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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45341/psn-pdf
    July 27, 2016 - How to avoid catastrophic events on the ward. July 27, 2016 Bein B, Seewald S, Gräsner J-T. How to avoid catastrophic events on the ward. Best Pract Res Clin Anaesthesiol. 2016;30(2):237-45. doi:10.1016/j.bpa.2016.04.003. https://psnet.ahrq.gov/issue/how-avoid-catastrophic-events-ward Hospitals require robust esca…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46175/psn-pdf
    September 24, 2017 - Applying lessons from social psychology to transform the culture of error disclosure. September 24, 2017 Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. https://psnet.ahrq.gov/issue/applying-…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45740/psn-pdf
    January 23, 2017 - Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. January 23, 2017 Parsonage RK, Hiscock J, Law R-J, et al. Patient perspectives on delays in diagnosis and treatment of cancer: a qualitative analysis of free-text data. Br J Gen Pract. 2017;67(654):e49-e56…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43079/psn-pdf
    May 28, 2014 - Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. May 28, 2014 Macdonald M, Heilemann MS, MacKinnon NJ, et al. Confirming delivery: understanding the role of the hospitalized patient in medication administration safety. Qual Health Res. 2014;24(4):536-50. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45455/psn-pdf
    June 29, 2017 - JAMA professionalism: disclosure of medical error. June 29, 2017 Levinson W, Yeung J, Ginsburg S. Disclosure of Medical Error. JAMA. 2016;316(7):764-5. doi:10.1001/jama.2016.9136. https://psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error Disclosing medical errors to patients is essential for maint…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45351/psn-pdf
    July 20, 2016 - Building a Patient Safety Toolkit for use in general practice. July 20, 2016 Bell BG, Spencer R, Marsden K, et al. Building a Patient Safety Toolkit for use in general practice. InnovAiT. 2016;9(9):557-562. doi:10.1177/1755738016650468. https://psnet.ahrq.gov/issue/patient-safety-toolkit-general-practice Although…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47160/psn-pdf
    August 08, 2018 - Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users. August 8, 2018 Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of users. PLoS One. 2018;13(5):e0197469…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60018/psn-pdf
    March 04, 2020 - 2019 update on pediatric medical overuse: a systematic review. March 4, 2020 Money NM, Schroeder AR, Quinonez RA, et al. 2019 Update on Pediatric Medical Overuse. JAMA Pediatr. 2020;174(4):375-382. doi:10.1001/jamapediatrics.2019.5849. https://psnet.ahrq.gov/issue/2019-update-pediatric-medical-overuse-systematic-r…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46642/psn-pdf
    December 13, 2017 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. December 13, 2017 Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:10.1371/journal.pone.0186210. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45766/psn-pdf
    February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. February 8, 2017 Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy and Management at Brandeis University; 2016. https://psnet.ahrq.gov/issue/prescription-drug-monit…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43528/psn-pdf
    October 01, 2014 - Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. October 1, 2014 Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. Accid Anal Prev. …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46172/psn-pdf
    June 21, 2017 - Flying lessons for clinicians: developing system 2 practice. June 21, 2017 Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-p…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854246/psn-pdf
    October 04, 2023 - Inpatient EHR user experience and hospital EHR safety performance. October 4, 2023 Classen DC, Longhurst CA, Davis T, et al. Inpatient EHR user experience and hospital EHR safety performance. JAMA Netw Open. 2023;6(9):e2333152. doi:10.1001/jamanetworkopen.2023.33152. https://psnet.ahrq.gov/issue/inpatient-ehr-user…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44351/psn-pdf
    October 21, 2015 - Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. October 21, 2015 Federal Register. Washington, DC: US Department of Health and Human Services. Baltimore, MD: Food and Drug Administrati…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45582/psn-pdf
    June 15, 2017 - A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. June 15, 2017 Larcos G, Prgomet M, Georgiou A, et al. A work observation study of nuclear medicine technologists: interruptions, resilience and implications for patient safety. BMJ Qual Saf. 2…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44737/psn-pdf
    December 16, 2015 - How effective are incident-reporting systems for improving patient safety? A systematic literature review. December 16, 2015 Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866. https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety- systematic-literature …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844768/psn-pdf
    September 11, 2019 - Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019 Baker DW, Campbell R. Standardized Orders for Titrating Vasopressors: Do Efforts to Improve Safety Slow Delivery of Care? Jt Comm J Qual Patient Saf. 2019;45(9):589-590. doi:10.1016/j.jcjq.2019.07.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43480/psn-pdf
    January 01, 2015 - Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. December 15, 2014 Rainer J. Speaking up: factors and issues in nurses advocating for patients when patients are in jeopardy. J Nurs Care Qual. 2015;30(1):53-62. doi:10.1097/NCQ.0000000000000081. https://psnet.ahrq.gov/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45848/psn-pdf
    November 19, 2018 - New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. November 19, 2018 Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies- physicians Poor c…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44572/psn-pdf
    January 22, 2016 - Can social media be used as a hospital quality improvement tool? January 22, 2016 Lagu T, Goff SL, Craft B, et al. Can social media be used as a hospital quality improvement tool? J Hosp Med. 2016;11(1):52-5. doi:10.1002/jhm.2486. https://psnet.ahrq.gov/issue/can-social-media-be-used-hospital-quality-improvement-t…
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