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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60983/psn-pdfOctober 07, 2020 - A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. October 7, 2020 Deacon A, O’Neill T, Delaloye N, et al. A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams. Hosp Pediatr. 2020;10(9):758-766. doi:10.1542/hpeds.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39064/psn-pdfOctober 28, 2009 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. October 28, 2009 Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of communication and handoff failur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41087/psn-pdfNovember 26, 2014 - Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. November 26, 2014 Helms AS, Perez TE, Baltz J, et al. Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes. J Gen Intern Med. 2012;27(3):287-91. doi:10.1007/s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74693/psn-pdfJanuary 26, 2022 - Including the reason for use on prescriptions sent to pharmacists: scoping review. January 26, 2022 Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists: scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325. https://psnet.ahrq.gov/issue/including-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47408/psn-pdfSeptember 19, 2018 - Ways to Improve Electronic Health Record Safety. September 19, 2018 Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018. https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety Electronic health records both contribute to and detract from safe care. This… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850929/psn-pdfJune 21, 2023 - Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. June 21, 2023 Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2):e002237. doi:10.1136/bmjoq-2022- 0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42823/psn-pdfDecember 18, 2013 - The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. December 18, 2013 Panesar SS, Netuveli G, Carson-Stevens A, et al. The orthopaedic error index: development and application of a novel nationa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36449/psn-pdfMay 27, 2011 - Medication-related clinical decision support in computerized provider order entry systems: a review. May 27, 2011 Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2007;14(1):29-40. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46067/psn-pdfJanuary 01, 2021 - A systematic review of measurement tools for the proactive assessment of patient safety in general practice. June 14, 2017 Lydon S, Cupples ME, Murphy AW, et al. A Systematic Review of Measurement Tools for the Proactive Assessment of Patient Safety in General Practice. J Patient Saf. 2021;17(5):e406-e412. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42382/psn-pdfJuly 16, 2014 - Huddling for high reliability and situation awareness. July 16, 2014 Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. https://psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness Se… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72697/psn-pdfFebruary 03, 2021 - Culture of safety: impact on improvement in infection prevention process and outcomes. February 3, 2021 Braun B, Chitavi SO, Suzuki H, et al. Culture of Safety: Impact on Improvement in Infection Prevention Process and Outcomes. Curr Infect Dis Rep. 2020;22(12):34. doi:10.1007/s11908-020-00741-y. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37805/psn-pdfFebruary 15, 2011 - Designing and implementing a comprehensive quality and patient safety management model: a paradigm for perioperative improvement. February 15, 2011 Herzer KR, Mark LJ, Michelson JD, et al. Designing and Implementing a Comprehensive Quality and Patient Safety Management Model. J Patient Saf. 2008;4(2). doi:10.1097/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36021/psn-pdfSeptember 24, 2016 - Operational failures and interruptions in hospital nursing. September 24, 2016 Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. https://psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing This study discovered that n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866411/psn-pdfJuly 31, 2024 - Simulation to Improve Patient Safety: Getting Started. July 31, 2024 Deutsch ES, Bajaj K. Simulation To Improve Patient Safety: Getting Started. Rockville, MD: Agency for Healthcare Research and Quality; July 2024. Publication No. 24-0055. https://psnet.ahrq.gov/issue/simulation-improve-patient-safety-getting-start… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837075/psn-pdfMay 11, 2022 - Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. May 11, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022. https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60016/psn-pdfMarch 04, 2020 - The influence of bullying on nursing practice errors: a systematic review. March 4, 2020 Johnson AH, Benham?Hutchins M. The Influence of Bullying on Nursing Practice Errors: A Systematic Review. AORN J. 2020;111(2). doi:10.1002/aorn.12923. https://psnet.ahrq.gov/issue/influence-bullying-nursing-practice-errors-sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851194/psn-pdfJuly 05, 2023 - The additional cost of perioperative medication errors July 5, 2023 Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. https://psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors Prev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850168/psn-pdfJune 07, 2023 - Home health agency patient experience measures and their relationship to Joint Commission accreditation. June 7, 2023 Longo BA, Schmaltz SP, Barrett SC, et al. Home health agency patient experience measures and their relationship to Joint Commission accreditation. Jt Comm J Qual Patient Saf. 2023;49(6-7):313-319. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47341/psn-pdfAugust 29, 2018 - AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. August 29, 2018 AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J. 2018;108(1):64-65. doi:10.1002/aorn.12292. https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43178/psn-pdfJuly 28, 2014 - Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. July 28, 2014 Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining s…
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