-
psnet.ahrq.gov/node/44982/psn-pdf
April 06, 2016 - Use of maternal early warning trigger tool reduces
maternal morbidity.
April 6, 2016
Shields LE, Wiesner S, Klein C, et al. Use of Maternal Early Warning Trigger tool reduces maternal
morbidity. Am J Obstet Gynecol. 2016;214(4):527.e1-527.e6. doi:10.1016/j.ajog.2016.01.154.
https://psnet.ahrq.gov/issue/use-materna…
-
psnet.ahrq.gov/node/851360/psn-pdf
July 12, 2023 - How does work environment relate to diagnostic quality?
A prospective, mixed methods study in primary care.
July 12, 2023
Khazen M, Sullivan EE, Arabadjis S, et al. How does work environment relate to diagnostic quality? A
prospective, mixed methods study in primary care. BMJ Open. 2023;13(5):e071241. doi:10.1136/b…
-
psnet.ahrq.gov/node/39422/psn-pdf
March 23, 2011 - Organisational readiness: exploring the preconditions for
success in organisation-wide patient safety improvement
programmes.
March 23, 2011
Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in
organisation-wide patient safety improvement programmes. Qual Saf Heal…
-
psnet.ahrq.gov/node/838010/psn-pdf
September 07, 2022 - Effect of different interventions to help primary care
clinicians avoid unsafe opioid prescribing in opioid-naive
patients with acute noncancer pain: a cluster randomized
clinical trial.
September 7, 2022
Kraemer KL, Althouse AD, Salay M, et al. Effect of different interventions to help primary care clinicians
av…
-
psnet.ahrq.gov/node/38428/psn-pdf
February 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…
-
psnet.ahrq.gov/node/837628/psn-pdf
July 06, 2022 - Multilevel factors associated with time to biopsy after
abnormal screening mammography results by race and
ethnicity.
July 6, 2022
Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after
abnormal screening mammography results by race and ethnicity. JAMA Oncol. 2022;8(…
-
psnet.ahrq.gov/node/48123/psn-pdf
August 28, 2019 - Hidden health IT hazards: a qualitative analysis of
clinically meaningful documentation discrepancies at
transfer out of the pediatric intensive care unit.
August 28, 2019
Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398.
https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an…
-
psnet.ahrq.gov/node/841484/psn-pdf
December 14, 2022 - Performance of 3 sets of criteria for potentially
inappropriate prescribing in older people to identify
inadequate drug treatment.
December 14, 2022
Wallerstedt SM, Svensson SA, Lönnbro J, et al. Performance of 3 sets of criteria for potentially
inappropriate prescribing in older people to identify inadequate drug…
-
psnet.ahrq.gov/node/44646/psn-pdf
November 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…
-
psnet.ahrq.gov/node/45120/psn-pdf
September 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-…
-
psnet.ahrq.gov/node/842430/psn-pdf
September 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…
-
psnet.ahrq.gov/node/35572/psn-pdf
February 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…
-
psnet.ahrq.gov/node/37453/psn-pdf
March 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…
-
psnet.ahrq.gov/node/39670/psn-pdf
July 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,…
-
psnet.ahrq.gov/node/37803/psn-pdf
January 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-…
-
psnet.ahrq.gov/node/38260/psn-pdf
April 22, 2011 - Information exchange among physicians caring for the
same patient in the community.
April 22, 2011
van Walraven C, Taljaard M, Bell CM, et al. Information exchange among physicians caring for the same
patient in the community. CMAJ. 2008;179(10):1013-8. doi:10.1503/cmaj.080430.
https://psnet.ahrq.gov/issue/informa…
-
psnet.ahrq.gov/node/37260/psn-pdf
January 02, 2017 - A visual medication schedule to improve anticoagulation
control: a randomized, controlled trial.
January 2, 2017
Machtinger EL, Wang F, Chen L-L, et al. A visual medication schedule to improve anticoagulation control: a
randomized, controlled trial. Jt Comm J Qual Patient Saf. 2007;33(10):625-35.
https://psnet.ahr…
-
psnet.ahrq.gov/node/38964/psn-pdf
November 27, 2009 - Development of a measure of patient safety event
learning responses.
November 27, 2009
Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning
responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x.
https://psnet.ahrq.gov/issue/development-…
-
psnet.ahrq.gov/node/41777/psn-pdf
April 05, 2013 - Effect of nonpayment for preventable infections in U.S.
hospitals.
April 5, 2013
Lee GM, Kleinman K, Soumerai SB, et al. Effect of nonpayment for preventable infections in U.S. hospitals.
N Engl J Med. 2012;367(15):1428-37. doi:10.1056/NEJMsa1202419.
https://psnet.ahrq.gov/issue/effect-nonpayment-preventable-infec…
-
psnet.ahrq.gov/node/74159/psn-pdf
December 08, 2021 - Disparities after discharge: the association of limited
English proficiency and postdischarge patient-reported
issues.
December 8, 2021
Malevanchik L, Wheeler M, Gagliardi K, et al. Disparities after discharge: the association of limited English
proficiency and postdischarge patient-reported issues. . Jt Comm J Qu…