-
psnet.ahrq.gov/node/73060/psn-pdf
March 24, 2021 - How much and what local adaptation is acceptable? A
comparison of 24 surgical safety checklists in
Switzerland.
March 24, 2021
Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison
of 24 surgical safety checklists in Switzerland. J Patient Saf. 2021;17(3):217-222.
doi…
-
psnet.ahrq.gov/node/42640/psn-pdf
November 08, 2013 - The Safe Patient Flow Initiative: a collaborative quality
improvement journey at Yale-New Haven Hospital.
November 8, 2013
Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement
journey at Yale-New Haven Hospital. Jt Comm J Qual Patient Saf. 2013;39(10):447-59.
…
-
psnet.ahrq.gov/node/43488/psn-pdf
September 10, 2014 - The relationship between hospital systems load and
patient harm.
September 10, 2014
Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient
harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82.
https://psnet.ahrq.gov/issue/relationship-between-hospi…
-
psnet.ahrq.gov/node/34829/psn-pdf
April 06, 2011 - Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests.
April 6, 2011
Devita MA, Braithwaite RS, Mahidhara R, et al. Use of medical emergency team responses to reduce
hospital cardiopulmonary arrests. Qual Saf Health Care. 2004;13(4):251-4.
https://psnet.ahrq.gov/issue/use-medical-emerg…
-
psnet.ahrq.gov/node/60898/psn-pdf
September 09, 2020 - Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system.
September 9, 2020
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
-
psnet.ahrq.gov/node/73081/psn-pdf
March 31, 2021 - Health professionals' perspectives of safety issues in
mental health services: a qualitative study.
March 31, 2021
Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health
services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…
-
psnet.ahrq.gov/node/73561/psn-pdf
August 04, 2021 - Mortality review as a tool to assess the contribution of
healthcare-associated infections to death: results of a
multicentre validity and reproducibility study, 11
European Union countries, 2017 to 2018.
August 4, 2021
van der Kooi T, Lepape A, Astagneau P, et al. Mortality review as a tool to assess the contribut…
-
psnet.ahrq.gov/node/74719/psn-pdf
February 02, 2022 - Failure to rescue following emergency surgery: a FRAM
analysis of the management of the deteriorating patient.
February 2, 2022
Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the
management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…
-
psnet.ahrq.gov/node/846751/psn-pdf
March 29, 2023 - High-fidelity simulation’s impact on clinical reasoning and
patient safety: a scoping review.
March 29, 2023
El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a
scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(23)00028-5.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/50779/psn-pdf
January 08, 2020 - STOPP/START criteria for potentially inappropriate
medications/potential prescribing omissions in older
people: origin and progress.
January 8, 2020
O’Mahony D. STOPP/START criteria for potentially inappropriate medications/potential prescribing
omissions in older people: origin and progress. Expert Rev Clin Pharm…
-
psnet.ahrq.gov/node/837031/psn-pdf
May 04, 2022 - Indicators for implementation outcome monitoring of
reporting and learning systems in hospitals: an
underestimated need for patient safety.
May 4, 2022
Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting
and learning systems in hospitals: an underestimated need …
-
psnet.ahrq.gov/node/35877/psn-pdf
July 23, 2010 - National Quality Forum 30 safe practices: priority and
progress in Iowa hospitals.
July 23, 2010
Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in
Iowa hospitals. Am J Med Qual. 2006;21(2):101-8.
https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…
-
psnet.ahrq.gov/node/73187/psn-pdf
April 28, 2021 - Improving handoff by deliberate cognitive processing:
results from a randomized controlled experimental study.
April 28, 2021
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results
from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4…
-
psnet.ahrq.gov/node/35328/psn-pdf
May 19, 2015 - Applicability of Healthcare Failure Mode and Effects
Analysis to healthcare epidemiology: evaluation of the
sterilization and use of surgical instruments.
May 19, 2015
Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis
to Healthcare Epidemiology: Evaluation of …
-
psnet.ahrq.gov/node/44864/psn-pdf
March 23, 2016 - Caught in the middle: a resident perspective on
influences from the learning environment that perpetuate
mistreatment.
March 23, 2016
Bynum WE, Lindeman B. Caught in the Middle: A Resident Perspective on Influences From the Learning
Environment That Perpetuate Mistreatment. Acad Med. 2016;91(3):301-4.
doi:10.1097…
-
psnet.ahrq.gov/node/45605/psn-pdf
November 30, 2016 - Advancing interprofessional patient safety education for
medical, nursing, and pharmacy learners during clinical
rotations.
November 30, 2016
Thom KA, Heil EL, Croft LD, et al. Advancing interprofessional patient safety education for medical,
nursing, and pharmacy learners during clinical rotations. J Interprof Ca…
-
psnet.ahrq.gov/node/61072/psn-pdf
October 28, 2020 - Reducing nosocomial transmission of COVID-19:
implementation of a COVID-19 triage system.
October 28, 2020
Wake RM, Morgan M, Choi J, et al. Reducing nosocomial transmission of COVID-19: implementation of a
COVID-19 triage system. Clin Med (Lond). 2020;20(5):e141-e145. doi:10.7861/clinmed.2020-0411.
https://psnet.…
-
psnet.ahrq.gov/node/36348/psn-pdf
March 09, 2009 - Reducing medical error in the Military Health System: how
can team training help?
March 9, 2009
Alonso A, Baker DP, Holtzman A, et al. Reducing medical error in the Military Health System: How can
team training help? Human Resource Management Review. 2006;16(3). doi:10.1016/j.hrmr.2006.05.006.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/44150/psn-pdf
August 21, 2015 - Reflection on adverse event disclosure in the
postsurgical hospital context.
August 21, 2015
Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital
context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016.
https://psnet.ahrq.gov/issue/reflection…
-
psnet.ahrq.gov/node/40145/psn-pdf
November 14, 2011 - Postoperative sepsis in the United States.
November 14, 2011
Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg.
2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e.
https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states
The safety of patients undergoing surg…