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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72688/psn-pdf
    October 06, 2022 - Request for proposals for clinical quality measures to improve diagnosis. October 6, 2022 Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.  https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis A lack of consensus on measures for the effectiveness and ac…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764408/psn-pdf
    March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849338/psn-pdf
    May 24, 2023 - The impact of language barriers on patient care: a pharmacy perspective. May 24, 2023 Patel J. PM Healthcare Journal. Spring 2023(4):5-18. https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective Language discordance is known to degrade medication safety. The article discusses an exa…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35770/psn-pdf
    January 02, 2017 - Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. January 2, 2017 Mills PD, Neily J, Luan D, et al. Actions and Implementation Strategies to Reduce Suicidal Events in the Veterans Health Administration. The Joint Commission Journal on Quality and Patient Safety. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42525/psn-pdf
    November 20, 2013 - A Promise to Learn—a Commitment to Act: Improving the Safety of Patients in England. November 20, 2013 National Advisory Group on the Safety of Patients in England. London, England: Crown Publishing; August 2013. https://psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england An intern…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43818/psn-pdf
    January 21, 2015 - A report on 15 years of clinical negligence claims in rhinology. January 21, 2015 Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118. https://psnet.ahrq.gov/issue/report-15-years-clinical-negligence-c…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42929/psn-pdf
    February 05, 2014 - Do no harm: is it time to rethink the Hippocratic Oath? February 5, 2014 Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. https://psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath This commentary discusses how health ca…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42236/psn-pdf
    May 01, 2013 - Nursing student medication errors: a case study using root cause analysis. May 1, 2013 Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. https://psnet.ahrq.gov/issue/nursing-student-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35039/psn-pdf
    February 24, 2019 - Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. February 24, 2019 Litvak E, Buerhaus P, Davidoff F, et al. Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety. Jt Comm J Qual Patient Saf. 2005;31(6):330-8. ht…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863766/psn-pdf
    March 06, 2024 - Legacy: a Black Physician Reckons with Racism in Medicine. March 6, 2024 Blackstock U. New York, NY: Viking; 2024. ISBN: 9780593491287. https://psnet.ahrq.gov/issue/legacy-black-physician-reckons-racism-medicine The history of systemic racism is emerging to motivate health care equity and safety efforts. This memo…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38418/psn-pdf
    February 18, 2009 - Using snowball sampling method with nurses to understand medication administration errors. February 18, 2009 Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1365-2702.2007.02048.x. https://p…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40198/psn-pdf
    February 09, 2011 - Measures and measurement of high-performance work systems in health care settings: propositions for improvement. February 9, 2011 Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement. Health Care Manage Rev. 2011;36(1):3…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72685/psn-pdf
    January 27, 2021 - Human Factors and Ergonomics in Healthcare. January 27, 2021 Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare Human factors approaches have been identified as one of the primary vehicles to create las…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45842/psn-pdf
    April 12, 2017 - Time-out and checklists: a survey of rural and urban operating room personnel. April 12, 2017 Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. https://psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operati…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39844/psn-pdf
    November 02, 2010 - Safety through redundancy: a case study of in-hospital patient transfers. November 2, 2010 Ong M-S, Coiera E. Safety through redundancy: a case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):e32. doi:10.1136/qshc.2009.035972. https://psnet.ahrq.gov/issue/safety-through-redundancy-case-stu…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47791/psn-pdf
    March 20, 2019 - Essential activities for electronic health record safety: a qualitative study. March 20, 2019 Ash JS, Singh H, Wright A, et al. Essential activities for electronic health record safety: A qualitative study. Health Informatics J. 2019:1460458219833109. doi:10.1177/1460458219833109. https://psnet.ahrq.gov/issue/esse…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40164/psn-pdf
    February 15, 2011 - Patient risk factors for medical injury: a case–control study. February 15, 2011 Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. https://psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-ca…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38637/psn-pdf
    September 24, 2016 - Work interruptions and their contribution to medication administration errors: an evidence review. September 24, 2016 Biron AD, Loiselle CG, Lavoie-Tremblay M. Work interruptions and their contribution to medication administration errors: an evidence review. Worldviews Evid Based Nurs. 2009;6(2):70-86. doi:10.1111…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43011/psn-pdf
    May 20, 2014 - Early warnings, weak signals and learning from healthcare disasters. May 20, 2014 Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685. https://psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74708/psn-pdf
    January 26, 2022 - COVID Risk In Hospitals. January 26, 2022 Weber L, Jewett C. Kaiser Health News. 2021-2022. https://psnet.ahrq.gov/issue/covid-risk-hospitals The infectious nature of COVID continues to impact the safety of hospitalized patients. This article series examines factors contributing to hospital-acquired COVID-19 infec…
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