-
psnet.ahrq.gov/node/39904/psn-pdf
October 13, 2010 - Patient safety: moving the bar in prison health care
standards.
October 13, 2010
Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J
Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242.
https://psnet.ahrq.gov/issue/patient-safety-moving-bar-prison…
-
psnet.ahrq.gov/node/40898/psn-pdf
February 06, 2012 - Creating a web-based incident analysis and
communication system.
February 6, 2012
Marsal S, Heffner JE. Creating a web-based incident analysis and communication system. J Hosp Med.
2012;7(2):142-7. doi:10.1002/jhm.956.
https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system
This…
-
psnet.ahrq.gov/node/38567/psn-pdf
April 15, 2009 - 2009 National Patient Safety Goals.
April 15, 2009
Saufl NM. 2009 National Patient Safety Goals. J Perianesth Nurs. 2009;24(2):114-8.
doi:10.1016/j.jopan.2009.01.008.
https://psnet.ahrq.gov/issue/2009-national-patient-safety-goals
This commentary provides background on the development of the Joint Commission's 200…
-
psnet.ahrq.gov/node/35457/psn-pdf
January 05, 2017 - Examining nurses' decision process for medication
management in home care.
January 5, 2017
Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in
home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85.
https://psnet.ahrq.gov/issue/examining-nurses-decision-process-medic…
-
psnet.ahrq.gov/node/38113/psn-pdf
February 28, 2009 - Prioritising the prevention of medication handling errors.
February 28, 2009
Bertsche T, Niemann D, Mayer Y, et al. Prioritising the prevention of medication handling errors. Pharm
World Sci. 2008;30(6):907-15. doi:10.1007/s11096-008-9250-3.
https://psnet.ahrq.gov/issue/prioritising-prevention-medication-handling-e…
-
psnet.ahrq.gov/node/38304/psn-pdf
December 17, 2008 - ISMP Announces 11th Annual Cheers Awards Recipients.
December 17, 2008
https://psnet.ahrq.gov/issue/ismp-announces-11th-annual-cheers-awards-recipients
The Cheers awards annually recognize leaders in the field of medication safety. Among the 2008 honorees
are FDA Patient Safety News; the Health Information Translat…
-
psnet.ahrq.gov/node/36344/psn-pdf
February 17, 2011 - Clinical problem-solving. Lost in transcription.
February 17, 2011
Kalus RM, Shojania KG, Amory JK, et al. Clinical problem-solving. Lost in transcription. N Engl J Med.
2006;355(14):1487-91.
https://psnet.ahrq.gov/issue/clinical-problem-solving-lost-transcription
This case involves an iatrogenic reaction that occ…
-
psnet.ahrq.gov/node/34958/psn-pdf
June 14, 2011 - Patient safety in an interprofessional learning
environment.
June 14, 2011
Horsburgh M, Merry A, Seddon M. Patient safety in an interprofessional learning environment. Med Educ.
2005;39(5):512-3.
https://psnet.ahrq.gov/issue/patient-safety-interprofessional-learning-environment
The authors discuss a patient safet…
-
psnet.ahrq.gov/node/40521/psn-pdf
June 14, 2011 - Johns Hopkins receives $10 million to open patient safety
institute.
June 14, 2011
Cohn M. Baltimore Sun. May 27, 2011:A1.
https://psnet.ahrq.gov/issue/johns-hopkins-receives-10-million-open-patient-safety-institute
This newspaper article reports on plans to develop the Armstrong Institute for Patient Safety…
-
psnet.ahrq.gov/node/36452/psn-pdf
December 22, 2010 - Transfer of accountability: transforming shift handover to
enhance patient safety.
December 22, 2010
Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to
enhance patient safety. Healthc Q. 2006;9 Spec No:75-79.
https://psnet.ahrq.gov/issue/transfer-accountability-t…
-
psnet.ahrq.gov/node/37173/psn-pdf
January 02, 2017 - Eliminating adverse drug events at Ascension Health.
January 2, 2017
Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual
Patient Saf. 2007;33(9):527-36.
https://psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health
The authors describe an initiativ…
-
psnet.ahrq.gov/node/37384/psn-pdf
March 28, 2012 - Reducing harm to patients. Using patient safety
dashboards at the board level.
March 28, 2012
Pugh M, Reinertsen JL. Reducing harm to patients. Using patient safety dashboards at the board level.
Healthcare executive. 2007;22(6):62, 64-5.
https://psnet.ahrq.gov/issue/reducing-harm-patients-using-patient-safety-das…
-
psnet.ahrq.gov/node/33957/psn-pdf
February 05, 2018 - State Patient Safety Centers: A New Approach to Promote
Patient Safety.
February 5, 2018
Rosenthal J, Booth M. Portland, ME National Academy for State Health Policy; October 2004.
https://psnet.ahrq.gov/issue/state-patient-safety-centers-new-approach-promote-patient-safety
Six states have enacted legislation to su…
-
psnet.ahrq.gov/node/41620/psn-pdf
August 22, 2012 - Improving care transitions: optimizing medication
reconciliation.
August 22, 2012
Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication
reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527.
https://psnet.ahrq.gov/issue/improvin…
-
psnet.ahrq.gov/issue/case-mistaken-identity-staff-input-patient-id-errors
March 27, 2024 - Study
A case of mistaken identity: staff input on patient ID errors.
Citation Text:
Ortiz J, Amatucci C. A case of mistaken identity: staff input on patient ID errors. Nurs Manag. 2009;40(4):37-41. doi:10.1097/01.NUMA.0000349689.98615.6d.
Copy Citation
Format:
DOI Google …
-
psnet.ahrq.gov/issue/patient-safety-primary-care-has-many-aspects-interview-study-primary-care-doctors-and-nurses
July 23, 2008 - Study
Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses.
Citation Text:
Gaal S, van Laarhoven E, Wolters R, et al. Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses. J Eval Clin Pr…
-
psnet.ahrq.gov/issue/nurse-well-being-concept-analysis
August 25, 2021 - Study
Nurse well-being: a concept analysis.
Citation Text:
Patrician PA, Bakerjian D, Billings R, et al. Nurse well-being: a concept analysis. Nurs Outlook. 2022;70(4):639-650. doi:10.1016/j.outlook.2022.03.014.
Copy Citation
Format:
DOI Google Scholar BibTeX EndNote X3 XML…
-
psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
June 28, 2023 - Study
Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital.
Citation Text:
Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…
-
psnet.ahrq.gov/issue/infrastructure-provide-safer-higher-quality-and-more-equitable-telehealth
February 12, 2020 - Commentary
An infrastructure to provide safer, higher quality, and more equitable telehealth.
Citation Text:
Kobeissi MM, Hickey JV. An infrastructure to provide safer, higher quality, and more equitable telehealth. Jt Comm J Qual Patient Saf. 2023;49(4):213-222. doi:10.1016/j.jcjq.2023.…
-
psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-prescribing-american-society-parenteral-and
February 17, 2015 - Commentary
Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model.
Citation Text:
Guenter P, Boullata JI, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Pare…