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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74832/psn-pdfFebruary 16, 2022 - Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. February 16, 2022 Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (Basel). 2022;10(1):97. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48014/psn-pdfJuly 10, 2019 - Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students. July 10, 2019 Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev. 2019;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34043/psn-pdfMarch 11, 2011 - Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. March 11, 2011 Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41703/psn-pdfNovember 08, 2012 - Anatomy of an incident disclosure: the importance of dialogue. November 8, 2012 Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue Physician organizations who… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866403/psn-pdfJuly 31, 2024 - Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. July 31, 2024 Pagali SR, Ryu AJ, Fischer KM, et al. Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47141/psn-pdfAugust 17, 2018 - Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. August 17, 2018 Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Process to Identify Relevant Diagnosi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846440/psn-pdfMarch 22, 2023 - "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. March 22, 2023 Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use of medication administration tech… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35434/psn-pdfJune 14, 2011 - Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. June 14, 2011 Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):1605-15. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838126/psn-pdfSeptember 21, 2022 - Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. September 21, 2022 Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Glob Res Rev. 2022;6(9):e22.0007… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72792/psn-pdfMarch 03, 2021 - Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021 Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication reconciliation framework and stan… -
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/60326/psn-pdfMay 13, 2020 - Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. May 13, 2020 Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865585/psn-pdfApril 17, 2024 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61021/psn-pdfOctober 14, 2020 - Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020 Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video inter… -
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/841151/psn-pdfDecember 07, 2022 - Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. December 7, 2022 Pitts S, Yang Y, Thomas BA, et al. Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. J Am Med Inform Assoc. 2022;29(12):2101-21… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46134/psn-pdfSeptember 24, 2017 - Sources of unsafe primary care for older adults: a mixed- methods analysis of patient safety incident reports. September 24, 2017 Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867041/psn-pdfOctober 30, 2024 - "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. October 30, 2024 Hill MA, Coppinger T, Sedig K, et al. "What else could it be?" A scoping review of questions for patients to ask throughout the diagnostic process. J Patient Saf. 2024;20(8):529-534. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844541/psn-pdfFebruary 15, 2023 - Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. February 15, 2023 Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff persp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866559/psn-pdfAugust 21, 2024 - Exploring the impact of pharmacist-supported medication reviews in dementia care: experiences of general practitioners and nurses. August 21, 2024 Carlqvist C, Ekstedt M, Lehnbom EC. Exploring the impact of pharmacist-supported medication reviews in dementia care: experiences of general practitioners and nurses. B…
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