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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45441/psn-pdfSeptember 21, 2016 - Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. September 21, 2016 Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. BMJ oOen. 2016;6(8):e011403. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45252/psn-pdfSeptember 04, 2016 - Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children. September 4, 2016 Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety: Results of a National De… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36154/psn-pdfSeptember 29, 2010 - Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. September 29, 2010 Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. https://psnet.ahrq.gov/issue/har… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47059/psn-pdfMay 16, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. May 16, 2018 Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37837/psn-pdfJune 11, 2008 - Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network. June 11, 2008 Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences reported from family medicin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39297/psn-pdfJanuary 22, 2017 - A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals. January 22, 2017 Mills PD, Watts V, Miller S, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010;36(2):87-93. https://psnet.ahrq.gov/issue/checklist-identify-inpati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45922/psn-pdfApril 19, 2017 - Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. April 19, 2017 McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. Appl Ergon. 2017;58:102-109. doi:10.1016/j.apergo.2016.05.012.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37745/psn-pdfMay 07, 2008 - Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. May 7, 2008 Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. Pharmacotherapy. 2008;28(4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837602/psn-pdfJanuary 01, 2023 - Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting procedures in a day: a retrospective comparative cohort study. June 29, 2022 Zhang D, Gu D, Rao C, et al. Outcome differences between surgeons performing first and subsequent coronary artery bypass grafting proced… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860392/psn-pdfJanuary 10, 2024 - Nurses' experience with presenteeism and the potential consequences on patient safety: a qualitative study among nurses at out-of-hours emergency primary care facilities. January 10, 2024 Moore A, Knutsen Glette M. Nurses’ experience with presenteeism and the potential consequences on patient safety: a qualitativ… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844991/psn-pdfFebruary 22, 2023 - Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020. February 22, 2023 Brummell Z, Braun D, Hussein Z, et al. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thematic analysis of national statu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34792/psn-pdfJanuary 01, 2011 - Physician knowledge, attitudes, and behavior related to reporting adverse drug events. July 10, 2008 Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 2011;148(7):1596-1600. doi:10.1001/archinte.1988.00380070090021. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72471/psn-pdfNovember 18, 2020 - Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. November 18, 2020 DeJong C, Katz MH, Covinsky KE. Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. JAMA Intern Med. 2020;181(2):274. doi:10.1001/jamainternmed.2020.4016. https://psnet.ahrq.gov/issue/def… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860714/psn-pdfJanuary 17, 2024 - Diagnostic errors in hospitalized adults who died or were transferred to intensive care. January 17, 2024 Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Intern Med. 2024:184(2):164-173. https://psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-tr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34775/psn-pdfFebruary 07, 2019 - Escape Fire: Lessons for the Future of Health Care. February 7, 2019 Berwick DM. Washington DC: Commonwealth Fund; 2002. https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for Healthcare Improve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35434/psn-pdfJune 14, 2011 - Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. June 14, 2011 Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):1605-15. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851051/psn-pdfJune 28, 2023 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. June 28, 2023 Alanazi FK, Lapkin S, Molloy L, et al. The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource association study. J Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60657/psn-pdfJuly 08, 2020 - Predictors of serious opioid-related adverse drug events in hospitalized patients. July 8, 2020 Minhaj FS, Rappaport SH, Foster J, et al. Predictors of serious opioid-related adverse drug events in hospitalized patients. J Patient Saf. 2020;17(8):e1585-e1588. doi:10.1097/pts.0000000000000735. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72743/psn-pdfFebruary 17, 2021 - Preventable medication harm across health care settings: a systematic review and meta-analysis. February 17, 2021 Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Med. 2020;18(1):313. doi:10.1186/s12916-020-01774-9. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42542/psn-pdfMarch 17, 2014 - Surgical checklists: a systematic review of impacts and implementation. March 17, 2014 Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797. https://psnet.ahrq.gov/issue/surgical-checklists-systematic…
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