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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41724/psn-pdfJanuary 01, 2013 - Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients. December 31, 2012 Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, et al. Using Healthcare Failure Mode and Effect Analysis to reduc… -
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/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/44722/psn-pdfMarch 15, 2016 - Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. March 15, 2016 Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Int J Qual Health C… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61063/psn-pdfOctober 28, 2020 - The radiology impact of healthcare errors during shift work. October 28, 2020 Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography. 2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007. https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work Ext… -
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/35023/psn-pdfMarch 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. March 4, 2011 Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. https://psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72507/psn-pdfNovember 25, 2020 - In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. November 25, 2020 Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309. doi:10.1097/sih.0000000000000504. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35635/psn-pdfJune 24, 2010 - Patient safety problems in adolescent medical care. June 24, 2010 Woods D, Holl JL, Klein JD, et al. Patient safety problems in adolescent medical care. J Adolesc Health. 2006;38(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-problems-adolescent-medical-care Using data from the Colorado and Utah Medical Prac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43990/psn-pdfApril 22, 2015 - Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. April 22, 2015 Hewitt TA, Chreim S. Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting. BMJ Qual Saf. 2015;24(5):303-10. doi:10.1136/bmjqs-2014-003279. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44555/psn-pdfOctober 07, 2015 - Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. October 7, 2015 Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 2015;10(9):e0137158. doi:10.1371/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72772/psn-pdfFebruary 24, 2021 - Measurement and monitoring patient safety in prehospital care: a systematic review. February 24, 2021 O’Connor P, O’malley R, Oglesby A-M, et al. Measurement and monitoring patient safety in prehospital care: a systematic review. Int J Health Care Qual. 2021;33(1):mzab013. doi:10.1093/intqhc/mzab013. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863758/psn-pdfMarch 06, 2024 - Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. March 6, 2024 Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. J Patient Saf. 2024;20(1):7-15. doi:10.1097/pts.00000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44833/psn-pdfApril 22, 2016 - The contribution of sociotechnical factors to health information technology–related sentinel events. April 22, 2016 Castro GM, Buczkowski L, Hafner JM. The Contribution of Sociotechnical Factors to Health Information Technology-Related Sentinel Events. Jt Comm J Qual Patient Saf. 2016;42(2):70-76. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44521/psn-pdfJuly 03, 2016 - Crib of horrors: one hospital's approach to promoting a culture of safety. July 3, 2016 Korah N, Zavalkoff S, Dubrovsky AS. Crib of Horrors: One Hospital's Approach to Promoting a Culture of Safety. Pediatrics. 2015;136(1):4-5. doi:10.1542/peds.2014-3843. https://psnet.ahrq.gov/issue/crib-horrors-one-hospitals-app… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841155/psn-pdfFebruary 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47562/psn-pdfFebruary 06, 2019 - Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community pharmacies. February 6, 2019 Phipps D, Jones CEL, Parker D, et al. Organizational conditions for engagement in quality and safety improvement: a longitudinal qualitative study of community phar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40006/psn-pdfNovember 17, 2010 - Impact of health information technology on detection of potential adverse drug events at the ordering stage. November 17, 2010 Roberts LL, Ward MM, Brokel JM, et al. Impact of health information technology on detection of potential adverse drug events at the ordering stage. Am J Health Syst Pharm. 2010;67(21):1838-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43650/psn-pdfNovember 05, 2014 - Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking up about safety concerns. November 5, 2014 Schwappach DLB, Gehring K. Silence that can be dangerous: a vignette study to assess healthcare professionals' likelihood of speaking up about safety concerns. PLoS … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837506/psn-pdfJune 22, 2022 - Reducing pediatric emergency department prescription errors. June 22, 2022 Devarajan V, Nadeau NL, Creedon JK, et al. Reducing pediatric emergency department prescription errors. Pediatrics. 2022;149(6):e2020014696. doi:10.1542/peds.2020-014696. https://psnet.ahrq.gov/issue/reducing-pediatric-emergency-department-…
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