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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858166/psn-pdfDecember 13, 2023 - Pay practices and safety organizing: evidence from hospital nursing units. December 13, 2023 Conroy SA, Vogus TJ. Pay practices and safety organizing: evidence from hospital nursing units. Health Care Manage Rev. 2023;49(1):68-73. doi:10.1097/hmr.0000000000000392. https://psnet.ahrq.gov/issue/pay-practices-and-saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48058/psn-pdfJune 19, 2019 - Organisational learning in hospitals: a concept analysis. June 19, 2019 Lyman B, Hammond EL, Cox JR. Organisational learning in hospitals: A concept analysis. J Nurs Manag. 2019;27(3):633-646. doi:10.1111/jonm.12722. https://psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis Organizations are … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43945/psn-pdfSeptember 09, 2015 - Hospital and procedure incidence of pediatric retained surgical items. September 9, 2015 Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. https://psnet.ahrq.gov/issue/hospital-and-procedure-incid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41715/psn-pdfOctober 03, 2017 - Unaccountable: What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care. October 3, 2017 Makary M. New York, NY: Bloomsbury Press; 2012. ISBN: 9781608198368. https://psnet.ahrq.gov/issue/unaccountable-what-hospitals-wont-tell-you-and-how-transparency-can- revolutionize-health-care This boo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42914/psn-pdfJune 18, 2014 - 2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. June 18, 2014 Joint Commission. January 27, 2014. https://psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced The Eisenberg Award honors individuals and organizations who have made vital accom… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46449/psn-pdfSeptember 27, 2017 - VA hospitals flooded with complaints about care. September 27, 2017 Estes A. Boston Globe. September 16, 2017. https://psnet.ahrq.gov/issue/va-hospitals-flooded-complaints-about-care Psychological safety can empower staff to communicate concerns that affect patient safety. This newspaper article reports on Veteran… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73077/psn-pdfMarch 24, 2021 - Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders. March 24, 2021 AHA Physician Alliance. Chicago, IL: American Hospital Association. February 2021. https://psnet.ahrq.gov/issue/well-being-playbook-20-covid-19-resource-hospital-and-health-system-leaders Human factors enginee… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43568/psn-pdfApril 25, 2016 - Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States. April 25, 2016 Shaw RE, Litman RS. Medication Safety in the Operating Room: A Survey of Preparation Methods and Drug Concentration Consistencies in Children's … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44712/psn-pdfDecember 09, 2015 - The effect of contact precautions on frequency of hospital adverse events. December 9, 2015 Croft LD, Liquori M, Ladd J, et al. The Effect of Contact Precautions on Frequency of Hospital Adverse Events. Infect Control Hosp Epidemiol. 2015;36(11):1268-74. doi:10.1017/ice.2015.192. https://psnet.ahrq.gov/issue/effec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47998/psn-pdfMay 08, 2019 - An organization-specific and modifiable inpatient safety composite measure. May 8, 2019 Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. https://psnet.ahrq.gov/issue/organization-specific-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74115/psn-pdfNovember 24, 2021 - How low can they go? Rural hospitals weigh keeping obstetric units when births decline. November 24, 2021 Huff C. Kaiser Health News. November 12, 2021. https://psnet.ahrq.gov/issue/how-low-can-they-go-rural-hospitals-weigh-keeping-obstetric-units-when- births-decline This article discusses the challenge of provi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46148/psn-pdfMay 31, 2017 - Implementation of a structured hospital-wide morbidity and mortality rounds model. May 31, 2017 Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-2016-005459. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44352/psn-pdfAugust 12, 2015 - Hospital checklists are meant to save lives—so why do they often fail? August 12, 2015 Anthes E. Hospital checklists are meant to save lives - so why do they often fail? Nature. 2015;523(7562):516-8. doi:10.1038/523516a. https://psnet.ahrq.gov/issue/hospital-checklists-are-meant-save-lives-so-why-do-they-often-fai… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36021/psn-pdfSeptember 24, 2016 - Operational failures and interruptions in hospital nursing. September 24, 2016 Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. https://psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing This study discovered that n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44066/psn-pdfSeptember 21, 2016 - Raising an alarm, doctors fight to yank hospital ICUs into the modern era. September 21, 2016 McFarling UL. STAT. September 7, 2016. https://psnet.ahrq.gov/issue/raising-alarm-doctors-fight-yank-hospital-icus-modern-era Intensive care units (ICUs) are complex environments that harbor various challenges to safe car… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74722/psn-pdfFebruary 02, 2022 - Preventing and mitigating radiology system failures: a guide to disaster planning. February 2, 2022 Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg.2021210083. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867754/psn-pdfMarch 12, 2025 - Decision fatigue in hospital settings: a scoping review. March 12, 2025 Perry K, Jones S, Stumpff JC, et al. Decision fatigue in hospital settings: a scoping review. J Hosp Med. 2024;Epub Nov 11. doi:10.1002/jhm.13550. https://psnet.ahrq.gov/issue/decision-fatigue-hospital-settings-scoping-review Production pressu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37612/psn-pdfFebruary 15, 2011 - Can we use incident reports to detect hospital adverse events? February 15, 2011 Blais R; Bruno D; Bartlett G; Tamblyn R. https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events Incident reporting systems are ubiquitous, despite a lack of evidence supporting their utility in identif… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43639/psn-pdfOctober 29, 2014 - Ebola case raises concern about everyday hospital safety. October 29, 2014 Rodricks D. Baltimore Sun. October 14, 2014. https://psnet.ahrq.gov/issue/ebola-case-raises-concern-about-everyday-hospital-safety Although significant progress has been made in improving patient safety over the past decade, many medical e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865521/psn-pdfApril 10, 2024 - Inappropriate diagnosis of pneumonia among hospitalized adults. April 10, 2024 Gupta AB, Flanders SA, Petty LA, et al. Inappropriate diagnosis of pneumonia among hospitalized adults. JAMA Intern Med. 2024;184(4):548-556. doi:10.1001/jamainternmed.2024.0077. https://psnet.ahrq.gov/issue/inappropriate-diagnosis-pneu…
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