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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837672/psn-pdfJuly 13, 2022 - Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. July 13, 2022 Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. J Appl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47768/psn-pdfFebruary 27, 2019 - Challenging authority and speaking up in the operating room environment: a narrative synthesis. February 27, 2019 Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative synthesis. Br J Anaesth. 2019;122(2):233-244. doi:10.1016/j.bja.2018.10.056. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866639/psn-pdfSeptember 04, 2024 - Relationship between patient safety culture and patient experience in hospital settings: a scoping review. September 4, 2024 Alabdaly A, Hinchcliff R, Debono D, et al. Relationship between patient safety culture and patient experience in hospital settings: a scoping review. BMC Health Serv Res. 2024;24(1):906. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838915/psn-pdfOctober 26, 2022 - Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. October 26, 2022 Ellis LA, Pomare C, Churruca K, et al. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. BMJ Open. 2022;12(9):e065320. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61119/psn-pdfNovember 11, 2020 - Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. November 11, 2020 Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10.1016/j.pec.2020.02.039. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60707/psn-pdfJuly 22, 2020 - The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety. July 22, 2020 Furniss D, Dean Franklin B, Blandford A. The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46571/psn-pdfOctober 25, 2017 - Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. October 25, 2017 Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36632/psn-pdfJuly 28, 2010 - Operating room briefings and wrong-site surgery. July 28, 2010 Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery Although wrong-site surgeries are rare, they have… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39913/psn-pdfOctober 13, 2010 - The frequency of diagnostic errors in radiologic reports depends on the patient's age. October 13, 2010 Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. https://psnet.ahrq.gov/issue/frequency-di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74110/psn-pdfNovember 24, 2021 - New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. November 24, 2021 Simpson M, Kovach CR. New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation. Res Gerontol Nurs. 2021;14(6):293-304. doi:10.3928/19404921-202109… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73679/psn-pdfSeptember 08, 2021 - Why an open disclosure procedure is and is not followed after an avoidable adverse event. September 8, 2021 Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.1097/pts.0000000000000405. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839826/psn-pdfNovember 09, 2022 - Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. November 9, 2022 Skeff KM, Brown-Johnson CG, Asch SM, et al. Professional behavior and value erosion: a qualitative study of physicians and the electronic health record. J Healthc Manag. 2022;67(5):339-352. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867012/psn-pdfOctober 23, 2024 - Do healthcare professionals work around safety standards, and should we be worried? A scoping review. October 23, 2024 Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Sep 27. doi:10.1136/bmjqs-2024-0175… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48086/psn-pdfJune 26, 2019 - Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital population. June 26, 2019 Yoong W, Assassi Z, Ahmedani I, et al. Why are patients not more involved in their own safety? A questionnaire-based survey in a multi-ethnic North London hospital … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60598/psn-pdfJune 17, 2020 - Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. June 17, 2020 Koch A, Burns J, Catchpole K, et al. Associations of workflow disruptions in the operating room with surgical outcomes: a systematic review and narrative synthesis. BMJ Qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850351/psn-pdfJune 14, 2023 - A novel approach for assessing bias during team-based clinical decision-making. June 14, 2023 Pool N, Hebdon M, de Groot E, et al. A novel approach for assessing bias during team-based clinical decision-making. Front in Public Health. 2023;11:1014773. doi:10.3389/fpubh.2023.1014773. https://psnet.ahrq.gov/issue/no… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43853/psn-pdfMarch 11, 2015 - Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. March 11, 2015 Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46455/psn-pdfApril 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert Medications. April 24, 2018 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications High-alert medications have the potential to cause substantial patient harm if adm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50937/psn-pdfFebruary 26, 2020 - Emergency intubation of children outside of the operating room. February 26, 2020 Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-oper… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45960/psn-pdfJanuary 01, 2021 - Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care. March 15, 2017 Pfoh ER, Engineer L, Singh H, et al. Informing the Design of a New Pragmatic Registry to Stimulate Near Miss Reporting in Ambulatory Care. J Patient Saf. 2021;17(3):e121-e127. doi:10.1097/PTS.000000…
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