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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60991/psn-pdf
    October 07, 2020 - Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. October 7, 2020 Ochalek TA, Cumpston KL, Wills BK, et al. Nonfatal opioid overdoses at an urban emergency department during the COVID-19 pandemic. JAMA. 2020;324(16):1673-1674. doi:10.1001/jama.2020.17477. https://psnet.ahrq.g…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73060/psn-pdf
    March 24, 2021 - How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. March 24, 2021 Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. J Patient Saf. 2021;17(3):217-222. doi…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43644/psn-pdf
    April 22, 2015 - SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. April 22, 2015 Sarfati L, Ranchon F, Vantard N, et al. SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. J Clin Pharm Ther. 2015;40(1):55…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42954/psn-pdf
    December 04, 2016 - "Please describe from your point of view a typical case of an error in palliative care": qualitative data from an exploratory cross-sectional survey study among palliative care professionals. December 4, 2016 Dietz I, Plog A, Jox RJ, et al. "Please describe from your point of view a typical case of an error in pal…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852450/psn-pdf
    August 16, 2023 - Incidence and severity of medication reconciliation discrepancies in trauma patients. August 16, 2023 Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/00031348231161686. https://psnet.ahrq.gov/issue…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837498/psn-pdf
    June 22, 2022 - Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. June 22, 2022 Fawzy A, Wu TD, Wang K, et al. Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19. JAMA Inter…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47385/psn-pdf
    April 27, 2019 - Reasons for repeat rapid response team calls, and associations with in-hospital mortality. April 27, 2019 Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005. h…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837632/psn-pdf
    July 06, 2022 - Serious experience events: applying patient safety concepts to improve patient experience. July 6, 2022 Donnelly LF, Uhlhorn E, Bargmann-Losche J, et al. Serious experience events: applying patient safety concepts to improve patient experience. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102670. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73081/psn-pdf
    March 31, 2021 - Health professionals' perspectives of safety issues in mental health services: a qualitative study. March 31, 2021 Albutt AK, Berzins K, Louch G, et al. Health professionals’ perspectives of safety issues in mental health services: A qualitative study. nt J Ment Health Nurs. 2021;30(3):798-810. doi:10.1111/inm.1283…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867192/psn-pdf
    November 20, 2024 - 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. November 20, 2024 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088 https://psnet.ahrq.gov/issue…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44163/psn-pdf
    October 13, 2015 - Characterising 'near miss' events in complex laparoscopic surgery through video analysis. October 13, 2015 Bonrath EM, Gordon LE, Grantcharov T. Characterising 'near miss' events in complex laparoscopic surgery through video analysis. BMJ Qual Saf. 2015;24(8):516-21. doi:10.1136/bmjqs-2014-003816. https://psnet.ah…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37467/psn-pdf
    January 01, 2009 - Costs of intravenous adverse drug events in academic and nonacademic intensive care units. January 16, 2008 Nuckols TK, Paddock SM, Bower AG, et al. Costs of intravenous adverse drug events in academic and nonacademic intensive care units. Med Care. 2009;46(1):17-24. doi:10.1097/mlr.0b013e3181589bed. https://psnet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35877/psn-pdf
    July 23, 2010 - National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. July 23, 2010 Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. https://psnet.ahrq.gov/issue/national-quality-forum-30-safe-practi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34707/psn-pdf
    September 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837316/psn-pdf
    June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. June 1, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. AHRQ Publication No. 22-0027. https://psnet.ahrq.gov/issue/2022-updated-results-a…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74113/psn-pdf
    September 15, 2015 - Racial disparities in pain management of children with appendicitis in emergency departments. September 15, 2015 Goyal MK, Kuppermann N, Cleary SD, et al. Racial disparities in pain management of children with appendicitis in emergency departments. JAMA Pediatr. 2015;169(11):996-1002. doi:10.1001/jamapediatrics.20…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73664/psn-pdf
    September 01, 2021 - Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? September 1, 2021 Speaks L, Helmer SD, Quinn KR, et al. Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? J Surg Ed…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73062/psn-pdf
    January 01, 2022 - Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy. March 25, 2021 Booth JP, Kennerly-Shah JM, Hartman AD. Description of the role of pharmacist independent double checks during cognitive order verification of outpatient …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866818/psn-pdf
    September 25, 2024 - Academic half day improves resident perception of education without compromising patient safety. September 25, 2024 Spence MC, Sugarman A, Uong A, et al. Academic half day improves resident perception of education without compromising patient safety. Acad Pediatr. 2024;24(6):1010-1016. doi:10.1016/j.acap.2024.02.00…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858172/psn-pdf
    January 01, 2024 - Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023. December 13, 2023 McGowan JE, Attal B, Kuhn I, et al. Quality and reporting of large-scale improvement programmes: a review of maternity initiatives in the English NHS, 2010–2023. BMJ Qual …
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