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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866355/psn-pdfJuly 24, 2024 - Frequency and preventability of adverse drug events in the outpatient setting. July 24, 2024 Wasserman RL, Edrees HH, Amato MG, et al. Frequency and preventability of adverse drug events in the outpatient setting. BMJ Qual Saf. 2024;Epub Jul 9. doi:10.1136/bmjqs-2024-017098. https://psnet.ahrq.gov/issue/frequency-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47106/psn-pdfAugust 15, 2018 - Imitating incidents: how simulation can improve safety investigation and learning from adverse events. August 15, 2018 Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097/SIH.0000000000000315. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42697/psn-pdfDecember 05, 2013 - An initiative to improve the management of clinically significant test results in a large health care network. December 5, 2013 Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt Comm J Qual Patient Saf. 2013;39(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72602/psn-pdfDecember 23, 2020 - Patient safety in chiropractic teaching programs: a mixed methods study. December 23, 2020 Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0. https://psnet.ahrq.gov/issue/patient-sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46474/psn-pdfNovember 08, 2017 - Clearing the Error: Using Public Deliberation to Define Patient Roles as Partners in the Diagnostic Process. November 8, 2017 St. Paul, MN: Society to Improve Diagnosis in Medicine, Maxwell School of Citizenship and Public Affairs at Syracuse University, and Jefferson Center; 2017. https://psnet.ahrq.gov/issue/cle… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60803/psn-pdfAugust 12, 2020 - Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. August 12, 2020 Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a chil… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862129/psn-pdfFebruary 07, 2024 - Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review. February 7, 2024 Jalali M, Dehghan H, Habibi E, et al. Int J Prev Med. 2023;14:127. https://psnet.ahrq.gov/issue/application-human-factor-analysis-and-classifi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72502/psn-pdfNovember 25, 2020 - Patient safety in primary care: conceptual meanings to the health care team and patients. November 25, 2020 Lai AY. Patient safety in primary care: conceptual meanings to the health care team and patients. J Am Board Fam Med. 2020;33(5):754-764. doi:10.3122/jabfm.2020.05.200042. https://psnet.ahrq.gov/issue/patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72600/psn-pdfDecember 23, 2020 - Improving hospital safety culture for falls prevention through interdisciplinary health education. December 23, 2020 Lopez-Jeng C, Eberth SD. Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promot Pract. 2020;21(6):918-925. doi:10.1177/1524839919840337. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61023/psn-pdfOctober 14, 2020 - Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. October 14, 2020 Nygaard AM, Selnes Haugdahl H, Støre Brinchmann B, et al. Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study. J … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47912/psn-pdfApril 24, 2019 - A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. April 24, 2019 Schwarz CM, Hoffmann M, Schwarz P, et al. A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety. BMC Health Serv Res. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866958/psn-pdfOctober 16, 2024 - Beyond error: a qualitative study of human factors in serious adverse events. October 16, 2024 Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583. https://psnet.ahrq.gov/issue/beyond-error-qualitative-study… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866857/psn-pdfOctober 02, 2024 - Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. October 2, 2024 Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. Pediatr Qual Saf. 202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44409/psn-pdfJanuary 22, 2016 - "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. January 22, 2016 O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of question… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39074/psn-pdfNovember 04, 2009 - Development and usability of a behavioural marking system for performance assessment of obstetrical teams. November 4, 2009 Tregunno D, Pittini R, Haley M, et al. Development and usability of a behavioural marking system for performance assessment of obstetrical teams. Qual Saf Health Care. 2009;18(5):393-6. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35838/psn-pdfMarch 28, 2011 - Unscheduled returns to the emergency department: an outcome of medical errors? March 28, 2011 Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. https://psnet.ahrq.gov/issue/unscheduled-returns-emergency-depart… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73316/psn-pdfMay 26, 2021 - Racial bias among emergency providers: strategies to mitigate its adverse effects. May 26, 2021 Brockett-Walker C, Lall M, Evans DD, et al. Racial bias among emergency providers: strategies to mitigate its adverse effects. Adv Emerg Nurs J. 2021;43(2):89-101. doi:10.1097/tme.0000000000000352. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73388/psn-pdfJune 16, 2021 - Reducing surgical specimen errors through multidisciplinary quality improvement. June 16, 2021 Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003. https://psnet.ahrq.gov/issue/reduci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46270/psn-pdfApril 16, 2018 - Impact of a restraint management bundle on restraint use in an intensive care unit. April 16, 2018 Hall DK, Zimbro KS, Maduro RS, et al. Impact of a Restraint Management Bundle on Restraint Use in an Intensive Care Unit. J Nurs Care Qual. 2018;33(2):143-148. doi:10.1097/NCQ.0000000000000273. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43942/psn-pdfMarch 11, 2015 - FDA requires label warnings to prohibit sharing of multi- dose diabetes pen devices among patients. March 11, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 25, 2015. https://psnet.ahrq.gov/issue/fda-requires-label-warnings-prohibit-sharing-multi-dose-diabetes-pen-device…
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