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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845630/psn-pdfMarch 08, 2023 - The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. March 8, 2023 Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836966/psn-pdfApril 20, 2022 - Performance variability in perioperative sentinel events: report on a nationwide data set. April 20, 2022 Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73562/psn-pdfAugust 04, 2021 - Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the National Reporting and Learning System. August 4, 2021 Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the National R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851055/psn-pdfJune 28, 2023 - How do we learn about error? A cross-sectional study of urology trainees. June 28, 2023 Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. https://psnet.ahrq.gov/issue/how-do-we-learn-about-error… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47489/psn-pdfNovember 21, 2018 - Impact of the Care Quality Commission on Provider Performance: Room for Improvement? November 21, 2018 Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business School; September 2018. ISBN: 9781909029880. https://psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47374/psn-pdfApril 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72664/psn-pdfJanuary 20, 2021 - Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow. January 20, 2021 Pryce A, Unwin M, Kinsman L, et al. Delayed flow is a risk to patient safety: A mixed method analysis of emergency department patient flow. Int Emerg Nurs. 2020;54:100956. doi:10.1016/j.ienj.2020… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47034/psn-pdfMay 16, 2018 - Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. May 16, 2018 John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13(3):210-212. doi:10.12788/jhm.2945. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45159/psn-pdfJune 15, 2016 - Opioid abuse in chronic pain—misconceptions and mitigation strategies. June 15, 2016 Volkow ND, McLellan T. Opioid Abuse in Chronic Pain--Misconceptions and Mitigation Strategies. New Engl J Med. 2016;374(13):1253-1263. doi:10.1056/NEJMra1507771. https://psnet.ahrq.gov/issue/opioid-abuse-chronic-pain-misconception… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47952/psn-pdfJanuary 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837642/psn-pdfJuly 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. July 6, 2022 Rockville, MD: Agency for Health Quality and Research; June 2022. https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants The potential for workplace violence degrades patient and staff safet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836747/psn-pdfMarch 16, 2022 - Patient perceptions of hospital experiences: implications for innovations in patient safety. March 16, 2022 Butler JM, Gibson B, Schnock KO, et al. Patient perceptions of hospital experiences: implications for innovations in patient safety. J Patient Saf. 2022;18(2):e563-e567. doi:10.1097/pts.0000000000000865. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73073/psn-pdfJanuary 01, 2022 - Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. March 24, 2021 Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safety: 10 complex challenges and potentia… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847054/psn-pdfApril 05, 2023 - Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. April 5, 2023 Zwaan L, Smith KM, Giardina TD, et al. Patient generated research priorities to improve diagnostic safety: a systematic prioritization exercise. Patient Educ Couns. 2023;110:107650. doi:10.1016/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861286/psn-pdfJanuary 24, 2024 - Surgical safety does not happen by accident: learning from perioperative near miss case studies. January 24, 2024 Stucky CH, Michael Hartmann J, Yauger YJ, et al. Surgical safety does not happen by accident: learning from perioperative near miss case studies. J Perianesth Nurs. 2024;39(1):10-15. doi:10.1016/j.jopa… -
www.ahrq.gov/evidencenow/projects/urinary/resources/quality-improvement-research.htmlSeptember 01, 2023 - Back to MUI Resources Declining Participation in Primary Care Quality Improvement Research: A Qualitative Study Resource Full Article on PubMed Summary There are numerous supportive quality improvement (QI) projects to facilitate the implementation of evidence-based practices…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34843/psn-pdfMarch 02, 2011 - Hand hygiene among physicians: performance, beliefs, and perceptions. March 2, 2011 Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. https://psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-percept… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46849/psn-pdfMay 23, 2018 - 1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs). May 23, 2018 Duggan EG, Fernandez J, Saulan MM, et al. 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs). Jt Comm J Qual Patient Saf. 2018;44(5):260-269. doi:10.1016/j.jcjq.2017.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867192/psn-pdfNovember 20, 2024 - 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. November 20, 2024 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088 https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46999/psn-pdfJune 27, 2018 - Empowering patients and agents to help prevent errors with living wills, DNRs, and POLSTs. June 27, 2018 Hoffman RM, Mirarchi FL. PA-PSRS Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/empowering-patients-and-agents-help-prevent-errors-living-wills-dnrs-and- polsts Patient harm associated with adva…
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