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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60614/psn-pdfJune 24, 2020 - A systems approach to analyzing and preventing hospital adverse events. June 24, 2020 Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:10.1097/pts.0000000000000263. https://psnet.ahrq.gov/issue/systems-approach-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47385/psn-pdfApril 27, 2019 - Reasons for repeat rapid response team calls, and associations with in-hospital mortality. April 27, 2019 Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44150/psn-pdfAugust 21, 2015 - Reflection on adverse event disclosure in the postsurgical hospital context. August 21, 2015 Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. https://psnet.ahrq.gov/issue/reflection… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73580/psn-pdfAugust 11, 2021 - Prevalence, nature, severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study. August 11, 2021 Alshehri GH, Ashcroft DM, Nguyen J, et al. Prevalence, nature, severity and preventability of adverse drug events in … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42640/psn-pdfNovember 08, 2013 - The Safe Patient Flow Initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. November 8, 2013 Jweinat J, Damore P, Morris V, et al. The safe patient flow initiative: a collaborative quality improvement journey at Yale-New Haven Hospital. Jt Comm J Qual Patient Saf. 2013;39(10):447-59. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43141/psn-pdfApril 30, 2014 - Engaging residents and fellows to improve institution- wide quality: the first six years of a novel financial incentive program. April 30, 2014 Vidyarthi A, Green AL, Rosenbluth G, et al. Engaging residents and fellows to improve institution-wide quality: the first six years of a novel financial incentive program.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72666/psn-pdfJanuary 20, 2021 - Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. January 20, 2021 Rovers JJE, van de Linde LS, Kenters N, et al. Why psychiatry is different - challenges and difficulties in managing a nosocomial outbreak of coronavirus d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60873/psn-pdfSeptember 02, 2020 - What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. September 2, 2020 Denning M, Goh ET, Scott A, et al. What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust. Int J Environ Res Public Health. 2020… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44153/psn-pdfDecember 05, 2018 - A factorial survey on safety behavior providing opportunities to improve safety. December 5, 2018 Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.0000000000000192. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854378/psn-pdfOctober 11, 2023 - When illegitimate tasks threaten patient safety culture: a cross-sectional survey in a tertiary hospital. October 11, 2023 Cullati S, Semmer NK, Tschan F, et al. When illegitimate tasks threaten patient safety culture: a cross- sectional survey in a tertiary hospital. Int J Public Health. 2023;68:1606078. doi:10.3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73635/psn-pdfAugust 25, 2021 - Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital August 25, 2021 Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital. Am J Health Syst Pharm. 2021… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60188/psn-pdfJanuary 01, 2021 - Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. https://psnet.ahrq.gov/issue/uncertai… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852276/psn-pdfAugust 09, 2023 - Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. August 9, 2023 Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60054/psn-pdfMarch 18, 2020 - Ensuring successful implementation of communication- and-resolution programmes. March 18, 2020 Mello MM, Roche S, Greenberg Y, et al. Ensuring successful implementation of communication-and- resolution programmes. BMJ Qual Saf. 2020;29(11):895-904. doi:10.1136/bmjqs-2019-010296. https://psnet.ahrq.gov/issue/ensuri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844548/psn-pdfFebruary 15, 2023 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. February 15, 2023 Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital adm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45299/psn-pdfJuly 20, 2016 - Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. July 20, 2016 Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilitated Discharge Counseling and Medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45482/psn-pdfSeptember 14, 2016 - 'America's other drug problem': copious prescriptions for hospitalized elderly. September 14, 2016 Gorman A. Kaiser Health News. August 30, 2016. https://psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly Older patients are particularly vulnerable to medication errors, as t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46571/psn-pdfOctober 25, 2017 - Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. October 25, 2017 Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46878/psn-pdfJune 25, 2018 - Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study. June 25, 2018 Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nurs. 2018;27(7-8):1621-1631. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47349/psn-pdfJanuary 30, 2019 - Relationship of staff information sharing and advice networks to patient safety outcomes. January 30, 2019 Brewer BB, Carley KM, Benham-Hutchins MM, et al. Relationship of Staff Information Sharing and Advice Networks to Patient Safety Outcomes. J Nurs Adm. 2018;48(9):437-444. doi:10.1097/NNA.0000000000000646. ht…
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