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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837703/psn-pdf
    July 20, 2022 - Family safety reporting in hospitalized children with medical complexity. July 20, 2022 Mercer AN, Mauskar S, Baird JD, et al. Family safety reporting in hospitalized children with medical complexity. Pediatrics. 2022;150(2):e2021055098. doi:10.1542/peds.2021-055098. https://psnet.ahrq.gov/issue/family-safety-repo…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73377/psn-pdf
    June 09, 2021 - An examination of factors that predict the perioperative culture of safety. June 9, 2021 Wright MI, Polivka B, Abusalem S. An examination of factors that predict the perioperative culture of safety. AORN J. 2021;113(5):465-475. doi:10.1002/aorn.13373. https://psnet.ahrq.gov/issue/examination-factors-predict-periop…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47221/psn-pdf
    August 29, 2018 - Barriers and facilitators to injection safety in ambulatory care settings. August 29, 2018 Leback C, Johnson DH, Anderson L, et al. Barriers and Facilitators to Injection Safety in Ambulatory Care Settings. Infect Control Hosp Epidemiol. 2018;39(7):841-848. doi:10.1017/ice.2018.82. https://psnet.ahrq.gov/issue/bar…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862614/psn-pdf
    February 14, 2024 - Systemic failures in nursing home care--a scoping study. February 14, 2024 Sturmberg JP, Gainsford L, Goodwin N, et al. Systemic failures in nursing home care—A scoping study. J Eval Clin Pract. 2024. doi:10.1111/jep.13961. https://psnet.ahrq.gov/issue/systemic-failures-nursing-home-care-scoping-study Nursing home…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35749/psn-pdf
    May 09, 2014 - Chemotherapy dose limits set by users of a computer order entry system. May 9, 2014 DuBeshter B; Griggs J; Angel C; Loughner J. https://psnet.ahrq.gov/issue/chemotherapy-dose-limits-set-users-computer-order-entry-system To avoid excessive dosing of chemotherapeutic agents, standardized dose limits must be agreed u…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851653/psn-pdf
    July 26, 2023 - Content analysis of nurses' reflections on medication errors in a regional hospital. July 26, 2023 Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.2220432. https://psnet.ahrq.gov/issue/co…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38062/psn-pdf
    March 04, 2011 - Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. March 4, 2011 Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Serv Res. 2008;43(5 Pt 2):1849-68. doi:10.1111/j.1…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44333/psn-pdf
    July 15, 2015 - One hospital's initiatives to encourage safe opioid use. July 15, 2015 Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use This commentar…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50671/psn-pdf
    November 20, 2019 - Critical errors in infrequently performed trauma procedures after training. November 20, 2019 Mackenzie CF, Shackelford SA, Tisherman SA, et al. Critical errors in infrequently performed trauma procedures after training. Surgery. 2019;166(5):835-843. doi:10.1016/j.surg.2019.05.031. https://psnet.ahrq.gov/issue/cri…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73344/psn-pdf
    June 02, 2021 - Assessing patient safety culture in hospital settings. June 2, 2021 Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health. 2021;18(5):2466. doi:10.3390/ijerph18052466. https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospital-settings Accurate measurement of …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40478/psn-pdf
    June 13, 2011 - Evaluating the medication process in the context of CPOE use: the significance of working around the system. June 13, 2011 Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system. Int J Med Inform. 2011;80(7):490-506…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38762/psn-pdf
    June 28, 2011 - Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. June 28, 2011 Smits M, Janssen J, de Vet R, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. Int J Qual H…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34086/psn-pdf
    May 27, 2011 - Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. May 27, 2011 Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Health Aff (Millwood). 2004;23(4):184-90.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42159/psn-pdf
    March 04, 2015 - Peer review comments augment diagnostic error characterization and departmental quality assurance: 1- year experience from a children's hospital. March 4, 2015 Iyer RS, Swanson JO, Otto RK, et al. Peer review comments augment diagnostic error characterization and departmental quality assurance: 1-year experience f…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46224/psn-pdf
    July 12, 2017 - Systematic approaches to adverse events in obstetrics, Part 1 & Part 2. July 12, 2017 Pettker CM. Systematic approaches to adverse events in obstetrics, Part I: Event identification and classification. Semin Perinatol. 2017;41(3). doi:10.1053/j.semperi.2017.03.003. https://psnet.ahrq.gov/issue/systematic-approache…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73638/psn-pdf
    August 25, 2021 - The pain was unbearable. So why did doctors turn her away? August 25, 2021 Szalavitz M. Wired Magazine. August 11, 2021.  https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40081/psn-pdf
    December 21, 2014 - Electronic health record adoption by children's hospitals in the United States. December 21, 2014 Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234. https://…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36895/psn-pdf
    March 10, 2011 - A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. March 10, 2011 Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33934/psn-pdf
    March 02, 2011 - A hospitalization from hell: a patient's perspective on quality. March 2, 2011 Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33- 39. https://psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality The author shares the unique perspectives of…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74703/psn-pdf
    January 26, 2022 - Research to improve diagnosis: time to study the real world. January 26, 2022 Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world Diagnostic …
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