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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48080/psn-pdfJune 12, 2019 - Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives. June 12, 2019 Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34705/psn-pdfJune 23, 2015 - Incidence and types of adverse events and negligent care in Utah and Colorado. June 23, 2015 Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38(3):261-71. https://psnet.ahrq.gov/issue/incidence-and-types-adverse-events-and-neg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36632/psn-pdfJuly 28, 2010 - Operating room briefings and wrong-site surgery. July 28, 2010 Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery Although wrong-site surgeries are rare, they have… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45973/psn-pdfMarch 29, 2017 - Clinical perspective: creating an effective practice peer review process—a primer. March 29, 2017 Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.ajog.2016.11.1035. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39913/psn-pdfOctober 13, 2010 - The frequency of diagnostic errors in radiologic reports depends on the patient's age. October 13, 2010 Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. https://psnet.ahrq.gov/issue/frequency-di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45576/psn-pdfJuly 02, 2017 - Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. July 2, 2017 Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report on Diagnostic Error. Radiology. 2017;283(1… -
www.ahrq.gov/talkingquality/translate/compare/choose/index.htmlDecember 01, 2022 - Choosing a Comparator for Health Care Quality Scores One of the most important decisions you will make is choosing the “comparator,” i.e., the level of performance against which you are assessing each health plan or provider in your report. When you set a comparator, you are essentially signaling to consumers…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74264/psn-pdfJanuary 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. January 19, 2022 Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838252/psn-pdfOctober 05, 2022 - A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022 Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Jt Co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60898/psn-pdfSeptember 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-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47618/psn-pdfJanuary 30, 2019 - Making care better in the pediatric intensive care unit. January 30, 2019 Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267- 274. doi:10.21037/tp.2018.09.10. https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit Pediatric critical care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47254/psn-pdfSeptember 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38414/psn-pdfMarch 31, 2009 - Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. March 31, 2009 Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Anaes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45578/psn-pdfJanuary 23, 2017 - S-TEAMS: a truly multiprofessional course focusing on nontechnical skills to improve patient safety in the operating theater. January 23, 2017 Stewart-Parker E, Galloway R, Vig S. S-TEAMS: A Truly Multiprofessional Course Focusing on Nontechnical Skills to Improve Patient Safety in the Operating Theater. J Surg Ed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45960/psn-pdfJanuary 01, 2021 - Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. March 15, 2017 Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3):e121-e127. doi:10.1097/PTS.000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41628/psn-pdfJanuary 03, 2017 - Is it possible to identify risks for injurious falls in hospitalized patients? January 3, 2017 Mion LC, Chandler M, Waters TM, et al. Is it possible to identify risks for injurious falls in hospitalized patients? Jt Comm J Qual Patient Saf. 2012;38(9):408-13. https://psnet.ahrq.gov/issue/it-possible-identify-risks… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73614/psn-pdfAugust 18, 2021 - Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. August 18, 2021 Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73074/psn-pdfMarch 24, 2021 - In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. March 24, 2021 Silver-Greenberg J, Gebeloff R. New York Times. March 13, 2021. https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and- rape-dont-dock-five… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47295/psn-pdfSeptember 24, 2018 - Using learning communities to support adoption of health care innovations. September 24, 2018 Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.2018.03.010. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860385/psn-pdfJanuary 10, 2024 - Factors affecting medical residents' decisions to work after call. January 10, 2024 Carr MM, Foreman AM, Friedel JE, et al. Factors affecting medical residents' decisions to work after call. J Patient Saf. 2024;20(1):16-21. doi:10.1097/pts.0000000000001175. https://psnet.ahrq.gov/issue/factors-affecting-medical-re…
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