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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867143/psn-pdf
    November 13, 2024 - A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. November 13, 2024 Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. JAMA Netw Open.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72824/psn-pdf
    March 10, 2021 - Association of a Safety Program for Improving Antibiotic Use with antibiotic use and hospital-onset Clostridioides difficile infection rates among US hospitals March 10, 2021 Tamma PD, Miller MA, Dullabh P, et al. Association of a safety program for improving antibiotic use with antibiotic use and hospital-onset C…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39101/psn-pdf
    March 05, 2010 - Interventions to improve team effectiveness: a systematic review. March 5, 2010 Buljac-Samardzic M, van Doorn CMD-, van Wijngaarden JDH, et al. Interventions to improve team effectiveness: a systematic review. Health Policy (New York). 2010;94(3):183-95. doi:10.1016/j.healthpol.2009.09.015. https://psnet.ahrq.gov…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39396/psn-pdf
    November 02, 2014 - Unmet Needs: Teaching Physicians to Provide Safe Patient Care. November 2, 2014 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; March 2010. https://psnet.ahrq.gov/issue/unmet-needs-teaching-physicians-provide-safe-patient-care Medical schools face an urgent need to transform their cur…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43904/psn-pdf
    October 13, 2015 - Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. October 13, 2015 Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/ijpp.12172. https://psnet.ahrq.…

  6. 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.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850169/psn-pdf
    June 07, 2023 - Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. June 7, 2023 Fisher L, Hopcroft LEM, Rodgers S, et al. Changes in medication safety indicators in England throughout …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73707/psn-pdf
    September 15, 2021 - Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. September 15, 2021 Pilosof NP, Barrett M, Oborn E, et al. Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety. Int…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36105/psn-pdf
    May 27, 2011 - Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. May 27, 2011 Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Pediat…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41775/psn-pdf
    December 18, 2014 - Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. December 18, 2014 Kirkendall E, Kloppenborg E, Papp J, et al. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics. 2012;130(5):e1206-14. doi:10.1542/peds.2012-01…

  11. 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…

  12. 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…

  13. 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…

  14. 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…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43262/psn-pdf
    April 06, 2015 - Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. April 6, 2015 Johnston MJ, Arora S, Anderson O, et al. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. Ann Surg. 2015;261(5):831-838. doi:…

  16. 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;…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43176/psn-pdf
    July 03, 2014 - Patient safety in the era of the 80-hour workweek. July 3, 2014 Shelton J, Kummerow K, Phillips S, et al. Patient safety in the era of the 80-hour workweek. J Surg Educ. 2014;71(4):551-9. doi:10.1016/j.jsurg.2013.12.011. https://psnet.ahrq.gov/issue/patient-safety-era-80-hour-workweek Regulations intended to reduc…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43859/psn-pdf
    May 28, 2015 - Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. May 28, 2015 Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: relationship with hospital mortality. Br J Anaesth. 2015;114(5):801-807. doi:10.1093/bja/aeu460. https://psnet.ahrq.gov…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37042/psn-pdf
    March 04, 2011 - Do hospitals provide lower quality care on weekends? March 4, 2011 Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. https://psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends Prior research has demonstrated that patients admitted to the hospita…

  20. 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…
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