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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73353/psn-pdfJune 02, 2021 - Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. June 2, 2021 Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e3182878113. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47761/psn-pdfMay 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. May 22, 2019 Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualitative study. Palliat Med. 2019;33(4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42626/psn-pdfOctober 02, 2013 - Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. October 2, 2013 Kerckhoffs MC, van der Sluijs AF, Binnekade JM, et al. Improving Patient Safety in the ICU by Prospective Identification of Missing Safety Barriers Using t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60684/psn-pdfJanuary 01, 2021 - Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. July 15, 2020 Costello WG, Zhang L, Schnipper JL, et al. Post-discharge adverse events among African American and Caucasian patients of an urban community hospital. J Racial Ethn Health Disparities. 2021;8(2)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854635/psn-pdfJanuary 01, 2024 - CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. October 18, 2023 Moyal-Smith R, Etheridge JC, Turley N, et al. CheckPOINT: a simple tool to measure Surgical Safety Checklist implementation fidelity. BMJ Qual Saf. 2024;33(4):223-231. doi:10.1136/bmjqs-2023-016030. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845638/psn-pdfMarch 08, 2023 - The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. March 8, 2023 Ducey A, Donoso C, Ross S, et al. The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm. Sociol He… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40180/psn-pdfFebruary 02, 2011 - Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities. February 2, 2011 Good VS, Saldaña M, Gilder R, et al. Large-scale deployment of the Global Trigger Tool across a large hospital… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43767/psn-pdfFebruary 04, 2015 - Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross- sectional survey. February 4, 2015 Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. BMJ Q… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862152/psn-pdfFebruary 07, 2024 - Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. February 7, 2024 Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Health Care. 2024;36(1):mzad114. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46184/psn-pdfJanuary 01, 2018 - A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. December 19, 2017 Parand A, Faiella G, Franklin BD, et al. A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting. Ergonomics. 2018;61(1):104… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839823/psn-pdfNovember 09, 2022 - Prescribing decision making by medical residents on night shifts: a qualitative study. November 9, 2022 Lauffenburger JC, Coll MD, Kim E, et al. Prescribing decision making by medical residents on night shifts: a qualitative study. Med Educ. 2022;56(10):1032-1041. doi:10.1111/medu.14845. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43867/psn-pdfMarch 11, 2015 - Applying fault tree analysis to the prevention of wrong- site surgery. March 11, 2015 Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. https://psnet.ahrq.gov/issue/applying-fault-tree-analy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844777/psn-pdfSeptember 18, 2019 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. September 18, 2019 Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865919/psn-pdfMay 22, 2024 - Potentially avoidable hospitalizations among historically marginalized nursing home residents. May 22, 2024 Estrada LV, Barcelona V, Dhingra L, et al. Potentially avoidable hospitalizations among historically marginalized nursing home residents. JAMA Netw Open. 2024;7(5):e249312. doi:10.1001/jamanetworkopen.2024.9… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72477/psn-pdfJanuary 01, 2021 - Inpatient patient safety events in vulnerable populations: a retrospective cohort study. November 18, 2020 Schulson LB, Novack V, Folcarelli PH, et al. Inpatient patient safety events in vulnerable populations: a retrospective cohort study. BMJ Qual Saf. 2021;30(5):372-379. doi:10.1136/bmjqs-2020-011920. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864377/psn-pdfMarch 13, 2024 - Patients' experiences of dental diagnostic failures: a qualitative study using social media. March 13, 2024 Obadan-Udoh E, Howard R, Valmadrid LC, et al. Patients' experiences of dental diagnostic failures: a qualitative study using social media. J Patient Saf. 2024;20(3):177-185. doi:10.1097/pts.0000000000001198.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73485/psn-pdfJuly 14, 2021 - The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. July 14, 2021 Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;96(7):997-1001. doi:10.1097/acm.00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852451/psn-pdfAugust 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46719/psn-pdfDecember 20, 2017 - Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility. December 20, 2017 Singh H, Sittig DF. NEJM Catalyst. December 7, 2017. https://psnet.ahrq.gov/issue/frustrated-your-ehr-dont-blame-your-vendor-safety-shared-responsibility The promise of health information technology has yet to be… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45827/psn-pdfJanuary 24, 2018 - Using failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community pharmacy setting. January 24, 2018 Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient safety risks related to the dispensing process in the co…
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