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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39013/psn-pdfOctober 14, 2009 - The nature and causes of unintended events reported at ten emergency departments. October 14, 2009 Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. https://psnet.ahrq.gov/issue/natur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46559/psn-pdfDecember 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36348/psn-pdfMarch 09, 2009 - Reducing medical error in the Military Health System: how can team training help? March 9, 2009 Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72473/psn-pdfJanuary 01, 2021 - Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863215/psn-pdfFebruary 28, 2024 - Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. February 28, 2024 Gong Y, Chen Y. Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. Stud Health Technol Inform. 2024;310:324-328. doi:10.3233/shti230980. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43141/psn-pdfApril 30, 2014 - Engaging residents and fellows to improve institution- wide quality: the first six years of a novel financial incentive program. April 30, 2014 Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862154/psn-pdfJune 18, 2020 - Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. June 18, 2020 Altman MR, McLemore MR, Oseguera T, et al. Listening to women: recommendations from women of color to improve experiences in pregnancy and birth care. J Midwifery Womens Health. 2020;65(4):466-4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867014/psn-pdfOctober 23, 2024 - Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. October 23, 2024 Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. https://psnet.ahrq.gov/issue/secondary-analys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46715/psn-pdfMay 02, 2018 - Filling the gap: simulation-based crisis resource management training for emergency medicine residents. May 2, 2018 Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg Med. 2018;19(1):205-210. doi:10.5811/wes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862615/psn-pdfAugust 12, 2019 - Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. August 12, 2019 Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72851/psn-pdfMarch 17, 2021 - Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. March 17, 2021 Gurwitz JH, Kapoor A, Garber L, et al. Effect of a multifaceted clinical pharmacist intervention on medication safety after … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45105/psn-pdfMay 11, 2016 - Medicines management, medication errors and adverse medication events in older people referred to a community nursing service: a retrospective observational study. May 11, 2016 Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication Events in Older People Referred to … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854829/psn-pdfJanuary 01, 2024 - Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. October 25, 2023 Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home care— an analysis considering incident reporters' perspectives. J Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38309/psn-pdfDecember 23, 2016 - Safely implementing health information and converging technologies. December 23, 2016 Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4. https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies As health information techno… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72542/psn-pdfDecember 09, 2020 - Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. December 9, 2020 Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in the intensive care unit: a systematic review. Int J Qual Health Care. 2020;32(9):625-638. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837304/psn-pdfJune 01, 2022 - Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. June 1, 2022 Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867344/psn-pdfDecember 11, 2024 - Exploring the relationship between hospital patient safety culture and performance on measures of hospital- acquired conditions. December 11, 2024 Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture and performance on measures of hospital-acquired condition… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50655/psn-pdfJanuary 01, 2020 - Reflections on implementing a hospital-wide provider- based electronic inpatient mortality review system: lessons learnt. November 13, 2019 Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836822/psn-pdfMarch 30, 2022 - Leveraging a safety event management system to improve organizational learning and safety culture. March 30, 2022 Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021- 006… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74183/psn-pdfDecember 15, 2021 - Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021 Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…
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