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psnet.ahrq.gov/node/41358/psn-pdf
July 06, 2012 - Safety skills training for surgeons: a half-day intervention
improves knowledge, attitudes and awareness of patient
safety.
July 6, 2012
Arora S, Sevdalis N, Ahmed M, et al. Safety skills training for surgeons: A half-day intervention improves
knowledge, attitudes and awareness of patient safety. Surgery. 2012;152…
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psnet.ahrq.gov/node/47033/psn-pdf
June 06, 2018 - Post-hospital medication discrepancies at home: risk
factor for 90-day return to emergency department.
June 6, 2018
Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to
Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:10.1097/NCQ.0000000000000278.
https…
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psnet.ahrq.gov/node/41889/psn-pdf
December 19, 2012 - The effects of a mid-day nap on the neurocognitive
performance of first-year medical residents: a controlled
interventional pilot study.
December 19, 2012
Amin MM, Graber ML, Ahmad K, et al. The effects of a mid-day nap on the neurocognitive performance of
first-year medical residents: a controlled interventional …
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psnet.ahrq.gov/node/44512/psn-pdf
September 23, 2015 - Increased mortality associated with weekend hospital
admission: a case for expanded seven day services?
September 23, 2015
Freemantle N, Ray D, McNulty D, et al. Increased mortality associated with weekend hospital admission: a
case for expanded seven day services? BMJ. 2015;351:h4596. doi:10.1136/bmj.h4596.
https…
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psnet.ahrq.gov/perspective/conversation-robert-hirschtick-md
January 01, 2018 - But that same note is copied and pasted every day with that same neuro exam on days 2, 3, and 4. … This is not right because they didn't really do the neuro exam on days 2, 3, and 4. … RW : Yeah, I'm glad you brought that up in terms of the days of the giants. … get around sounding like you're a Luddite or a curmudgeon, or like we were so much better in the old days
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psnet.ahrq.gov/node/41887/psn-pdf
January 07, 2015 - Bariatric surgery with operating room teams that stayed
fixed during the day: a multicenter study analyzing the
effects on patient outcomes, teamwork and safety
climate, and procedure duration.
January 7, 2015
Stepaniak PS, Heij C, Buise MP, et al. Bariatric surgery with operating room teams that stayed fixed duri…
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psnet.ahrq.gov/node/41748/psn-pdf
April 05, 2013 - Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals.
April 5, 2013
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Factors contributing to all-cause 30-day readmissions: a
structured case series across 18 hospitals. Med Care. 2012;50(7):599-605.
doi:10.1097/MLR.0b013e…
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psnet.ahrq.gov/node/45753/psn-pdf
January 18, 2017 - A 'busy day' effect on perinatal complications of delivery
on weekends: a retrospective cohort study.
January 18, 2017
Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on
weekends: a retrospective cohort study. BMJ Qual Saf. 2017;26(1):e1. doi:10.1136/bmjqs-2016…
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - The patient and mother had to return to the clinic each day for the next few days for ongoing management … hyperkalemia (serum potassium ≥ 6.0 mEq/L, which can be life threatening) in a primary care practice was 3 days … went unacknowledged by ordering clinicians, and 7% of abnormal labs lacked timely follow-up after 30 days
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - team decided to prescribe warfarin 10 mg per day (an increase over his usual dose of 5 mg/day) for 3 days … order to discontinue the warfarin, and the patient continued to receive 10 mg each day for the next 3 days … the robust CPOE system, neither the intern nor resident reviewed the medication list for the next few days
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psnet.ahrq.gov/node/46168/psn-pdf
June 14, 2017 - The HOSPITAL score predicts potentially preventable 30-
day readmissions in conditions targeted by the Hospital
Readmissions Reduction Program.
June 14, 2017
Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day
Readmissions in Conditions Targeted by the Hospital Rea…
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psnet.ahrq.gov/node/45145/psn-pdf
January 08, 2018 - The Ask Me to Explain campaign: a 90-day intervention to
promote patient and family involvement in care in a
pediatric emergency department.
January 8, 2018
Tothy AS, Limper HM, Driscoll J, et al. The Ask Me to Explain Campaign: A 90-Day Intervention to Promote
Patient and Family Involvement in Care in a Pediatric…
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psnet.ahrq.gov/node/36614/psn-pdf
January 14, 2011 - Development and evaluation of a 1-day interclerkship
program for medical students on medical errors and
patient safety.
January 14, 2011
Moskowitz E, Veloski J, Fields SK, et al. Development and evaluation of a 1-day interclerkship program for
medical students on medical errors and patient safety. Am J Med Qual. 2…
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psnet.ahrq.gov/node/36397/psn-pdf
December 22, 2010 - The day Joy died.
December 22, 2010
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
https://psnet.ahrq.gov/issue/day-joy-died
This author shares his experience as a young physician dealing with the aftermath of a medical error and
how the incident affected his practice, his personal relat…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
April 01, 2013 - Clinical outcome in patients from a single region who were dependent on parenteral nutrition for 28 days
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psnet.ahrq.gov/node/40841/psn-pdf
October 16, 2012 - How dangerous is a day in hospital?: A model of adverse
events and length of stay for medical inpatients.
October 16, 2012
Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for
medical inpatients. Med Care. 2011;49(12):1068-75. doi:10.1097/MLR.0b013e31822efb09.
https…
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psnet.ahrq.gov/node/46672/psn-pdf
January 30, 2018 - Elevated mortality among weekend hospital admissions is
not associated with adoption of seven day clinical
standards.
January 30, 2018
Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with
adoption of seven day clinical standards. Emerg Med J. 2018;35(2):108-113. doi:10.1…
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psnet.ahrq.gov/node/41627/psn-pdf
August 29, 2012 - The nurse's medication day.
August 29, 2012
Jennings BM, Sandelowski M, Mark BA. The nurse's medication day. Qual Health Res. 2011;21(10):1441-
51. doi:10.1177/1049732311411927.
https://psnet.ahrq.gov/issue/nurses-medication-day
This ethnographic study describes the complexity of medication administration and comp…
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psnet.ahrq.gov/node/42242/psn-pdf
September 06, 2018 - World Sepsis Day.
September 6, 2018
Global Sepsis Alliance.
https://psnet.ahrq.gov/issue/world-sepsis-day
This website provides resources to raise awareness of sepsis, including information about its increasing
incidence and causes for its delayed diagnosis. World Sepsis Day occurs yearly on September 13th.
https…
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psnet.ahrq.gov/node/40938/psn-pdf
November 16, 2011 - Decreasing 30-day readmission rates.
November 16, 2011
Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69.
doi:10.1097/01.NAJ.0000407308.53587.02.
https://psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates
Analyzing data from the Pennsylvania Patient Safety Authority Reporting Syste…