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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74053/psn-pdf
    November 10, 2021 - Prevention of failure to rescue in obstetric patients: a realist review. November 10, 2021 Bernstein SL, Kelechi TJ, Catchpole K, et al. Prevention of failure to rescue in obstetric patients: a realist review. Worldviews Evid Based Nurs. 2021;18(6):352-360. doi:10.1111/wvn.12531. https://psnet.ahrq.gov/issue/preve…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45164/psn-pdf
    May 25, 2016 - Eliminating Harm Checklists: Reduce All-Cause, Preventable Harm. May 25, 2016 Chicago, IL: American Hospital Association, Health Research & Educational Trust; 2016. https://psnet.ahrq.gov/issue/eliminating-harm-checklists-reduce-all-cause-preventable-harm Checklists are a recommended method to reduce omissions in …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44330/psn-pdf
    September 02, 2015 - Health Literacy: Past, Present, and Future: Workshop Summary. September 2, 2015 Alper J; Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Washington, DC: National Academies of Sciences, Engineering, and Medicine; 2015. ISBN: 9780309371544. https://psnet.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43343/psn-pdf
    December 04, 2016 - Parents' perspective on safety in neonatal intensive care: a mixed-methods study. December 4, 2016 Lyndon A, Jacobson CH, Fagan KM, et al. Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. BMJ Qual Saf. 2014;23(11):902-9. doi:10.1136/bmjqs-2014-003009. https://psnet.ahrq.gov/issue/…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44378/psn-pdf
    August 05, 2015 - Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. August 5, 2015 Harris Y, Hu DJ, Lee C, et al. Advancing Medication Safety: Establishing a National Action Plan for Adverse Drug Event Prevention. Jt Comm J Qual Patient Saf. 2015;41(8):351-60. https://psnet.ahrq.gov…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45094/psn-pdf
    May 04, 2016 - Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. May 4, 2016 Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16- 328. https://psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care This analysis found that s…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45028/psn-pdf
    May 25, 2016 - 'Just culture': improving safety by achieving substantive, procedural and restorative justice. May 25, 2016 Dekker SWA, Breakey H. ‘Just culture:’ Improving safety by achieving substantive, procedural and restorative justice. Saf Sci. 2016;85. doi:10.1016/j.ssci.2016.01.018. https://psnet.ahrq.gov/issue/just-cultu…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844793/psn-pdf
    September 11, 2019 - PC standards for maternal safety. September 11, 2019 The Joint Commission. R3 Report. August 21, 2019;24:1-6. https://psnet.ahrq.gov/issue/pc-standards-maternal-safety Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This report reviews the new Joint Commission Pro…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74724/psn-pdf
    February 02, 2022 - Using smart IV infusion pumps outside of patient rooms. February 2, 2022 Messing EG, Abraham RS, Quinn NJ, et al. Using smart IV infusion pumps outside of patient rooms. Am J Nurs. 2022;122(2). doi:10.1097/01.naj.0000819772.45006.5d. https://psnet.ahrq.gov/issue/using-smart-iv-infusion-pumps-outside-patient-rooms …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840163/psn-pdf
    November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47681/psn-pdf
    January 30, 2019 - Infection prevention in the operating room anesthesia work area. January 30, 2019 Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303. https://psnet.ahrq.gov/issue/infection-prevention-operat…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45373/psn-pdf
    November 18, 2016 - Prevalence, risk factors, and outcomes of idle intravenous catheters: an integrative review. November 18, 2016 Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073. ht…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50808/psn-pdf
    January 15, 2020 - Health Services Research Priorities for Improving Diagnostic Safety and Quality. Special Emphasis Notice (SEN). January 15, 2020 Rockville, MD: Agency for Healthcare Research and Quality. December 27, 2019. Publication No. NOT- HS-20-004. https://psnet.ahrq.gov/issue/health-services-research-priorities-improving-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45896/psn-pdf
    March 15, 2017 - Medication governance: preventing errors and promoting patient safety. March 15, 2017 Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44088/psn-pdf
    May 13, 2015 - Safety culture and care: a program to prevent surgical errors. May 13, 2015 Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852284/psn-pdf
    August 09, 2023 - ‘Medical errors are the third leading cause of death’ and other statistics you should question. August 9, 2023 Jaklevic MC. HealthJournalism.org. July 27, 2023. https://psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should- question Published rates of medical errors con…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44326/psn-pdf
    October 21, 2015 - Safety first! Using a checklist for intrafacility transport of adult intensive care patients. October 21, 2015 Comeau OY, Armendariz-Batiste J, Woodby SA. Safety First! Using a Checklist for Intrafacility Transport of Adult Intensive Care Patients. Crit Care Nurse. 2015;35(5):16-25. doi:10.4037/ccn2015991. https:/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33904/psn-pdf
    January 25, 2016 - Healthcare Cost and Utilization Project (HCUP). January 25, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/healthcare-cost-and-utilization-project-hcup The Healthcare Cost and Utilization Project (HCUP) is a family of databases and related software tools and products developed throug…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72850/psn-pdf
    March 17, 2021 - Nurse sensemaking for responding to patient and family safety concerns. March 17, 2021 Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. https://psnet.ahrq.gov/issue/nurse-sensemaking-respo…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836856/psn-pdf
    April 06, 2022 - To what extent are patients involved in researching safety in acute mental healthcare? April 6, 2022 Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x. https://psnet.ahr…
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