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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40938/psn-pdf
    November 16, 2011 - Decreasing 30-day readmission rates. November 16, 2011 Lacker C. Decreasing 30-day readmission rates. Am J Nurs. 2011;111(11):65-69. doi:10.1097/01.NAJ.0000407308.53587.02. https://psnet.ahrq.gov/issue/decreasing-30-day-readmission-rates Analyzing data from the Pennsylvania Patient Safety Authority Reporting Syste…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39782/psn-pdf
    August 25, 2010 - Developing a common language for evaluation questions in quality and safety improvement. August 25, 2010 Lambert MF; Shearer H. https://psnet.ahrq.gov/issue/developing-common-language-evaluation-questions-quality-and-safety- improvement This commentary discusses several frameworks for evaluating patient safety an…

  3. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy | PSNet

    psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
    April 08, 2019 - August 24, 2022 Identifying and reconciling patients' allergy information within the

  4. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
    December 14, 2022 - While traditional, claims-based measures continue to be important in measuring and identifying harm events … ensuring the right care, outcomes measures are important in determining the ultimate impact of care and identifying … Introduction to Trigger Tools for Identifying Adverse Events. 2022. Accessed June 28, 2022.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40317/psn-pdf
    November 21, 2016 - Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. November 21, 2016 Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care This whit…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40536/psn-pdf
    September 19, 2012 - Putting the 'patient' in patient safety: a qualitative study of consumer experiences. September 19, 2012 Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.2011.00685.x. https://psnet.ahrq.…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35527/psn-pdf
    June 29, 2011 - Patient-reported service quality on a medicine unit. June 29, 2011 Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101. https://psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit The investigators interviewed pati…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38139/psn-pdf
    October 15, 2008 - Medication reconciliation at hospital discharge: evaluating discrepancies. October 15, 2008 Wong JD, Bajcar J, Wong GG, et al. Medication reconciliation at hospital discharge: evaluating discrepancies. Ann Pharmacother. 2008;42(10):1373-9. doi:10.1345/aph.1L190. https://psnet.ahrq.gov/issue/medication-reconciliati…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35952/psn-pdf
    August 02, 2010 - Manage staff fatigue to improve patient safety. August 2, 2010 Spath P. Manage staff fatigue to improve patient safety. Part 2 of 2. Hospital peer review. 2006;31(5):70-2. https://psnet.ahrq.gov/issue/manage-staff-fatigue-improve-patient-safety The author discusses three steps for reducing staff fatigue. Part I of …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36113/psn-pdf
    September 28, 2010 - "It's not our ass": medical resident sense-making regarding lawsuits. September 28, 2010 Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health Commun. 2006;20(1):81-9. https://psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits The inves…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35390/psn-pdf
    September 10, 2009 - Teaching and medical errors: primary care preceptors' views. September 10, 2009 Mazor KM, Fischer M, Haley H-L, et al. Teaching and medical errors: primary care preceptors' views. Med Educ. 2005;39(10):982-90. https://psnet.ahrq.gov/issue/teaching-and-medical-errors-primary-care-preceptors-views The authors inter…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39128/psn-pdf
    December 01, 2009 - Rapid response teams and continuous quality improvement. November 25, 2009 Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. https://psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement This study discusses how analysis of rapid response team calls id…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38375/psn-pdf
    December 01, 2019 - ISMP QuarterWatch Reports. April 17, 2019 Horsham, PA: Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports This website provides quarterly reports that identify and analyze new risks related to medications and adverse drug events submitted to the Food and Drug Administra…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38074/psn-pdf
    June 04, 2018 - Questions and Answers on FDA's Adverse Event Reporting System (FAERS). October 3, 2017 Center for Drug Evaluation and Research, US Food and Drug Administration. June 4, 2018. https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers This FAQ provides information on and access to …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38520/psn-pdf
    September 19, 2016 - Inpatient suicide in a general hospital. September 19, 2016 Cheng I-C, Hu F-C, Tseng M-CM. Inpatient suicide in a general hospital. Gen Hosp Psychiatry. 2009;31(2):110-5. doi:10.1016/j.genhosppsych.2008.12.008. https://psnet.ahrq.gov/issue/inpatient-suicide-general-hospital Suicide attempts by hospitalized patient…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36798/psn-pdf
    March 09, 2009 - Organizational culture, critical success factors, and the reduction of hospital errors. March 9, 2009 Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.07.005. https://psnet.ahrq.gov/issue/o…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73617/psn-pdf
    August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It. August 18, 2021 Patient Safety Foundation. August 26, 2021. https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance response, engag…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34925/psn-pdf
    February 27, 2009 - Medication errors and professional practice of registered nurses. February 27, 2009 Deans C. Medication errors and professional practice of registered nurses. Collegian. 2005;12(1):29-33. https://psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses This Australian study identified and…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36313/psn-pdf
    October 26, 2010 - Observational assessment of surgical teamwork: a feasibility study. October 26, 2010 Undre S, Healey A, Darzi A, et al. Observational assessment of surgical teamwork: a feasibility study. World J Surg. 2006;30(10):1774-83. https://psnet.ahrq.gov/issue/observational-assessment-surgical-teamwork-feasibility-study T…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39743/psn-pdf
    October 13, 2010 - Anatomy and pathophysiology of errors occurring in clinical radiology practice. October 13, 2010 Brook OR, O'Connell AM, Thornton E, et al. Quality initiatives: anatomy and pathophysiology of errors occurring in clinical radiology practice. Radiographics. 2010;30(5):1401-10. doi:10.1148/rg.305105013. https://psnet…
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