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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866582/psn-pdf
    August 28, 2024 - The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. August 28, 2024 Noghrehchi P, Hefner JL, Walker DM. The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Servic…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50882/psn-pdf
    February 12, 2020 - Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study February 12, 2020 Montoy JCC, Coralic Z, Herring AA, et al. Association of Default Electronic Medical Record Settings With Health …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60991/psn-pdf
    October 07, 2020 - Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. October 7, 2020 Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.2020.17477. https://psnet.ahrq.g…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837742/psn-pdf
    July 27, 2022 - Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. July 27, 2022 Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard recognition among various hospita…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47250/psn-pdf
    September 26, 2018 - Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change. September 26, 2018 Vokes RA, Bearman G, Bazzoli GJ. Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change. Curr Infect Dis Rep. 20…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36262/psn-pdf
    August 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. August 4, 2009 Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. https://psnet.ahrq.gov/issue/safety-academic-medical-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46346/psn-pdf
    October 29, 2017 - Root cause analysis of ICU adverse events in the Veterans Health Administration. October 29, 2017 Corwin GS, Mills PD, Shanawani H, et al. Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2017;43(11):580-590. doi:10.1016/j.jcjq.2017.04.009. https://psnet.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60743/psn-pdf
    July 29, 2020 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. July 29, 2020 Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Am J Law Med. 2020;46(2-3):219-235…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47293/psn-pdf
    October 10, 2018 - Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. October 10, 2018 Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Decision Support Systems for Cancer …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45399/psn-pdf
    November 01, 2017 - A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. November 1, 2017 Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residents' Experiences and Perceptions…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837677/psn-pdf
    July 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46065/psn-pdf
    January 01, 2021 - Measurement as a performance driver: the case for a national measurement system to improve patient safety. April 26, 2017 Krause TR, Bell KJ, Pronovost P, et al. Measurement as a Performance Driver: The Case for a National Measurement System to Improve Patient Safety. J Patient Saf. 2021;17(3):e128-e134. doi:10.10…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855096/psn-pdf
    November 08, 2023 - Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. November 8, 2023 Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188. https://psnet.ahrq.gov/i…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60254/psn-pdf
    January 01, 2022 - Do patients and relatives have different dispositions when challenging healthcare professionals about patient safety? Results before and after an educational program. April 22, 2020 Rodrigo-Rincon I, Irigoyen-Aristorena I, Tirapu-Leon B, et al. Do patients and relatives have different dispositions when challenging…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47748/psn-pdf
    June 14, 2019 - The impact of health information technology on the management and follow-up of test results—a systematic review. June 14, 2019 Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J Am Med Inform Assoc. 2019;26(7):678-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74141/psn-pdf
    December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47349/psn-pdf
    January 30, 2019 - Relationship of staff information sharing and advice networks to patient safety outcomes. January 30, 2019 Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10.1097/NNA.0000000000000646. ht…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72710/psn-pdf
    February 03, 2021 - A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. February 3, 2021 Vinther S, Bøgevig S, Eriksen KR, et al. A poison information centre can provide important assessment and guidance regarding medication errors in nurs…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41646/psn-pdf
    September 05, 2012 - Interventions to increase clinical incident reporting in health care. September 5, 2012 Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2. https://psnet.ahrq.gov/issue/in…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73118/psn-pdf
    April 07, 2021 - Racial/ethnic disparities in interhospital transfer for conditions with a mortality benefit to transfer among patients with Medicare. April 7, 2021 Shannon EM, Zheng J, Orav EJ, et al. JAMA Network Open. 2021:4(3);e213474. https://psnet.ahrq.gov/issue/racialethnic-disparities-interhospital-transfer-conditions-mort…
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