issue/i-pas… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39294/psn-pdfJanuary 03, 2017 - Patient handoffs: standardized and reliable measurement tools remain elusive. January 3, 2017 Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61. https://psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-m… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845640/psn-pdfMarch 08, 2023 - Effect of Patient and Family Centered I-PASS on adverse event rates in hospitalized children with complex chronic conditions. March 8, 2023 Kuzma N, Khan A, Rickey L, et al. Effect of Patient and Family Centered I?PASS on adverse event rates in hospitalized children with complex chronic conditions. J Hosp Med. 202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42816/psn-pdfOctober 31, 2014 - Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. October 31, 2014 Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a reside… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39821/psn-pdfJuly 16, 2014 - Performance of a fail-safe system to follow up abnormal mammograms in primary care. July 16, 2014 Grossman E, Phillips RS, Weingart SN. Performance of a fail-safe system to follow up abnormal mammograms in primary care. J Patient Saf. 2010;6(3):172-179. https://psnet.ahrq.gov/issue/performance-fail-safe-system-fol… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46700/psn-pdfNovember 19, 2018 - Promising practices for improving hospital patient safety culture. November 19, 2018 Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001. https://psnet.ahrq.gov/issue/promising-practices-improving-ho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853426/psn-pdfJanuary 01, 2024 - Physician perspectives on responding to clinician- perpetuated interpersonal racism against Black patients with serious illness. September 13, 2023 Brown CE, Snyder CR, Marshall AR, et al. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36105/psn-pdfMay 27, 2011 - Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. May 27, 2011 Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Pediat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72467/psn-pdfNovember 18, 2020 - Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. November 18, 2020 Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. BMJ Open.…
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