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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46267/psn-pdfDecember 21, 2017 - Pictograms, units and dosing tools, and parent medication errors: a randomized study. December 21, 2017 Yin S, Parker RM, Sanders LM, et al. Pictograms, Units and Dosing Tools, and Parent Medication Errors: A Randomized Study. Pediatrics. 2017;140(1):e20163237. doi:10.1542/peds.2016-3237. https://psnet.ahrq.gov/is… -
Narrator V/O: (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/research/publications/pubcomguide/PSA-Video-Script-Sample.docJune 02, 2025 - Narrator V/O: PSA DISCOVERY HEALTH & AHRQ “Understanding Your Prescription” – · :30 Version 2 Narrator: Unknown (Discovery employee) Talent: Dr. Carolyn Clancy Video/Graphics Audio 1. Animated Discovery Health & AHRQ Logo Narrator V/O: This message is from Discovery Health Channel and the U.S. Agency… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36697/psn-pdfFebruary 03, 2011 - Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. February 3, 2011 Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between hospital-based and primary care phys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34669/psn-pdfJune 26, 2015 - Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. June 26, 2015 Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection and Correction of Human Error. J Appl Behav Sci. 200… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43694/psn-pdfNovember 17, 2015 - Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. November 17, 2015 McAllister C, Leykum LK, Lanham H, et al. Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. J Hosp Med. 2014;9(12):7… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42266/psn-pdfMay 15, 2013 - Medication errors in the home: a multisite study of children with cancer. May 15, 2013 Walsh KE, Roblin DW, Weingart SN, et al. Medication errors in the home: a multisite study of children with cancer. Pediatrics. 2013;131(5):e1405-14. doi:10.1542/peds.2012-2434. https://psnet.ahrq.gov/issue/medication-errors-home… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45410/psn-pdfJuly 27, 2018 - Allocation of physician time in ambulatory practice: a time and motion study in four specialties. July 27, 2018 Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann Intern Med. 2016;165(11). doi:10.7326/m16-0961. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44963/psn-pdfJanuary 23, 2017 - The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study. January 23, 2017 Schnock KO, Dykes PC, Albert J, et al. The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37997/psn-pdfJune 16, 2011 - Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. June 16, 2011 Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34688/psn-pdfMarch 28, 2005 - Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 28, 2005 Classen DC, Pestotnik SL, Evans RS, et al. Adverse drug events in hospitalized patients. Excess length of stay, extra costs, and attributable mortality. JAMA. 1997;277(4):301-6. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47787/psn-pdfFebruary 20, 2019 - How to be a very safe maternity unit: an ethnographic study. February 20, 2019 Liberati EG, Tarrant C, Willars J, et al. How to be a very safe maternity unit: An ethnographic study. Soc Sci Med. 2019;223:64-72. doi:10.1016/j.socscimed.2019.01.035. https://psnet.ahrq.gov/issue/how-be-very-safe-maternity-unit-ethnog… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866081/psn-pdfJune 05, 2024 - "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. June 5, 2024 Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication in the face of medical error and p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39193/psn-pdfApril 21, 2011 - Disclosing harmful mammography errors to patients. April 21, 2011 Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. https://psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients Disclosing errors to pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42836/psn-pdfJanuary 08, 2014 - Comparison of medication safety effectiveness among nine critical access hospitals. January 8, 2014 Cochran GL, Haynatzki G. Comparison of medication safety effectiveness among nine critical access hospitals. Am J Health Syst Pharm. 2013;70(24):2218-24. doi:10.2146/ajhp130067. https://psnet.ahrq.gov/issue/comparis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40539/psn-pdfJune 22, 2011 - Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. June 22, 2011 Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. J Am Geriatr Soc. 2011;59(6):1060… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42229/psn-pdfJuly 03, 2014 - Relationship between occurrence of surgical complications and hospital finances. July 3, 2014 Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi:10.1001/jama.2013.2773. https://psnet.ahrq.gov/issue/relationship-be… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47930/psn-pdfMay 01, 2019 - Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. May 1, 2019 McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to improve Plan-Do-Study-Act cycle fidelity: a retrospective mixed-methods study. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48056/psn-pdfJune 15, 2019 - Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety. June 15, 2019 Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A Typology for Understanding Differing Attributions… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73364/psn-pdfJanuary 01, 2022 - Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. June 9, 2021 Krancevich NM, Belfer JJ, Draper HM, et al. Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients. Ann Pharmacother. 2022;56(1):52-59. doi:10.1177/10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44626/psn-pdfNovember 04, 2015 - "SWARMing" to improve patient care: a novel approach to root cause analysis. November 4, 2015 Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…
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