-
psnet.ahrq.gov/node/47331/psn-pdf
October 17, 2018 - Description and factors associated with missed nursing
care in an acute care community hospital.
October 17, 2018
Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care
community hospital. J Nurs Adm. 2018;48(7-8):361-367. doi:10.1097/NNA.0000000000000630.
https:/…
-
psnet.ahrq.gov/node/39135/psn-pdf
October 03, 2017 - Hidden mistakes in hospitals.
October 3, 2017
Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1.
https://psnet.ahrq.gov/issue/hidden-mistakes-hospitals
This newspaper article reports that a Connecticut law intended to make hospital errors more transparent
has had the opposite effect by makin…
-
psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - In Conversation With… Jack Needleman, PhD
September 1, 2012
Also Read an Essay
Citation Text:
In Conversation With… Jack Needleman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012…
-
psnet.ahrq.gov/node/34987/psn-pdf
May 11, 2005 - Hospital errors jeopardize Angola virus battle.
May 11, 2005
Grady D. New York Times. April 30, 2005.
https://psnet.ahrq.gov/issue/hospital-errors-jeopardize-angola-virus-battle
The author reports on incidents in an Angolan hospital where doctors and patients were exposed to a
deadly virus when hospital staff viol…
-
psnet.ahrq.gov/node/40244/psn-pdf
March 16, 2011 - Hospitals leery of reporting serious errors.
March 16, 2011
Bernhard B; Kohler J.
https://psnet.ahrq.gov/issue/hospitals-leery-reporting-serious-errors
This article describes problems with public reporting of hospital errors in Missouri and reveals which states
have successful reporting programs.
https://psnet.ah…
-
psnet.ahrq.gov/node/35831/psn-pdf
April 14, 2011 - Consumer perceptions of safety in hospitals.
April 14, 2011
Evans S, Berry JG, Smith B, et al. Consumer perceptions of safety in hospitals. BMC Public Health.
2006;6:41.
https://psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals
The investigators surveyed more than 2000 people in southern Australia and fou…
-
psnet.ahrq.gov/node/42325/psn-pdf
March 02, 2023 - Hospital discharge and readmission.
March 2, 2023
Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023.
https://psnet.ahrq.gov/issue/hospital-discharge-and-readmission
This review examines hospital discharge, details elements of the process that can increase risk of
readmission, and reveals interventions …
-
psnet.ahrq.gov/node/40139/psn-pdf
January 22, 2017 - Standardizing hospital discharge planning at the Mayo
Clinic.
January 22, 2017
Holland DE, Hemann MA. Standardizing hospital discharge planning at the Mayo Clinic. Jt Comm J Qual
Patient Saf. 2011;37(1):29-36.
https://psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
Implementation of a s…
-
psnet.ahrq.gov/node/35937/psn-pdf
June 19, 2007 - Ounce of prevention: to reduce errors, hospitals
prescribe innovative designs.
June 19, 2007
Naik G. Wall Street Journal. May 8, 2006; A1.
https://psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs
This article reports on innovations implemented at a Wisconsin hospital to im…
-
psnet.ahrq.gov/node/37371/psn-pdf
March 28, 2012 - The architecture of safety: hospital design.
March 28, 2012
Joseph A, Rashid M. The architecture of safety: hospital design. Curr Opin Crit Care. 2007;13(6):714-9.
https://psnet.ahrq.gov/issue/architecture-safety-hospital-design
This review analyzes the literature linking patient safety to hospital design elements,…
-
psnet.ahrq.gov/node/40552/psn-pdf
June 22, 2011 - Don't come back, hospitals say.
June 22, 2011
Landro L.
https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say
This newspaper article describes government-funded and hospital-based efforts to improve discharge and
reduce preventable readmissions.
https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say
https:…
-
psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please
Teryl K. Nuckols, MD, MSHS | September 1, 2011
Also Read a Conversation
View more articles from the same authors.
Citation Text:
Nuckols TK. Incident Reporting: More Attention to the …
-
psnet.ahrq.gov/node/867690/psn-pdf
March 05, 2025 - Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective record review
studies.
March 5, 2025
Hooftman J, Zwaan L, Sikkens JJ, et al. Trends of diagnostic adverse events in hospital deaths:
longitudinal analyses of four retrospective record review studies. Diagnosis (Berl…
-
psnet.ahrq.gov/node/867694/psn-pdf
March 05, 2025 - Hospital ward incidents through the eyes of nurses – a
thick description on the appeal and deadlock of incident
reporting systems.
March 5, 2025
Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses
- a thick description on the appeal and deadlock of incident rep…
-
psnet.ahrq.gov/node/851354/psn-pdf
July 12, 2023 - Psychological safety, communication openness, nurse
job outcomes, and patient safety in hospital nurses.
July 12, 2023
Cho H, Steege LM, Arsenault Knudsen ÉN. Psychological safety, communication openness, nurse job
outcomes, and patient safety in hospital nurses. Res Nurs Health. 2023;46(4):445-453.
doi:10.1002/nu…
-
psnet.ahrq.gov/node/839313/psn-pdf
November 02, 2022 - The impact of meaningful use and electronic health
records on hospital patient safety.
November 2, 2022
Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on
hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525.
https…
-
psnet.ahrq.gov/node/50628/psn-pdf
November 06, 2019 - Speaking up about patient safety in psychiatric hospitals -
a cross-sectional survey study among healthcare staff.
November 6, 2019
Schwappach DLB, Niederhauser A. Speaking up about patient safety in psychiatric hospitals - a cross-
sectional survey study among healthcare staff. Int J Ment Health Nurs. 2019;28(6):…
-
psnet.ahrq.gov/node/865703/psn-pdf
May 01, 2024 - Co-worker unprofessional behaviour and patient safety
risks: an analysis of co-worker reports across eight
Australian hospitals.
May 1, 2024
McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks:
an analysis of co-worker reports across eight Australian hospitals. In…
-
psnet.ahrq.gov/node/45199/psn-pdf
June 15, 2016 - Towards safer transitions: a curriculum to teach and
assess hospital-to-hospice handoffs.
June 15, 2016
Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to-
Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2.
doi:10.1016/j.jpainsymman.2016.01.012.
https://psn…
-
psnet.ahrq.gov/node/862131/psn-pdf
February 07, 2024 - Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with
improved outcomes.
February 7, 2024
Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication
safety intervention: factors common to hospitals with improved ou…