-
psnet.ahrq.gov/node/842923/psn-pdf
February 01, 2023 - Aspergillus Mediastinitis & Endocarditis in a Pediatric
Patient Complicating Cardiac Surgery and Bedside Chest
Closure.
February 1, 2023
Partridge E, Dodson D, Reilly M, et al. Aspergillus Mediastinitis & Endocarditis in a Pediatric Patient
Complicating Cardiac Surgery and Bedside Chest Closure. PSNet [internet]. …
-
psnet.ahrq.gov/node/60172/psn-pdf
March 01, 2021 - Verification Screen That Includes Prominent Patient
Photograph Significantly Reduces Errors Caused by
Orders Placed in Wrong Chart
Originally published on June 12, 2020
Last updated on January 11, 2021
https://psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-
reduc…
-
psnet.ahrq.gov/web-mm/emergency-error
January 18, 2013 - SPOTLIGHT CASE
Emergency Error
Citation Text:
Symons NRA. Emergency Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…
-
psnet.ahrq.gov/node/39491/psn-pdf
March 22, 2011 - The published literature on handoffs in hospitals:
deficiencies identified in an extensive review.
March 22, 2011
Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an
extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi:10.1136/qshc.2009.033480.
https://p…
-
psnet.ahrq.gov/node/46334/psn-pdf
August 09, 2017 - Maternal deaths at MetroWest hospital prompt state
probes.
August 9, 2017
Kowalczyk L. Boston Globe. July 29, 2017.
https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes
Maternal death is a sentinel event. This news article reports on two incidents at one hospital that prompted
inves…
-
psnet.ahrq.gov/node/36360/psn-pdf
October 28, 2010 - Pharmacist staffing, technology use, and implementation
of medication safety practices in rural hospitals.
October 28, 2010
Casey M, Moscovice I, Davidson G. Pharmacist staffing, technology use, and implementation of medication
safety practices in rural hospitals. J Rural Health. 2006;22(4):321-30.
https://psnet.a…
-
psnet.ahrq.gov/node/45110/psn-pdf
May 11, 2016 - Hospital discharge: it's one of the most dangerous
periods for patients.
May 11, 2016
Rau J. Washington Post. April 29, 2016.
https://psnet.ahrq.gov/issue/hospital-discharge-its-one-most-dangerous-periods-patients
Transitions in care between inpatient and outpatient settings are an increasing concern for patient s…
-
psnet.ahrq.gov/node/39421/psn-pdf
July 19, 2010 - Hospital RNs' experiences with disruptive behavior: a
qualitative study.
July 19, 2010
Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J
Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e.
https://psnet.ahrq.gov/issue/hospital-rns-experiences…
-
psnet.ahrq.gov/node/42867/psn-pdf
February 13, 2014 - Medication regimen complexity and hospital readmission
for an adverse drug event.
February 13, 2014
Willson MN, Greer CL, Weeks DL. Medication regimen complexity and hospital readmission for an adverse
drug event. Ann Pharmacother. 2014;48(1):26-32. doi:10.1177/1060028013510898.
https://psnet.ahrq.gov/issue/medica…
-
psnet.ahrq.gov/node/38252/psn-pdf
November 26, 2008 - Hospital ethical climate and teamwork in acute care: the
moderating role of leaders.
November 26, 2008
Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of
leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.75018.8d.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/39245/psn-pdf
January 20, 2010 - Adverse Events in Hospitals: Public Disclosure of
Information About Events.
January 20, 2010
Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General;
January 5, 2010. Report No. OEI-06-09-00360.
https://psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-in…
-
psnet.ahrq.gov/node/40292/psn-pdf
March 16, 2011 - Patterns of unexpected in-hospital deaths: a root cause
analysis.
March 16, 2011
Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg.
2011;5(1):3. doi:10.1186/1754-9493-5-3.
https://psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
This l…
-
psnet.ahrq.gov/node/36965/psn-pdf
February 15, 2011 - Strategic work-arounds to accommodate new technology:
the case of smart pumps in hospital care.
February 15, 2011
McAlearney AS, Vrontos J, Schneider PJ, et al. Strategic Work-Arounds to Accommodate New
Technology. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242987.93789.63.
https://psnet.ahrq.gov/issue/strat…
-
psnet.ahrq.gov/node/42163/psn-pdf
May 19, 2013 - Frontline hospital workers and the worker safety/patient
safety nexus.
May 19, 2013
Sokas R, Braun B, Chenven L, et al. Frontline hospital workers and the worker safety/patient safety nexus.
Jt Comm J Qual Patient Saf. 2013;39(4):185-192.
https://psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypat…
-
psnet.ahrq.gov/node/37739/psn-pdf
June 07, 2008 - Health-Care-Associated Infections in Hospitals:
Leadership Needed from HHS to Prioritize Prevention
Practices and Improve Data on these Infections.
June 7, 2008
Washington, DC: United States Government Accountability Office; March 31, 2008. Publication GAO-08-
283.
https://psnet.ahrq.gov/issue/health-care-associa…
-
psnet.ahrq.gov/node/39902/psn-pdf
December 29, 2014 - Clinical handover incident reporting in one UK general
hospital.
December 29, 2014
Pezzolesi C, Schifano F, Pickles J, et al. Clinical handover incident reporting in one UK general hospital. Int
J Qual Health Care. 2010;22(5):396-401. doi:10.1093/intqhc/mzq048.
https://psnet.ahrq.gov/issue/clinical-handover-incide…
-
psnet.ahrq.gov/node/36976/psn-pdf
June 15, 2011 - Evaluation of an intervention aimed at improving
voluntary incident reporting in hospitals.
June 15, 2011
Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident
reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75.
https://psnet.ahrq.gov/issue/evaluation…
-
psnet.ahrq.gov/node/37564/psn-pdf
June 12, 2008 - The medical emergency team system: a two hospital
comparison.
June 12, 2008
Young L, Donald M, Parr M, et al. The Medical Emergency Team system: a two hospital comparison.
Resuscitation. 2008;77(2):180-8. doi:10.1016/j.resuscitation.2007.11.016.
https://psnet.ahrq.gov/issue/medical-emergency-team-system-two-hospit…
-
psnet.ahrq.gov/node/43060/psn-pdf
June 27, 2016 - Medication administration errors in hospitals—challenges
and recommendations for their measurement.
June 27, 2016
McLeod M, Barber N, Franklin BD. National Quality Measures Clearinghouse: Expert Commentaries;
March 10, 2014.
https://psnet.ahrq.gov/issue/medication-administration-errors-hospitals-challenges-and-rec…
-
psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Nurse Wellbeing and Patient Safety
Download
Share
Facebook
Twitter
Linkedin
Copy URL
Subscribe
Created By: Lorri Zipperer, Cybrarian, AHRQ…