-
psnet.ahrq.gov/node/50853/psn-pdf
January 29, 2020 - Design and impact of a novel surgery-specific second
victim peer support program.
January 29, 2020
El Hechi MW, Bohnen JD, Westfal M, et al. Design and Impact of a Novel Surgery-Specific Second Victim
Peer Support Program. J Am Coll Surg. 2019;230(6):926-933. doi:10.1016/j.jamcollsurg.2019.10.015.
https://psnet.ah…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-349
July 08, 2022 - safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event
-
psnet.ahrq.gov/issue/quality-improvement-study-medication-error-leading-thyrotoxicosis-and-death
September 13, 2017 - July 5, 2023
Trends in adverse event rates in hospitalized patients, 2010-2019.
-
psnet.ahrq.gov/Topics
February 26, 2021 - Therapy Computer- or Robotic-Assisted Surgery Computer-Assisted Radiotherapy Computerized Adverse Event … Legislation Wisconsin Legislation Wyoming Legislation Organizational Policy/Guidelines Sentinel Event
-
psnet.ahrq.gov/topics
March 17, 2021 - Therapy Computer- or Robotic-Assisted Surgery Computer-Assisted Radiotherapy Computerized Adverse Event … Legislation Wisconsin Legislation Wyoming Legislation Organizational Policy/Guidelines Sentinel Event
-
psnet.ahrq.gov/issue/simulation-based-assessment-management-critical-events-board-certified-anesthesiologists
February 19, 2010 - Study
Simulation-based assessment of the management of critical events by board-certified anesthesiologists.
Citation Text:
Weinger MB, Banerjee A, Burden AR, et al. Simulation-based assessment of the management of critical events by board-certified anesthesiologists. Anesthesiology. 201…
-
psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
July 28, 2023 - Study
Emerging Classic
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers.
Citation Text:
Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: T…
-
psnet.ahrq.gov/node/37447/psn-pdf
January 09, 2008 - No pay for "never event" errors becoming standard.
January 9, 2008
O'Reilly KB. … https://psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
This article discusses the … https://psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
https://psnet.ahrq.gov/issue
-
psnet.ahrq.gov/training-catalog/webinar-series-0
Organization
American Medical Association (AMA)
Event … Event Location: Online
Date: On demand
Event Fee: Fee Associated
CE or CME Offered?
-
psnet.ahrq.gov/node/43254/psn-pdf
May 01, 2015 - a 7-year period, this study found that nearly
1 in 5 older adults experienced at least one adverse event … Patients who experienced an adverse medical event had much higher mortality rates, though it
should … Medicare expenditures increased sharply during an adverse medical event episode and remained high
following … the event.
-
psnet.ahrq.gov/training-catalog/safetyleaders-home
Organization:
Organization
SafetyLeaders
Event … Event Location: Online
Date: On demand
Event Fee: Free
CE or CME Offered?
-
psnet.ahrq.gov/training-catalog/monthly-webinars
Organization:
Organization
Quality Reporting Center
Event … Event Location: Online
Date: On demand
Event Fee: Free
CE or CME Offered?
-
psnet.ahrq.gov/training-catalog/armstrong-institute-training-catalog
Johns Hopkins Armstrong Institute for Patient Safety and Quality
Event … Description: Collection of patient safety training modules
Event Location: Online
Date: … On demand
Event Fee: Fee Associated
CE or CME Offered?
-
psnet.ahrq.gov/training-catalog/webinar-series-3
Organization:
Organization
Hospital Quality Institute
Event … Event Location: Online
Date: On demand
Event Fee: Free
CE or CME Offered?
-
psnet.ahrq.gov/training-catalog/webinar-series
Organization:
Organization
Patient Safety Authority
Event … Event Location: Online
Date: Various dates
Event Fee: Free
CE or CME Offered?
-
psnet.ahrq.gov/node/38308/psn-pdf
April 21, 2010 - Adverse-event-reporting practices by US hospitals:
results of a national survey. … Adverse-event-reporting practices by US hospitals: results of
a national survey. … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
https
-
psnet.ahrq.gov/node/40038/psn-pdf
December 23, 2016 - Sentinel Event Alert. 2010;46(46):1-4. … follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-
department
Suicide among hospitalized patients remains an under-recognized never event … This Sentinel Event Alert reviews risk factors for inpatient suicide and
delineates prevention strategies … never-events
https://psnet.ahrq.gov/issue/suicide-medical-setting
https://psnet.ahrq.gov/issue/sentinel-event-alert
-
psnet.ahrq.gov/training-catalog/ashp-learning-center
Organization
American Society for Health-System Pharmacists (ASHP)
Event … Event Location: Online
Date: On demand
Event Fee: Fee Associated (for some)
CE or CME Offered
-
psnet.ahrq.gov/node/39736/psn-pdf
April 03, 2017 - Risk and Event Assessment.
April 3, 2017
Jt Comm J Qual Patient Saf. 2010;36:348-385. … https://psnet.ahrq.gov/issue/risk-and-event-assessment
This issue contains several articles dedicated … https://psnet.ahrq.gov/issue/risk-and-event-assessment
https://psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
-
psnet.ahrq.gov/training-catalog/pharmacy-education-opportunities
Organization
National Community Pharmacists Association (NCPA)
Event … Event Location: Online
Date: On demand
Event Fee: Fee Associated
CE or CME Offered?