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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40084/psn-pdfDecember 15, 2010 - Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. December 15, 2010 Hansen RA, Cornell PY, Ryan PB, et al. Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840167/psn-pdfNovember 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022. ISBN: 9781528636759. https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34998/psn-pdfJune 22, 2009 - Cause and effect analysis of closed claims in obstetrics and gynecology. June 22, 2009 White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60038/psn-pdfMarch 11, 2020 - Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. March 11, 2020 ISMP Medication Safety Alert! Acute care edition. February 13, 2020;25(3):1-6. https://psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp- canada Errors in IV … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46425/psn-pdfSeptember 13, 2017 - Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals. September 13, 2017 Brindley P, Cardinal P, eds. Ottawa, ON, Canada: Royal College of Physicians and Surgeons of Canada; 2017. ISBN: 9781926588414. https://psnet.ahrq.gov/issue/opti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42837/psn-pdfJanuary 08, 2014 - What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. January 8, 2014 Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40958/psn-pdfJanuary 19, 2012 - Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers? January 19, 2012 Scott J, Dawson P, Jones D. Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers? BMJ Qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47697/psn-pdfApril 03, 2019 - Engineering a foundation for partnership to improve medication safety during care transitions. April 3, 2019 Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. doi:10.1177/2516043518821497. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44997/psn-pdfJuly 21, 2016 - Crew resource management training in the intensive care unit. A multisite controlled before-after study. July 21, 2016 Kemper PF, de Bruijne M, van Dyck C, et al. Crew resource management training in the intensive care unit. A multisite controlled before-after study. BMJ Qual Saf. 2016;25(8):577-87. doi:10.1136/bmj… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50401/psn-pdfOctober 02, 2019 - Discrepant advanced directives and code status orders: a preventable medical error. October 2, 2019 Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm.3244. https://psnet.ahrq.gov/issue/discre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866867/psn-pdfOctober 02, 2024 - Report links Georgia's abortion ban to preventable deaths. October 2, 2024 Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024. https://psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths Poorly implemented and communicated policy can affect the a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40657/psn-pdfAugust 03, 2011 - Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. August 3, 2011 Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls. Arch Intern Med. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47898/psn-pdfJanuary 01, 2020 - Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. May 8, 2019 Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safety Framework. J Patient Saf. 2020;16… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47181/psn-pdfAugust 22, 2018 - Critical role of the surgeon–anesthesiologist relationship for patient safety. August 22, 2018 Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861291/psn-pdfJanuary 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. January 24, 2024 Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60622/psn-pdfJanuary 01, 2021 - Managing teamwork in the face of pandemic: evidence- based tips. June 24, 2020 Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence- based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447. https://psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72507/psn-pdfNovember 25, 2020 - In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. November 25, 2020 Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309. doi:10.1097/sih.0000000000000504. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74065/psn-pdfNovember 10, 2021 - AHRQ announces interest in research on digital healthcare safety. November 10, 2021 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication No. NOT-HS-22-004. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety Digital in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38831/psn-pdfAugust 05, 2009 - Rural hospital information technology implementation for safety and quality improvement: lessons learned. August 5, 2009 Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform Nurs. 2009;27(4):206-14. doi:10.1097… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40884/psn-pdfOctober 26, 2011 - Get a clue: it can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. October 26, 2011 Rubin M. Get a clue: It can be all too easy to make assessment errors in the field; here's some tips to prevent you from making mistakes. EMS world. 2011;40(9):57-64. h…
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