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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45953/psn-pdfJuly 22, 2020 - Root Cause Analysis in Health Care: A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events. July 22, 2020 Oakbrook Terrace, IL: Joint Commission Resources; 2020. ISBN: 9781635851618. https://psnet.ahrq.gov/issue/root-cause-analysis-health-care-joint-commission-guide-analysis-and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45631/psn-pdfJuly 02, 2017 - Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. July 2, 2017 Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care. Ann Surg. 2017;265(6):1104-1112. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838186/psn-pdfSeptember 28, 2022 - Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews. September 28, 2022 Schilling S, Armaou M, Morrison Z, et al. Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: a systematic review of reviews… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37241/psn-pdfDecember 16, 2011 - The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. December 16, 2011 Vogus TJ, Sutcliffe K. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Med Care. 2007;45(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867596/psn-pdfJanuary 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. January 22, 2025 Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867519/psn-pdfJanuary 15, 2025 - High-risk medication errors: insight from the UK National Reporting and Learning System. January 15, 2025 Alrowily A, Alfaraidy K, Almutairi S, et al. High-risk medication errors: Insight from the UK National Reporting and learning system. Explor Res Clin Soc Pharm. 2025;17:100531. doi:10.1016/j.rcsop.2024.100531.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866902/psn-pdfOctober 09, 2024 - Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist review. October 9, 2024 Aunger JA, Abrams R, Westbrook JI, et al. Why do acute healthcare staff behave unprofessionally towards each other and how can these behaviours be reduced? A realist r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764404/psn-pdfMarch 02, 2022 - Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers. March 2, 2022 Ramsey L, Albutt AK, Perfetto K, et al. Systemic safety inequities for people wit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844992/psn-pdfFebruary 22, 2023 - The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review. February 22, 2023 Crapanzano KA, Deweese S, Pham D, et al. The role of bias in clinical decision-making of people with serious mental illness and medical co-morbidities: a scoping review… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845074/psn-pdfMarch 02, 2011 - Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. March 2, 2011 Leendertse AJ, van den Bemt PMLA, Poolman JB, et al. Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study. Value Health. 2011;14(1):34-40. doi:10.1016/j.jval.2010.10… -
www.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummarsh.htmlOctober 01, 2014 - Marshall-Traino, Heather Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: Virginia Commonwealth University, Richmond Grant Title: Increasing Communication about Live Donor Kidn…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72525/psn-pdfDecember 02, 2020 - Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. December 2, 2020 Emerson MA, Golightly YM, Aiello AE, et al. Breast cancer treatment delays by socioeconomic and health care access latent classes in Black and White women. Cancer. 2020;126(22):4957-4966… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846749/psn-pdfMarch 29, 2023 - The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study. March 29, 2023 Barlow M, Watson B, Jones EW, et al. The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848313/psn-pdfMay 03, 2023 - Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. May 3, 2023 Njoku A, Evans M, Nimo-Sefah L, et al. Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States. Healthcare. 2023;1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40394/psn-pdfJanuary 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852798/psn-pdfAugust 23, 2023 - Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. August 23, 2023 Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee perspectives across an i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866404/psn-pdfJuly 31, 2024 - Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. July 31, 2024 Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36409/psn-pdfSeptember 28, 2016 - The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. September 28, 2016 Laxmisan A, Hakimzada F, Sayan OR, et al. The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care. IntJ Med Inform. 2007;76… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42114/psn-pdfMarch 20, 2013 - Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. March 20, 2013 Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):433-40. doi:10.7326/0003-4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45240/psn-pdfJune 15, 2016 - Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. June 15, 2016 Boonen MJ, Vosman FJ, Niemeijer AR. Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing. Nurs Inq. 2…
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