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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34929/psn-pdf
    April 06, 2011 - Implementing a national strategy for patient safety: lessons from the National Health Service in England. April 6, 2011 Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care. 2005;14(2):135-9. https://psnet.ahrq.gov/issu…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44717/psn-pdf
    February 10, 2016 - Trends and patterns in reporting of patient safety situations in transplantation. February 10, 2016 Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. https://psnet.ahrq.gov/issue/tr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50625/psn-pdf
    November 06, 2019 - Pediatric medication safety considerations for pharmacists in an adult hospital setting. November 6, 2019 Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/ajhp/zxz168. https://psnet.ahrq.gov/is…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39769/psn-pdf
    August 18, 2010 - Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature. August 18, 2010 Conrardy JA, Brenek B, Myers S. Determining the State of Knowledge for Implementing the Universal Protocol Recommendations: An Integrative Review of the Literature. A…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837339/psn-pdf
    June 08, 2022 - Mindful workarounds in bar code medication administration. June 8, 2022 Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi:10.3233/shti220575. https://psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration Barcod…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851059/psn-pdf
    June 28, 2023 - Causes for medical errors in obstetrics and gynaecology. June 28, 2023 Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. https://psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology R…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43069/psn-pdf
    April 16, 2014 - Decimal numbers and safe interpretation of clinical pathology results. April 16, 2014 Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865. https://psnet.ahrq.gov/issue/decimal-numbers-and-saf…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39185/psn-pdf
    January 06, 2010 - Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. January 6, 2010 Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;18(6):505-9. doi:10.1136/qshc.2007.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47142/psn-pdf
    June 13, 2018 - Managing health IT risks: reflections and recommendations. June 13, 2018 Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. https://psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations Health information t…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60531/psn-pdf
    May 27, 2020 - Telenursing in incidents and disasters: a systematic review of the literature. May 27, 2020 Nejadshafiee M, Bahaadinbeigy K, Kazemi M, et al. Telenursing in incidents and disasters: a systematic review of the literature. J Emerg Nurs. 2020. doi:10.1016/j.jen.2020.03.005. https://psnet.ahrq.gov/issue/telenursing-in…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44339/psn-pdf
    July 29, 2015 - Rapid response systems: a systematic review and meta- analysis. July 29, 2015 Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. https://psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43813/psn-pdf
    January 20, 2015 - Adverse events in patients with return emergency department visits. January 20, 2015 Calder LA, Pozgay A, Riff S, et al. Adverse events in patients with return emergency department visits. BMJ Qual Saf. 2015;24(2):142-148. doi:10.1136/bmjqs-2014-003194. https://psnet.ahrq.gov/issue/adverse-events-patients-return-e…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40294/psn-pdf
    September 24, 2016 - Hospital doctors' workflow interruptions and activities: an observation study. September 24, 2016 Weigl M, Müller A, Zupanc A, et al. Hospital doctors' workflow interruptions and activities: an observation study. BMJ Qual Saf. 2011;20(6):491-7. doi:10.1136/bmjqs.2010.043281. https://psnet.ahrq.gov/issue/hospital-d…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44551/psn-pdf
    September 30, 2015 - Safety culture includes "good catches." September 30, 2015 Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065. https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches Near misses can provide opportunities for learning if there is a pro…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41303/psn-pdf
    March 11, 2013 - Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. March 11, 2013 Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-369. doi:10.1111/j.1365-2753.2012.01…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45789/psn-pdf
    January 11, 2017 - Concurrent and Overlapping Surgeries: Additional Measures Warranted. January 11, 2017 US Senate Finance Committee. December 6, 2016. https://psnet.ahrq.gov/issue/concurrent-and-overlapping-surgeries-additional-measures-warranted The practice of scheduling concurrent surgeries has raised concerns about increased ri…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42479/psn-pdf
    August 07, 2013 - Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. August 7, 2013 Borycki EM. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. Healthc Inform Res. 20…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40922/psn-pdf
    December 21, 2014 - Assessment of latent factors contributing to error: addressing surgical pathology error wisely. December 21, 2014 Smith ML, Raab SS. Assessment of Latent Factors Contributing to Error: Addressing Surgical Pathology Error Wisely. Arch Pathol Lab Med. 2011;135(11). doi:10.5858/arpa.2011-0334-oa. https://psnet.ahrq.g…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44775/psn-pdf
    June 07, 2016 - The effect of emergency department boarding on order completion. June 7, 2016 Coil CJ, Flood JD, Belyeu BM, et al. The Effect of Emergency Department Boarding on Order Completion. Ann Emerg Med. 2016;67(6):730-736.e2. doi:10.1016/j.annemergmed.2015.09.018. https://psnet.ahrq.gov/issue/effect-emergency-department-b…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40062/psn-pdf
    July 24, 2011 - Improving medication safety in primary care using electronic health records. July 24, 2011 Nemeth LS, Wessell AM. Improving medication safety in primary care using electronic health records. J Patient Saf. 2010;6(4):238-43. https://psnet.ahrq.gov/issue/improving-medication-safety-primary-care-using-electronic-heal…
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