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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38062/psn-pdfMarch 04, 2011 - Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. March 4, 2011 Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Serv Res. 2008;43(5 Pt 2):1849-68. doi:10.1111/j.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44701/psn-pdfJune 07, 2016 - The problem with preventable deaths. June 7, 2016 Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs- 2015-004983. https://psnet.ahrq.gov/issue/problem-preventable-deaths A key goal of patient safety improvement is preventing error, but challenges remain in distinguishi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50671/psn-pdfNovember 20, 2019 - Critical errors in infrequently performed trauma procedures after training. November 20, 2019 Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031. https://psnet.ahrq.gov/issue/cri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73539/psn-pdfJuly 28, 2021 - Developing critical thinking skills for delivering optimal care July 28, 2021 Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern Med J. 2021;51(4):488-493. doi:10.1111/imj.15272. https://psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46422/psn-pdfNovember 29, 2017 - Framework for direct observation of performance and safety in healthcare. November 29, 2017 Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. https://psnet.ahrq.gov/issue/framewor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46524/psn-pdfOctober 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72511/psn-pdfNovember 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA: Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45800/psn-pdfJanuary 18, 2017 - Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. January 18, 2017 Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital- Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.7326/M16- 2545. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44955/psn-pdfMay 21, 2016 - Accuracy of the Safer Dx Instrument to identify diagnostic errors in primary care. May 21, 2016 Al-Mutairi A, Meyer AND, Thomas EJ, et al. Accuracy of the Safer Dx Instrument to Identify Diagnostic Errors in Primary Care. J Gen Intern Care. 2016;31(6):602-608. doi:10.1007/s11606-016-3601-x. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44588/psn-pdfNovember 21, 2016 - Patient and family advisory councils. The Massachusetts experience. November 21, 2016 Wachenheim D. Patient Saf Qual Healthc. December 8, 2015. https://psnet.ahrq.gov/issue/patient-and-family-advisory-councils-massachusetts-experience Patient and family advisory councils are considered valuable method to help hosp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46451/psn-pdfSeptember 27, 2017 - Health Care Facility Design Safety Risk Assessment Toolkit. September 27, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit Both organizational culture and the physical environment affect the safety of care … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38275/psn-pdfDecember 10, 2008 - Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. December 10, 2008 Gerber A, Kohaupt I, Lauterbach KW, et al. Quantification and classification of errors associated with hand- repackaging of medications in long-term care facilities… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45406/psn-pdfNovember 01, 2016 - Errors and nonadherence in pediatric oral chemotherapy use. November 1, 2016 Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236. https://psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use Medication errors and non… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43096/psn-pdfAugust 22, 2016 - Rapid learning of adverse medical event disclosure and apology. August 22, 2016 Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. https://psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40944/psn-pdfMarch 06, 2012 - Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. March 6, 2012 Zrelak PA, Utter GH, Sadeghi B, et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing quality improvement. J Nurs Care Qual. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38108/psn-pdfSeptember 30, 2014 - No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS. September 30, 2014 Rajasekaran K, Fairbanks RJ, Shah M. No more blame & shame. Developing event-reporting systems may go a long way to reducing patient care errors in EMS. EMS magazine. 2008;37(9):61… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46023/psn-pdfMay 03, 2017 - Patient safety and leadership: do you walk the walk? May 3, 2017 Jarrett MP. Patient Safety and Leadership: Do You Walk the Walk? J Healthc Manag. 2017;62(2):88-92. doi:10.1097/JHM-D-17-00005. https://psnet.ahrq.gov/issue/patient-safety-and-leadership-do-you-walk-walk Hospital leaders are increasingly encouraged t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46143/psn-pdfJune 14, 2017 - Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. June 14, 2017 Dublin, Ireland: Health Information and Quality Authority; May 2017. https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital- tullamore-coun… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39157/psn-pdfJune 09, 2011 - The human factors of home health care: a conceptual model for examining safety and quality concerns. June 9, 2011 Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a. https://psnet.ahrq.gov/issue/human-factors-home-health-c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34646/psn-pdfJuly 01, 2015 - The attributes of medical event reporting systems. July 1, 2015 Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med. 1998;122(3):231-8. https://psnet.ahrq.gov/iss…
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