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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/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/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/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/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/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/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/45617/psn-pdfNovember 30, 2016 - Walking a tightrope: balancing the risk of diagnostic error in inpatient pediatrics. November 30, 2016 Berkwitt A, Osborn R, Grossman M. Walking a Tightrope: Balancing the Risk of Diagnostic Error in Inpatient Pediatrics. Hosp Pediatr. 2016;6(9):566-8. doi:10.1542/hpeds.2016-0043. https://psnet.ahrq.gov/issue/walk… -
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/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… -
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/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… -
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/865706/psn-pdfMay 01, 2024 - Stigmatizing language, patient demographics, and errors in the diagnostic process. May 1, 2024 Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844046/psn-pdfFebruary 08, 2023 - Patient safety culture: the impact on workplace violence and health worker burnout. February 8, 2023 Kim S, Kitzmiller R, Baernholdt MB, et al. Patient safety culture: the impact on workplace violence and health worker burnout. Workplace Health Saf. 2022;71(2):78-88. doi:10.1177/21650799221126364. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73501/psn-pdfJuly 14, 2021 - Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. July 14, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. June 24, 2021. Report No. 19-09808-171. https://psnet.ahrq.gov/issue/deficiencie… -
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/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/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/852283/psn-pdfJanuary 01, 2024 - Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. August 9, 2023 Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiat…
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