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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867038/psn-pdfOctober 30, 2024 - From reporting to improving: how root cause analysis in teams shape patient safety culture. October 30, 2024 Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47720/psn-pdfMarch 06, 2019 - Hospital infection prevention: how much can we prevent and how hard should we try? March 6, 2019 Bearman G, Doll M, Cooper K, et al. Hospital Infection Prevention: How Much Can We Prevent and How Hard Should We Try? Curr Infect Dis Rep. 2019;21(1):2. doi:10.1007/s11908-019-0660-2. https://psnet.ahrq.gov/issue/hosp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46871/psn-pdfJuly 14, 2018 - Understanding diagnostic safety in emergency medicine: a case?by?case review of closed ED malpractice claims. July 14, 2018 Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case- by-case review of closed ED malpractice claims. J Healthc Risk Manag. 2018;38(1):48-53. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36753/psn-pdfApril 30, 2014 - Medication errors in the outpatient setting: classification and root cause analysis. April 30, 2014 Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. https://psnet.ahrq.gov/issue/medicatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60249/psn-pdfApril 22, 2020 - Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. April 22, 2020 Austin J, Barras M, Sullivan C. Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record. Int J … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60645/psn-pdfJuly 01, 2020 - How health care systems let our patients down: a systematic review into suicide deaths. July 1, 2020 Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836756/psn-pdfMarch 16, 2022 - Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. March 16, 2022 Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. JAMA Netw Open. 2022;5(1):e2142382. doi:10.1001/jamanetwor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841141/psn-pdfDecember 07, 2022 - Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. December 7, 2022 Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48077/psn-pdfJune 26, 2019 - Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS). June 26, 2019 Barger LK, Sullivan JP, Blackwell T, et al. Effects on resident work hours, sleep duration, and work experience in a randomized order safety trial e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838077/psn-pdfSeptember 14, 2022 - Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. September 14, 2022 Lim Fat GJ, Gopaul A, Pananos AD, et al. Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. Geriatrics (Basel). 2022;7(4):81. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36902/psn-pdfJune 09, 2010 - Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. June 9, 2010 Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60048/psn-pdfMarch 18, 2020 - 'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. March 18, 2020 Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in diagnostic reasoning: a randomised controlled experiment. BMJ Qual Saf. 2020;29(7):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46803/psn-pdfApril 12, 2019 - Association between electronic medical record implementation of default opioid prescription quantities and prescribing behavior in two emergency departments. April 12, 2019 Delgado K, Shofer FS, Patel MS, et al. Association between Electronic Medical Record Implementation of Default Opioid Prescription Quantities … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73892/psn-pdfSeptember 29, 2021 - Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. September 29, 2021 Osei-Poku G, Szczerepa O, Potter A, et al. Safety trade-offs in home care during COVID-19: a mixed methods study capturing the perspective of frontline workers. Patient Safety. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43655/psn-pdfDecember 19, 2014 - Systematic biases in group decision-making: implications for patient safety. December 19, 2014 Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083. https://psnet.ahrq.gov/issue/systematic-biases-gro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842417/psn-pdfJanuary 11, 2023 - Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. January 11, 2023 Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45428/psn-pdfJanuary 25, 2017 - Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a cohort of community-dwelling oldest old. January 25, 2017 Wauters M, Elseviers M, Vaes B, et al. Too many, too few, or too unsafe? Impact of inappropriate prescribing on mortality, and hospitalization in a … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36154/psn-pdfSeptember 29, 2010 - Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. September 29, 2010 Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. https://psnet.ahrq.gov/issue/har… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60361/psn-pdfMay 20, 2020 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). May 20, 2020 Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020. https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare- professional-respo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74228/psn-pdfJanuary 12, 2022 - Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. January 12, 2022 Hallvik SE, El Ibrahimi S, Johnston K, et al. Patient outcomes after opioid dose reduction among patients with chronic opioid therapy. Pain. 2022;163(1):83-90. doi:10.1097/j.pain.0000000000002298. https://psne…
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