-
psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns
September 01, 2018 - Study
Barriers to speaking up about patient safety concerns.
Citation Text:
Etchegaray JM, Ottosen MJ, Dancsak T, et al. Barriers to speaking up about patient safety concerns. J Patient Saf. 2020;16(4):e230-e234. doi:10.1097/pts.0000000000000334.
Copy Citation
Format:
DOI G…
-
psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
December 13, 2023 - Commentary
Targeting the fear of safety reporting on a unit level.
Citation Text:
Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX End…
-
psnet.ahrq.gov/issue/physician-practice-patterns-resemble-acgme-duty-hours
November 15, 2018 - Study
Physician practice patterns resemble ACGME duty hours.
Citation Text:
Anim M, Markert RJ, Wood VC, et al. Physician practice patterns resemble ACGME duty hours. Am J Med. 2009;122(6):587-93. doi:10.1016/j.amjmed.2009.02.015.
Copy Citation
Format:
DOI Google Scholar P…
-
psnet.ahrq.gov/issue/ability-intensive-care-units-maintain-zero-central-line-associated-bloodstream-infections
January 29, 2020 - Study
The ability of intensive care units to maintain zero central line–associated bloodstream infections.
Citation Text:
Lipitz-Snyderman A. The Ability of Intensive Care Units to Maintain Zero Central Line–Associated Bloodstream Infections. Arch Intern Med. 2011;171(9). doi:10.1001/a…
-
psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
September 09, 2020 - Study
Long-term sustainability and adaptation of I-PASS handovers.
Citation Text:
Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/systemic-failures-nursing-home-care-scoping-study
July 17, 2013 - Review
Systemic failures in nursing home care--a scoping study.
Citation Text:
Sturmberg JP, Gainsford L, Goodwin N, et al. Systemic failures in nursing home care—A scoping study. J Eval Clin Pract. 2024. doi:10.1111/jep.13961.
Copy Citation
Format:
DOI Google Scholar BibTe…
-
psnet.ahrq.gov/issue/factors-associated-barcode-medication-administration-technology-contribute-patient-safety
September 28, 2010 - Review
Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review.
Citation Text:
Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patien…
-
psnet.ahrq.gov/node/50891/psn-pdf
February 12, 2020 - Nurses as antimicrobial stewards: recognition,
confidence, and organizational factors across nine
hospitals.
February 12, 2020
Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence,
and organizational factors across nine hospitals. Am J Infect Control. 2020. doi:10.1…
-
psnet.ahrq.gov/node/44749/psn-pdf
December 27, 2018 - Southern Baptist Hospital of Florida v. Charles.
December 27, 2018
Fla Ct App, 1st Dist. October 28, 2015.
https://psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
The Patient Safety and Quality Improvement Act (PSQIA) provides federal protection of adverse event
reports voluntarily submitted to pa…
-
psnet.ahrq.gov/node/43955/psn-pdf
December 04, 2016 - For Colorado mom, story of daughter's hospital death is
key to others' safety.
December 4, 2016
Daley J. Colorado Public Radio. February 17, 2015.
https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety
Patient and family stories of harm are increasingly promoted as a strategy to…
-
psnet.ahrq.gov/node/44785/psn-pdf
January 27, 2016 - Reducing Adverse Drug Events Related to Opioids
Implementation Guide.
January 27, 2016
Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015.
https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
Opioids are high-risk medication…
-
psnet.ahrq.gov/node/837431/psn-pdf
June 15, 2022 - Anesthesiologist group says hospitals can prevent fatal
errors like Vanderbilt's.
June 15, 2022
Clark C. MedPage Today. June 2, 2022
https://psnet.ahrq.gov/issue/anesthesiologist-group-says-hospitals-can-prevent-fatal-errors-vanderbilts
Transparency and discussion of errors is a hallmark of the culture needed to i…
-
psnet.ahrq.gov/node/40803/psn-pdf
October 31, 2011 - Incidence of potentially avoidable urgent readmissions
and their relation to all-cause urgent readmissions.
October 31, 2011
van Walraven C, Jennings A, Taljaard M, et al. Incidence of potentially avoidable urgent readmissions and
their relation to all-cause urgent readmissions. Can Med Assoc J. 2011;183(14). doi:1…
-
psnet.ahrq.gov/node/855003/psn-pdf
November 01, 2023 - The hospital ran out of her child's cancer drug. Now she's
fighting to end shortages.
November 1, 2023
Noguchi Y. Health Shots and All Things Considered. National Public Radio. October 23, 2023.
https://psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
Drug shortages…
-
psnet.ahrq.gov/node/47555/psn-pdf
November 14, 2018 - How one hospital improved patient safety in 10 minutes a
day.
November 14, 2018
van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018.
https://psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day
Aviation continues to provide inspiration for patient safety innovation. This commentar…
-
psnet.ahrq.gov/node/42823/psn-pdf
December 18, 2013 - The Orthopaedic Error Index: development and
application of a novel national indicator for assessing the
relative safety of hospital care using a cross-sectional
approach.
December 18, 2013
Panesar SS, Netuveli G, Carson-Stevens A, et al. The orthopaedic error index: development and
application of a novel nationa…
-
psnet.ahrq.gov/node/837422/psn-pdf
June 15, 2022 - Reported clinical incidents of children with intellectual
disability: a qualitative analysis.
June 15, 2022
Ong N, Mimmo L, Barnett D, et al. Reported clinical incidents of children with intellectual disability: a
qualitative analysis. Dev Med Child Neurol. 2022;64(11):1359-1365. doi:10.1111/dmcn.15262.
https://ps…
-
psnet.ahrq.gov/node/47872/psn-pdf
March 27, 2019 - Overview of the Environmental Scan of Primary Care-
Based Effort To Reduce Readmissions.
March 27, 2019
Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research and Quality;
March 2019. AHRQ Publication No. 18(19)-0055-EF.
https://psnet.ahrq.gov/issue/overview-environmental-scan-primar…
-
psnet.ahrq.gov/node/866318/psn-pdf
July 17, 2024 - Methods to increase reliability in quality improvement
projects.
July 17, 2024
Lenk MA, LaMantia S, Oehler J, et al. Methods to increase reliability in quality improvement projects. Hosp
Pediatr. 2024;14(8):e372-e377. doi:10.1542/hpeds.2023-007340.
https://psnet.ahrq.gov/issue/methods-increase-reliability-quality-…
-
psnet.ahrq.gov/node/46895/psn-pdf
March 14, 2018 - Rapid response teams: what's the latest?
March 14, 2018
Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41.
doi:10.1097/01.NURSE.0000526885.10306.21.
https://psnet.ahrq.gov/issue/rapid-response-teams-whats-latest
Rapid response systems are an established strategy to prevent in-h…