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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47688/psn-pdfMarch 19, 2019 - Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. March 19, 2019 Graham AJ, Ocampo W, Southern DA, et al. Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in tho… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47093/psn-pdfJuly 02, 2019 - Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. July 2, 2019 Varghese J, Kleine M, Gessner SI, et al. Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review. J Am Med Info… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47715/psn-pdfJune 05, 2019 - Making infection prevention and control everyone's business? Hospital staff views on patient involvement. June 5, 2019 Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22(4):650-656. doi:10.1111/hex.12874. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838185/psn-pdfSeptember 28, 2022 - How to mitigate the effects of cognitive biases during patient safety incident investigations. September 28, 2022 Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 2022;48(11):612-616. doi:10.1016/j.j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43769/psn-pdfDecember 17, 2014 - Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. December 17, 2014 Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. Int J Clin Pharm. 2014… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867010/psn-pdfOctober 23, 2024 - Patient safety culture in hospital settings across continents: a systematic review. October 23, 2024 Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496. https://psnet.ahrq.gov/issue/patient-safety-cultur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838017/psn-pdfSeptember 07, 2022 - Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. September 7, 2022 Koch A, Kozhumam A. Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. Health Promot Pract. 2022;23(4):555-5… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44950/psn-pdfMarch 02, 2016 - Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets. March 2, 2016 Schwartz A, Weiner SJ, Binns-Calvey A, et al. Providers contextualise care more often when they discover patient context by asking: meta-analysis of three primary data sets.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44756/psn-pdfSeptember 12, 2016 - Importance of teamwork, communication and culture on failure-to-rescue in the elderly. September 12, 2016 Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031. https://psnet.ahrq.gov/issue/importance-teamw… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43926/psn-pdfApril 22, 2015 - The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. April 22, 2015 Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. Intensive Cri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42547/psn-pdfMay 19, 2014 - Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. May 19, 2014 Mull HJ, Borzecki A, Chen Q, et al. Using AHRQ patient safety indicators to detect postdischarge adverse events in the Veterans Health Administration. Am J Med Qual. 2014;29(3):213-9. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43288/psn-pdfJune 25, 2014 - Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. June 25, 2014 Keers RN, Williams SD, Cooke J, et al. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Drug Saf. 2014;37(5):317-32. doi:10.1007/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846149/psn-pdfMarch 15, 2023 - Medication errors in community pharmacies: evaluation of a standardized safety program. March 15, 2023 Ledlie S, Gomes T, Dolovich L, et al. Medication errors in community pharmacies: evaluation of a standardized safety program. Explor Res Clin Soc Pharm. 2023;9:100218. doi:10.1016/j.rcsop.2022.100218. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72625/psn-pdfJanuary 13, 2021 - US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. January 13, 2021 Butler CR, Wong SPY, Wightman AG, et al. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. JAMA Netw Open. 2020;3(11):e20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850352/psn-pdfJune 14, 2023 - Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. June 14, 2023 Sedney CL, Dekeseredy P, Singh SA, et al. Stigmatizing language expressed towards individuals with current or previous OUD who have pain and cancer: a qualitative study. J P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45643/psn-pdfNovember 30, 2016 - Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. November 30, 2016 Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43255/psn-pdfJune 18, 2014 - Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. June 18, 2014 Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. BMJ Open. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866736/psn-pdfSeptember 18, 2024 - Human errors in emergency medical services: a qualitative analysis of contributing factors. September 18, 2024 Poranen A, Kouvonen A, Nordquist H. Human errors in emergency medical services: a qualitative analysis of contributing factors. Scand J Trauma Resusc Emerg Med. 2024;32(1):78. doi:10.1186/s13049-024- 0125… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74074/psn-pdfNovember 17, 2021 - How safe is prehospital care? A systematic review. November 17, 2021 O’Connor P, O’malley R, Lambe KA, et al. How safe is prehospital care? A systematic review. Int J Qual Health Care. 2021;33(4):mzab138. doi:10.1093/intqhc/mzab138. https://psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review Patient s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851656/psn-pdfJuly 26, 2023 - Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. July 26, 2023 Peard LM, Teplitsky S, Annabathula A, et al. Can J Urol. 2023;30(2):11467-11472. https://psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis- national…
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