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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45967/psn-pdfJuly 05, 2017 - Root-cause analysis: swatting at mosquitoes versus draining the swamp. July 5, 2017 Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46819/psn-pdfJanuary 27, 2019 - Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. January 27, 2019 Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-112. doi:10.1093/pm/pnx304. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852749/psn-pdfJanuary 01, 2024 - A multi-facetted patient safety resource--a qualitative interview study on hospital managers' perception of the nurse-led Rapid Response Team. August 23, 2023 Axelsen MS, Baumgarten M, Egholm CL, et al. A multi?facetted patient safety resource—a qualitative interview study on hospital managers' perception of the n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36386/psn-pdfJuly 14, 2010 - Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. July 14, 2010 Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in Primary… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847046/psn-pdfApril 05, 2023 - Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. April 5, 2023 Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35486/psn-pdfDecember 06, 2011 - The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? December 6, 2011 Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Cornell Law Rev. 2005;90(4):893-993.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866316/psn-pdfJuly 17, 2024 - From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. July 17, 2024 Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. J Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41725/psn-pdfJanuary 01, 2013 - Improving patient handovers from hospital to primary care: a systematic review. October 3, 2012 Hesselink G, Schoonhoven L, Barach P, et al. Improving patient handovers from hospital to primary care: a systematic review. Ann Intern Med. 2013;157(6):417. doi:10.7326/0003-4819-157-6-201209180-00006. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34732/psn-pdfMay 09, 2015 - A Tale of Two Stories: Contrasting Views of Patient Safety. May 9, 2015 Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1997. https://psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety A report from a workshop, this document is a well-written look at the difference… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36814/psn-pdfMarch 28, 2011 - Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations. March 28, 2011 Miller MR, Robinson K, Lubomski LH, et al. Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848318/psn-pdfMay 03, 2023 - Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. May 3, 2023 Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence missed nursing care – a qualitative st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47714/psn-pdfMarch 27, 2019 - Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications. March 27, 2019 Davis KK, Mahishi V, Singal R, et al. Quality Improvement in Ambulatory Surgery Centers: A Major National Effort Aimed at Reducing Infections and Other Surgical C… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38259/psn-pdfDecember 03, 2008 - Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. December 3, 2008 Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. J … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36889/psn-pdfMay 28, 2024 - Surveys on Patient Safety Culture. May 28, 2024 Rockville MD: Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/surveys-patient-safety-culture Safety culture has been described as a key to establishing high reliability organizations. The National Quality Forum's Safe Practices for Healthcare … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865586/psn-pdfApril 17, 2024 - Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. April 17, 2024 Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44513/psn-pdfSeptember 23, 2015 - Improving Diagnosis in Health Care. September 23, 2015 Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care The National Academy of Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854636/psn-pdfOctober 18, 2023 - Primary care teams' reported actions to improve medication safety: a qualitative study with insights in high reliability organising. October 18, 2023 Young RA, Gurses AP, Fulda KG, et al. Primary care teams’ reported actions to improve medication safety: a qualitative study with insights in high reliability organi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857454/psn-pdfJanuary 01, 2024 - Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. December 6, 2023 Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. BMJ Qual Saf. 2024;33(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60578/psn-pdfJune 10, 2020 - Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. June 10, 2020 Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information technology in ambulatory cancer care: … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46541/psn-pdfJanuary 31, 2018 - The 2017 ACGME common work hour standards: promoting physician learning and professional development in a safe, humane environment. January 31, 2018 Burchiel KJ, Zetterman RK, Ludmerer KM, et al. The 2017 ACGME Common Work Hour Standards: Promoting Physician Learning and Professional Development in a Safe, Humane …
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