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4921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45180/psn-pdf
      May 05, 2017 - Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator. May 5, 2017 King A, Bottle A, Faiz O, et al. Investigating Adverse Event Free Admissions in Medicare Inpatients as a Patient Safety Indicator. Ann Surg. 2017;265(5):910-915. doi:10.1097/SLA.0000000000001792. https://p…

4922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844996/psn-pdf
      February 22, 2023 - In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. February 22, 2023 Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitudinally identify and track late…

4923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40450/psn-pdf
      December 21, 2014 - Unit-based care teams and the frequency and quality of physician–nurse communications. December 21, 2014 Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician- nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.1001/archpediatrics.2011.54. htt…

4924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46904/psn-pdf
      August 20, 2018 - Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. August 20, 2018 Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial. JAMA. 201…

4925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40200/psn-pdf
      July 02, 2014 - Checklists to reduce diagnostic errors. July 2, 2014 Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. https://psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors Diagnostic errors are rapidly gaining attention as the next f…

4926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43367/psn-pdf
      May 01, 2015 - Promoting Patient Safety Through Effective Health Information Technology Risk Management. May 1, 2015 Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND Health. Washington, DC: Office of the National Coordinator for Health Information Technology; May 2014. RR-654-DHHSNCH. https://psnet.ahrq.…

4927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46578/psn-pdf
      April 29, 2018 - Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. April 29, 2018 Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jamia/ocx106. https://psnet.ahrq.gov…

4928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764396/psn-pdf
      March 02, 2022 - Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. March 2, 2022 Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in?hospital reporting from families and patients. J Hosp Med. 2022;…

4929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37096/psn-pdf
      June 24, 2010 - Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. June 24, 2010 Naessens JM, Campbell CR, Berg B, et al. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources…

4930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43301/psn-pdf
      May 01, 2015 - Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. May 1, 2015 Martin G, Ozieranski P, Willars J, et al. Walkrounds in practice: corrupting or enhancing a quality improvement intervention? A qualitative study. Jt Comm J Qual Patient Saf. 2014;40(7):303-310. htt…

4931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38206/psn-pdf
      January 15, 2009 - The medical emergency team system and not-for- resuscitation orders: results from the MERIT Study. January 15, 2009 Chen J, Flabouris A, Bellomo R, et al. The Medical Emergency Team System and not-for-resuscitation orders: results from the MERIT study. Resuscitation. 2008;79(3):391-7. doi:10.1016/j.resuscitation.2…

4932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41884/psn-pdf
      December 21, 2014 - Supratherapeutic dosing of acetaminophen among hospitalized patients. December 21, 2014 Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8. https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…

4933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44151/psn-pdf
      July 03, 2016 - Safety incidents in the primary care office setting. July 3, 2016 Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259. https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting Patient safety in outpat…

4934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852746/psn-pdf
      August 23, 2023 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. August 23, 2023 Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutc…

4935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44081/psn-pdf
      April 22, 2015 - Accuracy of harm scores entered into an event reporting system. April 22, 2015 Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. https://psnet.ahrq.gov/issue/accuracy-harm-scores-entere…

4936. The Final Check: Say it Out Loud. | PSNet
      psnet.ahrq.gov/issue/final-check-say-it-out-loud
      July 31, 2023 - Multi-use Website The Final Check: Say it Out Loud. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 1, 2012 This Web site provides resources to help reduce incidence of …

4937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36807/psn-pdf
      October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…

4938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43851/psn-pdf
      March 13, 2015 - Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. March 13, 2015 Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hy…

4939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50384/psn-pdf
      September 25, 2019 - Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. September 25, 2019 Kane P, Marley R, Daney B, et al. Safety and Communication in the Operating Room: A Safety Questi…

4940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37063/psn-pdf
      January 02, 2017 - Housestaff and medical student attitudes toward medical errors and adverse events. January 2, 2017 Vohra PD, Johnson J, Daugherty CK, et al. Housestaff and medical student attitudes toward medical errors and adverse events. Jt Comm J Qual Patient Saf. 2007;33(8):493-501. https://psnet.ahrq.gov/issue/housestaff-and…