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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60934/psn-pdfSeptember 23, 2020 - Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. September 23, 2020 Auerbach AD, O'Leary KJ, Greysen SR, et al. Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers. J Hosp Med. 2020;15(8):483-488. doi:10.12788/jhm.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35855/psn-pdfOctober 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851351/psn-pdfJuly 12, 2023 - Healthcare workers' experiences of patient safety in the intensive care unit during the COVID-19 pandemic: a multicentre qualitative study. July 12, 2023 Berggren K, Ekstedt M, Joelsson?Alm E, et al. Healthcare workers' experiences of patient safety in the intensive care unit during the COVID?19 pandemic: a multic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44042/psn-pdfNovember 03, 2015 - Deployment of rapid response teams by 31 hospitals in a statewide collaborative. November 3, 2015 Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38660/psn-pdfNovember 13, 2009 - Improving medication error reporting in hospice care. November 13, 2009 Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145. https://psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37453/psn-pdfMarch 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842430/psn-pdfSeptember 05, 2018 - The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. September 5, 2018 Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Hosp Pharm. 2018;53(6):408-414. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50824/psn-pdfJanuary 22, 2020 - Failure to rescue and 30-day in-hospital mortality in hospitals with and without crew-resource-management safety training. January 22, 2020 Bacon CT, McCoy TP, Henshaw DS. Failure to rescue and 30?day in?hospital mortality in hospitals with and without crew?resource?management safety training. Res Nurs Health. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39729/psn-pdfSeptember 20, 2011 - Contextual errors and failures in individualizing patient care: a multicenter study. September 20, 2011 Weiner SJ, Schwartz A, Weaver FM, et al. Contextual errors and failures in individualizing patient care: a multicenter study. Ann Intern Med. 2010;153(2):69-75. doi:10.7326/0003-4819-153-2-201007200-00002. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45120/psn-pdfSeptember 11, 2016 - Saving lives: a meta-analysis of team training in healthcare. September 11, 2016 Hughes A, Gregory ME, Joseph DL, et al. Saving lives: A meta-analysis of team training in healthcare. J Appl Psychol. 2016;101(9):1266-304. doi:10.1037/apl0000120. https://psnet.ahrq.gov/issue/saving-lives-meta-analysis-team-training-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866405/psn-pdfJuly 31, 2024 - Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. July 31, 2024 Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s corrective action plan in response to fa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35572/psn-pdfFebruary 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840170/psn-pdfNovember 16, 2022 - Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). November 16, 2022 Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672. https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39670/psn-pdfJuly 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37803/psn-pdfJanuary 06, 2017 - Paying the piper: investing in infrastructure for patient safety. January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844043/psn-pdfFebruary 08, 2023 - In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? February 8, 2023 Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 Pandemic? Systematic Review. Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867082/psn-pdfNovember 06, 2024 - Learning in radiation oncology: 12-month experience with a new incident learning system. November 6, 2024 Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35424/psn-pdfApril 09, 2013 - Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. April 9, 2013 Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13. https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44646/psn-pdfNovember 11, 2015 - The hidden costs of reconciling surgical sponge counts. November 11, 2015 Steelman VM, Schaapveld AG, Perkhounkova Y, et al. The Hidden Costs of Reconciling Surgical Sponge Counts. AORN J. 2015;102(5):498-506. doi:10.1016/j.aorn.2015.09.002. https://psnet.ahrq.gov/issue/hidden-costs-reconciling-surgical-sponge-coun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38428/psn-pdfFebruary 18, 2009 - Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220. https://psnet.ahrq.gov/issue/adverse-eve…
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