-
psnet.ahrq.gov/node/45179/psn-pdf
July 13, 2016 - Communication and shared understanding between
parents and resident-physicians at night.
July 13, 2016
Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and
Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2015-0224.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/47400/psn-pdf
November 28, 2018 - Impact of the communication and patient hand-off tool
SBAR on patient safety: a systematic review.
November 28, 2018
Müller M, Jürgens J, Redaèlli M, et al. Impact of the communication and patient hand-off tool SBAR on
patient safety: a systematic review. BMJ Open. 2018;8(8):e022202. doi:10.1136/bmjopen-2018-022202…
-
psnet.ahrq.gov/node/839315/psn-pdf
January 01, 2024 - Six major steps to make investigations of suicide valuable
for learning and prevention.
November 2, 2022
Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable
for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1080/13811118.2022.2133652.
https…
-
psnet.ahrq.gov/node/47549/psn-pdf
March 04, 2019 - Interventions against bullying of prelicensure students
and nursing professionals: an integrative review.
March 4, 2019
Rutherford DE, Gillespie GL, Smith CR. Interventions against bullying of prelicensure students and nursing
professionals: An integrative review. Nurs Forum. 2019;54(1):84-90. doi:10.1111/nuf.12301…
-
psnet.ahrq.gov/node/42972/psn-pdf
February 26, 2014 - Use of paediatric early warning systems in Great Britain:
has there been a change of practice in the last 7 years?
February 26, 2014
Roland D, Oliver A, Edwards ED, et al. Use of paediatric early warning systems in Great Britain: has there
been a change of practice in the last 7 years? Arch Dis Child. 2014;99(1):26…
-
psnet.ahrq.gov/node/50938/psn-pdf
February 26, 2020 - Risks and medication errors analysis to evaluate the
impact of a chemotherapy compounding workflow
management system on cancer patients' safety.
February 26, 2020
Marzal-Alfaro MB, Rodriguez-Gonzalez CG, Escudero-Vilaplana V, et al. Risks and medication errors
analysis to evaluate the impact of a chemotherapy comp…
-
psnet.ahrq.gov/node/44801/psn-pdf
June 22, 2016 - Safety for all: integrated design for inpatient units.
June 22, 2016
Hunt JM, Sine DM. Patient Saf Qual Healthc. May/June 2016;13:20-28.
https://psnet.ahrq.gov/issue/safety-all-integrated-design-inpatient-units
Design is emerging as an important tactic to augment safe care delivery. Hospitals that provide care for
…
-
psnet.ahrq.gov/node/74169/psn-pdf
December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is
associated with attribution of blame.
December 8, 2021
Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021.
https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-
bl…
-
psnet.ahrq.gov/node/836776/psn-pdf
March 23, 2022 - Potentially inappropriate medications and their effect on
falls during hospital admission.
March 23, 2022
Damoiseaux-Volman BA, Raven K, Sent D, et al. Potentially inappropriate medications and their effect on
falls during hospital admission. Age Ageing. 2022;51(1):afab205. doi:10.1093/ageing/afab205.
https://psne…
-
psnet.ahrq.gov/node/73426/psn-pdf
June 23, 2021 - The perfect storm: exam of a medical error and factors
contributing to its possible escalation.
June 23, 2021
Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J
Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.0000000000000846.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/46511/psn-pdf
December 19, 2017 - Professional, structural and organisational interventions
in primary care for reducing medication errors.
December 19, 2017
Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary
care for reducing medication errors. Cochrane Database Syst Rev. 2017;10:CD003942.
d…
-
psnet.ahrq.gov/node/50821/psn-pdf
January 22, 2020 - Communicating with patients about diagnostic errors in
breast cancer care: providers' attitudes, experiences, and
advice
January 22, 2020
Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast
cancer care: Providers’ attitudes, experiences, and advice. Patient Educ Co…
-
psnet.ahrq.gov/node/45848/psn-pdf
November 19, 2018 - New Horizons in Patient Safety: Understanding
Communication: Case Studies for Physicians.
November 19, 2018
Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014.
https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-
physicians
Poor c…
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psnet.ahrq.gov/node/36005/psn-pdf
March 28, 2011 - Active surveillance using electronic triggers to detect
adverse events in hospitalized patients.
March 28, 2011
Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse
events in hospitalized patients. Qual Saf Health Care. 2006;15(3):184-90.
https://psnet.ahrq.gov/is…
-
psnet.ahrq.gov/node/73957/psn-pdf
October 13, 2021 - Effectiveness of a ‘do not interrupt’ vest intervention to
reduce medication errors during medication
administration: a multicenter cluster randomized
controlled trial.
October 13, 2021
Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to reduce
medication errors duri…
-
psnet.ahrq.gov/node/840490/psn-pdf
February 14, 2006 - Evidence of bias and variation in diagnostic accuracy
studies.
February 14, 2006
Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies.
CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090.
https://psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy…
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psnet.ahrq.gov/node/47840/psn-pdf
July 31, 2019 - Development and performance evaluation of the
Medicines Optimisation Assessment Tool (MOAT): a
prognostic model to target hospital pharmacists' input to
prevent medication-related problems.
July 31, 2019
Geeson C, Wei L, Franklin BD. Development and performance evaluation of the Medicines Optimisation
Assessment …
-
psnet.ahrq.gov/node/46658/psn-pdf
April 18, 2018 - Safer healthcare at home: detecting, correcting and
learning from incidents involving infusion devices.
April 18, 2018
Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving
infusion devices. App Ergon. 2018;67(Feb):104-114. doi:10.1016/j.apergo.2017.09.010.
htt…
-
psnet.ahrq.gov/node/60919/psn-pdf
September 16, 2020 - Risk of medication errors and nurses' quality of sleep: a
national cross-sectional web survey study.
September 16, 2020
Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a
national cross-sectional web survey study. Eur Rev Med Pharmacol Sci. 2020;24(12):7058-7062.
…
-
psnet.ahrq.gov/node/60803/psn-pdf
August 12, 2020 - Interprofessional/interdisciplinary teamwork during the
early COVID-19 pandemic: experience from a children's
hospital within an academic health center.
August 12, 2020
Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early
COVID-19 pandemic: experience from a chil…