-
psnet.ahrq.gov/node/43517/psn-pdf
October 08, 2014 - This review defined the substantial economic impact
of adverse events resulting from opioids, finding
-
psnet.ahrq.gov/node/44752/psn-pdf
April 20, 2016 - This commentary
describes a model for identifying, training, and assessing surgeon competencies in a defined
-
psnet.ahrq.gov/node/41690/psn-pdf
September 19, 2012 - inappropriateness-medication-prescriptions-elderly-patients-primary-care-setting-systematic
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
-
psnet.ahrq.gov/node/40535/psn-pdf
July 22, 2011 - framework-classifying-patient-safety-practices-results-expert-consensus-
process
This AHRQ-sponsored consensus panel defined
-
psnet.ahrq.gov/node/39039/psn-pdf
October 21, 2009 - quality-medication-use-primary-care-mapping-problem-working-solution-
systematic-review
A systematic review using failure mode effects analysis methodology defined
-
psnet.ahrq.gov/node/42212/psn-pdf
April 17, 2013 - medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.317_slideshow.ppt
March 01, 2014 - balance systems thinking with individual accountability in health care
Describe two examples of well-defined … Safety Culture
Organizations can reinforce professional duties by doing the following:
Developing well-defined … errors
One example would be a standardized review of all readmissions for the same diagnosis within a defined … standardized-review process
Reason's Unsafe Acts Algorithm and the Professional Accountability Pyramid are two well-defined
-
psnet.ahrq.gov/node/35094/psn-pdf
June 22, 2009 - They found a positive relationship between potentially inappropriate drug
prescribing, as defined by
-
psnet.ahrq.gov/node/40996/psn-pdf
December 18, 2014 - hour regulations, many residency programs are shifting toward night-team
systems where residents work defined
-
psnet.ahrq.gov/node/38062/psn-pdf
March 04, 2011 - discovered that providing unionized employees with a financial incentive to choose safer
hospitals (defined
-
psnet.ahrq.gov/node/34788/psn-pdf
March 28, 2005 - cost-medication-related-problems-university-hospital
This study used retrospective chart review to determine estimated costs of defined
-
psnet.ahrq.gov/node/44111/psn-pdf
October 21, 2015 - This study
also defined several risk factors for prescribing errors in these patients and analyzed the
-
psnet.ahrq.gov/issue/5-million-lives-campaign
January 08, 2020 - Building on this effort, the 5 Million Lives Campaign aims to prevent 5 million incidents of medical harm (defined
-
psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
November 13, 2024 - The National Quality Forum defined 28 never events in a 2007 consensus report that led to state mandates
-
psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
March 12, 2025 - found no difference in escalation of care, length of stay, hospital mortality, or adverse events as defined
-
psnet.ahrq.gov/node/35415/psn-pdf
December 21, 2008 - The nine-volume series builds on the
concept of microsystems, defined as the functional frontline units
-
psnet.ahrq.gov/node/45272/psn-pdf
October 12, 2016 - This qualitative study identified cutting
corners—defined as partially or completely omitting a nursing
-
psnet.ahrq.gov/node/46409/psn-pdf
November 08, 2017 - no-one-coming-hospice-patients-abandoned-deaths-door
Patient safety in ambulatory hospice care is ill defined
-
psnet.ahrq.gov/node/34570/psn-pdf
March 07, 2005 - The work focused on 16 key improvement areas defined through a collaborative process involving the
Health
-
psnet.ahrq.gov/node/39605/psn-pdf
December 17, 2010 - This study found that caregiver perceptions of safety climate vary by facility complexity, which is defined