-
psnet.ahrq.gov/node/846152/psn-pdf
March 15, 2023 - Coworker abuse in healthcare: voices of mistreated
workers.
March 15, 2023
Evans WR, Mullen DM, Burke-Smalley L. Coworker abuse in healthcare: voices of mistreated workers. J
Health Organ Manag. 2023;37(2):236-249. doi:10.1108/jhom-05-2022-0131.
https://psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistrea…
-
psnet.ahrq.gov/node/39298/psn-pdf
June 11, 2010 - Medication error reporting in nursing homes: identifying
targets for patient safety improvement.
June 11, 2010
Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets
for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…
-
psnet.ahrq.gov/node/44839/psn-pdf
February 03, 2016 - Engaging frontline staff in performance improvement: the
American Organization of Nurse Executives
implementation of Transforming Care at the Bedside
collaborative.
February 3, 2016
Needleman J, Pearson ML, Upenieks V, et al. Engaging Frontline Staff in Performance Improvement: The
American Organization of Nurse …
-
psnet.ahrq.gov/node/39600/psn-pdf
June 16, 2010 - Developing a patient safety surveillance system to
identify adverse events in the intensive care unit.
June 16, 2010
Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in
the intensive care unit. Crit Care Med. 2010;38(6 Suppl):S117-25. doi:10.1097/CCM.0b013e3181d…
-
psnet.ahrq.gov/node/73611/psn-pdf
August 18, 2021 - Racial disparities in diagnostic delay among women with
breast cancer.
August 18, 2021
Miller-Kleinhenz JM, Collin LJ, Seidel R, et al. Racial disparities in diagnostic delay among women with
breast cancer. J Am Coll Radiol. 2021;18(10):1384-1393. doi:10.1016/j.jacr.2021.06.019.
https://psnet.ahrq.gov/issue/racial…
-
psnet.ahrq.gov/node/44723/psn-pdf
December 16, 2015 - Situation, background, assessment, and
recommendation–guided huddles improve
communication and teamwork in the emergency
department.
December 16, 2015
Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles
Improve Communication and Teamwork in the Emergency Department. Jour…
-
psnet.ahrq.gov/node/73164/psn-pdf
April 21, 2021 - Effectiveness of communication interventions in
obstetrics--a systematic review.
April 21, 2021
Lippke S, Derksen C, Keller FM, et al. Effectiveness of communication interventions in obstetrics--a
systematic review. Int J Environ Res Public Health. 2021;18(5):2616. doi:10.3390/ijerph18052616.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/837901/psn-pdf
August 24, 2022 - Trial and error: learning from malpractice claims in
childhood surgery.
August 24, 2022
Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood
surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033.
https://psnet.ahrq.gov/issue/trial-and-error-learning-…
-
psnet.ahrq.gov/node/43194/psn-pdf
May 21, 2014 - Communicating doses of pediatric liquid medicines to
parents/caregivers: a comparison of written dosing
directions on prescriptions with labels applied by
dispensed pharmacy.
May 21, 2014
Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to
parents/caregivers: a comparison of…
-
psnet.ahrq.gov/node/47002/psn-pdf
April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings
and Long Term Care Facilities (R18).
April 25, 2018
Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750.
https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care-
facilities-r18
Research …
-
psnet.ahrq.gov/node/35365/psn-pdf
February 17, 2011 - Accidental deaths, saved lives, and improved quality.
February 17, 2011
Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New
England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157.
https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…
-
psnet.ahrq.gov/node/37797/psn-pdf
February 03, 2010 - Predictors of adverse events in patients after discharge
from the intensive care unit.
February 3, 2010
Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the
intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264.
https://psnet.ahrq.gov/issue/predictors-…
-
psnet.ahrq.gov/node/46376/psn-pdf
December 07, 2017 - User-centered collaborative design and development of
an inpatient safety dashboard.
December 7, 2017
Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an
Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685.
doi:10.1016/j.jcjq.2017.05.010.
https…
-
psnet.ahrq.gov/node/73984/psn-pdf
October 20, 2021 - Analyzing diagnostic errors in the acute setting: a
process-driven approach.
October 20, 2021
Griffin JA, Carr K, Bersani K, et al. Analyzing diagnostic errors in the acute setting: a process-driven
approach. Diagnosis (Berl). 2022;9(1):77-88. doi:10.1515/dx-2021-0033.
https://psnet.ahrq.gov/issue/analyzing-diagno…
-
psnet.ahrq.gov/node/60894/psn-pdf
September 09, 2020 - Increased patient safety-related incidents following the
transition into Daylight Savings Time.
September 9, 2020
Kolla BP, Coombes BJ, Morgenthaler TI, et al. Increased patient safety-related incidents following the
transition into Daylight Savings Time. J Gen Intern Med. 2020;36(1):51-54. doi:10.1007/s11606-020-0…
-
psnet.ahrq.gov/node/47212/psn-pdf
July 11, 2018 - Medicine and the rise of the robots: a qualitative review of
recent advances of artificial intelligence in health.
July 11, 2018
Loh E. BMJ Leader. 2018;2(2):59-63.
https://psnet.ahrq.gov/issue/medicine-and-rise-robots-qualitative-review-recent-advances-artificial-
intelligence-health
Artificial intelligence (AI)…
-
psnet.ahrq.gov/node/840152/psn-pdf
November 16, 2022 - Scientific view of the global literature on medical error
reporting and reporting systems from 1977 to 2021: a
bibliometric analysis.
November 16, 2022
Ünal A, Seren Intepeler ?. Scientific view of the global literature on medical error reporting and reporting
systems from 1977 to 2021: a bibliometric analysis. J …
-
psnet.ahrq.gov/node/48062/psn-pdf
August 07, 2019 - Ten ways to improve medication safety in community
pharmacies.
August 7, 2019
Rupp MT. 10 ways to improve medication safety in community pharmacies. J Am Pharm Assoc (2003).
2019;59(4):474-478. doi:10.1016/j.japh.2019.03.018.
https://psnet.ahrq.gov/issue/ten-ways-improve-medication-safety-community-pharmacies
Med…
-
psnet.ahrq.gov/node/50848/psn-pdf
January 29, 2020 - Deficiencies in Care Coordination and Facility Response
to a Patient Suicide at the Minneapolis VA Health Care
System, Minnesota.
January 29, 2020
Washington, DC: Department of Veterans Affairs, Office of Inspector General. January 7, 2020. Report No.
19-00468-67.
https://psnet.ahrq.gov/issue/deficiencies-care-co…
-
psnet.ahrq.gov/node/867097/psn-pdf
November 06, 2024 - Recommendations but no Action: Improving the
Effectiveness of Quality and Safety Recommendations in
Healthcare.
November 6, 2024
Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations
In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024.
h…