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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33892/psn-pdf
    May 03, 2016 - Critical Incident Technique Bibliography—2001. May 3, 2016 Fivars G; Fitzpatrick R https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001 A research tool to identify critical requirements for performance in applied areas of psychology and behavioral science. This technique, used in anesthesia t…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34584/psn-pdf
    July 08, 2014 - Advocate Health Care: a systemwide approach to quality and safety. July 8, 2014 Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety Advocate is a l…

  3. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet

    psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
    February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists Citation Text: Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…

  4. Root Cause Analysis Gone Wrong | PSNet

    psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
    August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

  5. Clostridium Difficile Relapse Secondary to Medication Access Issue | PSNet

    psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
    October 01, 2015 - Clostridium Difficile Relapse Secondary to Medication Access Issue Citation Text: Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Cit…

  6. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet

    psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
    November 26, 2014 - SPOTLIGHT CASE Transfusion Thresholds in Gastrointestinal Bleeding Citation Text: Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citati…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852700/psn-pdf
    August 30, 2023 - And they were responsive to identifying inequities, reaching deeply into communities, and prioritizing

  8. Diagnostic Errors Case Studies | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
    November 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Errors Case Studies  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Maria Mirica, PRIDE Group …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33823/psn-pdf
    January 01, 2017 - Workplace Safety in Health Care January 1, 2017 Simon RW, Canacari EG. Workplace Safety in Health Care. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/workplace-safety-health-care Perspective The patient safety movement has highlighted the risks that patients face when receiving health care. But, impo…

  10. “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) | PSNet

    psnet.ahrq.gov/innovation/behavioral-health-vital-signs-initiative-increases-patient-education-and-disclosure
    February 26, 2025 - “Behavioral Health Vital Signs” Initiative Increases Patient Education and Disclosure about Interpersonal Violence (IPV) Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 30, 2021 Innovat…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36692/psn-pdf
    January 18, 2011 - The objective medical emergency team activation criteria: a case-control study. January 18, 2011 Cretikos M, Chen J, Hillman K, et al. The objective medical emergency team activation criteria: a case- control study. Resuscitation. 2007;73(1):62-72. https://psnet.ahrq.gov/issue/objective-medical-emergency-team-acti…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36860/psn-pdf
    January 20, 2016 - IHI Global Trigger Tool for Measuring Adverse Events. 2nd Edition. January 20, 2016 Griffin FA, Resar RK. IHI Innovation Series white paper. Cambridge, MA: Institute for Healthcare Improvement; 2009. https://psnet.ahrq.gov/issue/ihi-global-trigger-tool-measuring-adverse-events-2nd-edition This white paper describ…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41267/psn-pdf
    September 27, 2017 - Patient perceptions of missed nursing care. September 27, 2017 Kalisch BJ, McLaughlin M, Dabney BW. Patient perceptions of missed nursing care. Jt Comm J Qual Patient Saf. 2012;38(4):161-7. https://psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care Missed nursing care (failure to perform required patient…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34604/psn-pdf
    December 24, 2008 - Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. December 24, 2008 Kruzikas DT, Jiang HJ, Remus D, et al for Agency for Healthcare Research and Quality; Rockville, MD: US Department of Health and Human Services, Agency for Healthcare Research and Quality, 2004 AHRQ publication no 04-0…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41282/psn-pdf
    April 11, 2012 - Analysis of risk factors for adverse drug events in critically ill patients. April 11, 2012 Kane-Gill SL, Kirisci L, Verrico MM, et al. Analysis of risk factors for adverse drug events in critically ill patients*. Crit Care Med. 2012;40(3):823-8. doi:10.1097/CCM.0b013e318236f473. https://psnet.ahrq.gov/issue/analy…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42384/psn-pdf
    December 18, 2013 - Pediatric emergency nurses self-reported medication safety practices. December 18, 2013 Mattei JL, Gillespie GL. Pediatric emergency nurses' self-reported medication safety practices. J Pediatr Nurs. 2013;28(6):596-602. doi:10.1016/j.pedn.2013.03.005. https://psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-re…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36914/psn-pdf
    March 21, 2017 - Reasons for after-hours calls by hospital floor nurses to on-call physicians. March 21, 2017 Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on- call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. https://psnet.ahrq.gov/issue/reasons-after-hours-call…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44583/psn-pdf
    February 17, 2016 - Root Cause Analysis Playbook. February 17, 2016 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/root-cause-analysis-playbook Risk management has recently focused on organization-wide improvement in patient safety. This publication discusses root cause analysis metho…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35408/psn-pdf
    August 05, 2009 - Factors influencing preceptors' responses to medical errors: a factorial survey. August 5, 2009 Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. https://psnet.ahrq.gov/issue/factors-influencing-preceptors-res…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42875/psn-pdf
    January 22, 2014 - Communication in the operating theatre. January 22, 2014 Weldon S-M, Korkiakangas T, Bezemer J, et al. Communication in the operating theatre. Br J Surg. 2013;100(13):1677-88. doi:10.1002/bjs.9332. https://psnet.ahrq.gov/issue/communication-operating-theatre This systematic review of communication in the operating…
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