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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43836/psn-pdfMarch 11, 2015 - Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. March 11, 2015 Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73222/psn-pdfMay 05, 2021 - Fatal mistakes: why do ten-fold medication errors in children keep happening? May 5, 2021 Parry C. The Pharmaceutical Journal. April 22 2021. https://psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening Weight-based prescribing in children harbors challenges to accura… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42215/psn-pdfApril 24, 2013 - Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours. April 24, 2013 Clarke S. Safety leadership: A meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours. J Occup Organ Psycho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837426/psn-pdfJune 15, 2022 - The frequency and nature of prescribing problems by general practitioners in training (REVISiT). June 15, 2022 Salema N-E, Bell BG, Marsden K, et al. The frequency and nature of prescribing problems by general practitioners in training (REVISiT). BJGP Open. 2022;6(3):BJGPO.2021.0231. doi:10.3399/bjgpo.2021.0231. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45588/psn-pdfJanuary 23, 2017 - Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery. January 23, 2017 Tarola CL, Quin JA, Haime ME, et al. Computer-Assisted Process Modeling to Enhance Intraoperative Safety in Cardiac Surgery. JAMA Surg. 2016;151(12):1183-1186. doi:10.1001/jamasurg.2016.2839. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36244/psn-pdfJune 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45592/psn-pdfOctober 27, 2016 - Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. October 27, 2016 Chicago, IL: Health Research & Educational Trust; October 2016. https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center- transforming-hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45140/psn-pdfNovember 28, 2016 - Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: a qualitative study. November 28, 2016 Fisher K, Ahmad S, Jackson M, et al. Surrogate decision makers' perspectives on preventable breakdowns in care among critically ill patients: A qualitative study. Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843082/psn-pdfJanuary 25, 2023 - Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. January 25, 2023 Jadwin DF, Fenderson PG, Friedman MT, et al. Determination of unnecessary blood transfusion by comprehensive 15-hospital record review. Jt Comm J Qual Patient Saf. 2023;49(1):42-52. doi:10.1016/j.jcjq.2022.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38101/psn-pdfDecember 17, 2009 - The unintended consequences of computerized provider order entry: findings from a mixed methods exploration. December 17, 2009 Ash JS, Sittig DF, Dykstra RH, et al. The unintended consequences of computerized provider order entry: Findings from a mixed methods exploration. Int J Med Inform. 2008;78. doi:10.1016/j.i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34998/psn-pdfJune 22, 2009 - Cause and effect analysis of closed claims in obstetrics and gynecology. June 22, 2009 White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36192/psn-pdfJune 14, 2011 - Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research. June 14, 2011 Brown M, Frost R, Ko Y, et al. Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and rese… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44651/psn-pdfDecember 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836963/psn-pdfApril 20, 2022 - Investigating the impact of cognitive bias in nursing documentation on decision-making and judgement. April 20, 2022 Martin K, Bickle K, Lok J. Investigating the impact of cognitive bias in nursing documentation on decision? making and judgement. Int J Mental Health Nurs. 2022;31(4):897-907. doi:10.1111/inm.12997. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45736/psn-pdfFebruary 01, 2017 - Disruptive behaviour in the perioperative setting: a contemporary review. February 1, 2017 Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. https://psnet.ahrq.gov/issue/disruptive… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44548/psn-pdfNovember 20, 2015 - Safety-II and resilience: the way ahead in patient safety in anaesthesiology. November 20, 2015 Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. https://psnet.ahrq.gov/issue/safety-ii-and-resilience… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46430/psn-pdfSeptember 27, 2017 - Can residents detect errors in technique while observing central line insertions? September 27, 2017 Pei K, Merola J, Davis KA, et al. Can residents detect errors in technique while observing central line insertions? Am J Surg. 2017;213(6):1166-1170.e1. doi:10.1016/j.amjsurg.2016.08.026. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44578/psn-pdfFebruary 24, 2016 - A new frontier in healthcare risk management: working to reduce avoidable patient suffering. February 24, 2016 Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.21207. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46051/psn-pdfApril 12, 2017 - Automated detection of look-alike/sound-alike medication errors. April 12, 2017 Rash-Foanio C, Galanter W, Bryson M, et al. Automated detection of look-alike/sound-alike medication errors. Am J Health Syst Pharm. 2017;74(7):521-527. doi:10.2146/ajhp150690. https://psnet.ahrq.gov/issue/automated-detection-look-alik… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39819/psn-pdfApril 04, 2011 - Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. April 4, 2011 Sharek PJ, Parry G, Goldmann DA, et al. Performance characteristics of a methodology to quantify adverse events over time in hospitalized patients. Health Serv Res. 2011;46(2):654-78. doi:10.111…
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