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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60793/psn-pdfAugust 12, 2020 - Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. August 12, 2020 He M, Li Y, Fang F. Is There a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities. J Am Med Dir Assoc. 2020;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847531/psn-pdfApril 12, 2023 - Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. April 12, 2023 Adams M, Hartley J, Sanford N, et al. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. BMC Health Serv Res.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839313/psn-pdfNovember 02, 2022 - The impact of meaningful use and electronic health records on hospital patient safety. November 2, 2022 Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838919/psn-pdfJanuary 01, 2024 - Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. October 26, 2022 Michelson KA, McGarghan FLE, Patterson EE, et al. Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. BMJ Qual Saf. 2024;33(5):293-300. doi:10.1136/bmjqs-2022-015314. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47193/psn-pdfSeptember 05, 2018 - Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. September 5, 2018 Shahid S, Thomas S. Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care; a narrative review. Saf Health. 2018;4(7). doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38026/psn-pdfMarch 21, 2017 - Does error and adverse event reporting by physicians and nurses differ? March 21, 2017 Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34(9):537-545. https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-ph… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848036/psn-pdfApril 26, 2023 - Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023 Thomas AL, Graham KL, Davila S, et al. Using a learning system approach to improve safety for prone- position ventilation patients. J Patient Saf. 2023;19(3):180-184. doi:10.1097/pts.0000000000001108. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47590/psn-pdfFebruary 20, 2019 - Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. February 20, 2019 Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quality improvement intervention: … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867591/psn-pdfJanuary 22, 2025 - Biased language in simulated handoffs and clinician recall and attitudes. January 22, 2025 Wesevich A, Langan E, Fridman I, et al. Biased language in simulated handoffs and clinician recall and attitudes. JAMA Netw Open. 2024;7(12):e2450172. doi:10.1001/jamanetworkopen.2024.50172. https://psnet.ahrq.gov/issue/bias… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43502/psn-pdfSeptember 10, 2014 - Catastrophic medical malpractice payouts in the United States. September 10, 2014 Bixenstine PJ, Shore AD, Mehtsun WT, et al. Catastrophic Medical Malpractice Payouts in the United States. J Healthc Qual. 2013;36(4):43-53. doi:10.1111/jhq.12011. https://psnet.ahrq.gov/issue/catastrophic-medical-malpractice-payouts… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843320/psn-pdfFebruary 01, 2023 - Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. February 1, 2023 Healy A, Davidson C, Allbert J, et al. Society for Maternal-Fetal Medicine Special Statement: telemedicine in obstetrics-quality and safety considerations. Am J Obstet Gynecol. 2023… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60053/psn-pdfJanuary 01, 2021 - A review of adverse event reports from emergency departments in the Veterans Health Administration. March 18, 2020 Gill S, Mills PD, Watts BV, et al. A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. J Patient Saf. 2021;17(8):e898-e903. doi:10.1097/pts.0000000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34735/psn-pdfJune 16, 2014 - An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. June 16, 2014 Donaldson L. London, UK: The Stationery Office, 2000. https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs- chaired-ch… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39032/psn-pdfSeptember 19, 2016 - The natural history of recovery for the healthcare provider "second victim" after adverse patient events. September 19, 2016 Scott SD, Hirschinger LE, Cox KR, et al. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Health Care. 2009;18(5):325-330. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847543/psn-pdfApril 12, 2023 - What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. April 12, 2023 Schnipper JL, Reyes Nieva H, Yoon CS, et al. What works in medication reconciliation: an on-treatment and site analysis of the MARQUIS2 study. BMJ Qual Saf. 2023;32(8):457-469. doi:10.1136/bmjqs-2022- 0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46588/psn-pdfFebruary 28, 2018 - The relationship between resident burnout and safety- related and acceptability-related quality of healthcare: a systematic literature review. February 28, 2018 Dewa CS, Loong D, Bonato S, et al. The relationship between resident burnout and safety-related and acceptability-related quality of healthcare: a systema… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44246/psn-pdfNovember 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44117/psn-pdfDecember 04, 2016 - The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. December 4, 2016 Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med. 2015;30(4):425-33. doi:10.1007… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60045/psn-pdfMarch 18, 2020 - Making Healthcare Safer III. March 18, 2020 Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. https://psnet.ahrq.gov/issue/making-healthcare-safer-iii This newly issued follow up to the seminal AHRQ Making Health Care Safer rep… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859346/psn-pdfJanuary 01, 2024 - Sleep deprivation and medication administration errors in registered nurses- a scoping review. December 20, 2023 Martin CV, Joyce?McCoach J, Peddle M, et al. Sleep deprivation and medication administration errors in registered nurses- a scoping review. J Clin Nurs. 2024;33(3):859-873. doi:10.1111/jocn.16912. https…
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