-
psnet.ahrq.gov/node/43660/psn-pdf
November 12, 2014 - Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for Disease
Control and Prevention–convened meeting.
November 12, 2014
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication
use during pregnancy: summary of a Centers for …
-
psnet.ahrq.gov/node/43210/psn-pdf
May 28, 2014 - Improving cancer patient care with combined medication
error reviews and morbidity and mortality conferences.
May 28, 2014
Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error
Reviews and Morbidity and Mortality Conferences. Chemotherapy (Los Angel). 2014;59(5).
doi:10.11…
-
psnet.ahrq.gov/node/41232/psn-pdf
December 31, 2014 - Using FDA reports to inform a classification for health
information technology safety problems.
December 31, 2014
Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health
information technology safety problems. J Am Med Inform Assoc. 2012;19(1):45-53. doi:10.1136/amiajnl-
201…
-
psnet.ahrq.gov/node/73968/psn-pdf
October 13, 2021 - Institution of just culture physician peer review in an
academic medical center.
October 13, 2021
Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic
medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.0000000000000449.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/38189/psn-pdf
November 14, 2011 - Errors, near misses and adverse events in the emergency
department: what can patients tell us?
November 14, 2011
Friedman SM, Provan D, Moore S, et al. Errors, near misses and adverse events in the emergency
department: what can patients tell us? CJEM. 2008;10(5):421-427.
https://psnet.ahrq.gov/issue/errors-near-m…
-
psnet.ahrq.gov/node/50703/psn-pdf
December 04, 2019 - A systematic review of clinical outcomes associated with
intrahospital transitions
December 4, 2019
Bristol AA, Schneider CE, Lin S-Y, et al. A Systematic Review of Clinical Outcomes Associated With
Intrahospital Transitions. J Healthc Qual. 2019. doi:10.1097/JHQ.0000000000000232.
https://psnet.ahrq.gov/issue/syst…
-
psnet.ahrq.gov/node/866688/psn-pdf
September 11, 2024 - Leader safety storytelling: a qualitative analysis of the
attributes of effective safety storytelling and its
outcomes.
September 11, 2024
Benetti PJ, Kanse L, Fruhen LS, et al. Leader safety storytelling: a qualitative analysis of the attributes of
effective safety storytelling and its outcomes. Safety Sci. 2024;…
-
psnet.ahrq.gov/node/848041/psn-pdf
April 26, 2023 - Potentiality of algorithms and artificial intelligence
adoption to improve medication management in primary
care: a systematic review.
April 26, 2023
Damiani G, Altamura G, Zedda M, et al. Potentiality of algorithms and artificial intelligence adoption to
improve medication management in primary care: a systematic…
-
psnet.ahrq.gov/node/45579/psn-pdf
November 01, 2017 - Factors influencing patient safety during postoperative
handover.
November 1, 2017
Rose M, Newman SD. AANA J. 2016;84:329-338.
https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
Patient handoffs between care teams are vulnerable to error. This scoping review explored the …
-
psnet.ahrq.gov/node/37000/psn-pdf
September 15, 2011 - Unanticipated death after discharge home from the
emergency department.
September 15, 2011
Sklar DP, Crandall CS, Loeliger E, et al. Unanticipated Death After Discharge Home From the Emergency
Department. Ann Emerg Med. 2007;49(6). doi:10.1016/j.annemergmed.2006.11.018.
https://psnet.ahrq.gov/issue/unanticipated-d…
-
psnet.ahrq.gov/node/837901/psn-pdf
August 24, 2022 - Trial and error: learning from malpractice claims in
childhood surgery.
August 24, 2022
Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood
surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033.
https://psnet.ahrq.gov/issue/trial-and-error-learning-…
-
psnet.ahrq.gov/node/46702/psn-pdf
April 16, 2018 - Characteristics of medical liability claims against
dermatologists from 1991 through 2015.
April 16, 2018
Kornmehl H, Singh S, Adler BL, et al. Characteristics of Medical Liability Claims Against Dermatologists
From 1991 Through 2015. JAMA Dermatol. 2018;154(2):160-166. doi:10.1001/jamadermatol.2017.3713.
https://…
-
psnet.ahrq.gov/node/43516/psn-pdf
June 15, 2017 - Application of failure mode effect analysis to improve the
care of septic patients admitted through the emergency
department.
June 15, 2017
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of
Septic Patients Admitted Through the Emergency Department. J Patient …
-
psnet.ahrq.gov/node/47865/psn-pdf
April 17, 2019 - The effect of a residential care pharmacist on medication
administration practices in aged care: a controlled trial.
April 17, 2019
McDerby N, Kosari S, Bail K, et al. The effect of a residential care pharmacist on medication administration
practices in aged care: A controlled trial. J Clin Pharm Ther. 2019;44(4):5…
-
psnet.ahrq.gov/node/865661/psn-pdf
April 24, 2024 - Pay-for-performance and patient safety in acute care: a
systematic review.
April 24, 2024
Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a
systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051.
https://psnet.ahrq.gov/issue/pay-pe…
-
psnet.ahrq.gov/node/72753/psn-pdf
February 17, 2021 - Incidence of accidental awareness during general
anaesthesia in obstetrics: a multicentre, prospective
cohort study.
February 17, 2021
Odor PM, Bampoe S, Lucas DN, et al the Pan-London Peri-operative Audit and Research Network (PLAN),
for the DREAMY Investigators Group. Anaesthesia. 2021;76(6):759-776.
https://ps…
-
psnet.ahrq.gov/node/44210/psn-pdf
September 09, 2015 - The future of graduate medical education: a systems-
based approach to ensure patient safety.
September 9, 2015
Bagian JP. The Future of Graduate Medical Education: A Systems-Based Approach to Ensure Patient
Safety. Acad Med. 2015;90(9):1199-202. doi:10.1097/ACM.0000000000000824.
https://psnet.ahrq.gov/issue/futur…
-
psnet.ahrq.gov/node/37646/psn-pdf
April 11, 2011 - Incidence, preventability and consequences of adverse
events in older people: results of a retrospective case-
note review.
April 11, 2011
Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older
people: results of a retrospective case-note review. Age Ageing. 2008;37…
-
psnet.ahrq.gov/node/73125/psn-pdf
April 07, 2021 - Black Patients are More Likely Than White Patients to be
in Hospitals with Worse Patient Safety Conditions.
April 7, 2021
Gangopadhyaya A. Washington DC: Urban Institute; March 29, 2021.
https://psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient-
safety-conditions
Racial…
-
psnet.ahrq.gov/node/846151/psn-pdf
March 15, 2023 - Managing safety in perioperative settings: strategies of
meso-level nurse leaders.
March 15, 2023
Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse
leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.0000000000000364.
https://psnet.ahrq.gov/iss…