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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73464/psn-pdfJuly 07, 2021 - Errors in breast imaging: how to reduce errors and promote a safety environment. July 7, 2021 Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. https://psnet.ahrq.gov/issue/errors-breast-im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74125/psn-pdfJanuary 01, 2022 - Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. December 1, 2021 Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47479/psn-pdfDecember 12, 2018 - "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. December 12, 2018 Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnosis (Berl). 2018;5(4):235-242. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39932/psn-pdfOctober 20, 2010 - Incorrect surgical counts: a qualitative analysis. October 20, 2010 Rowlands A, Steeves R. Incorrect surgical counts: a qualitative analysis. AORN J. 2010;92(4):410-9. doi:10.1016/j.aorn.2010.01.019. https://psnet.ahrq.gov/issue/incorrect-surgical-counts-qualitative-analysis Preventing surgical instruments from be… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860728/psn-pdfJanuary 17, 2024 - Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. January 17, 2024 Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74152/psn-pdfDecember 08, 2021 - Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. December 8, 2021 Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Patient Relat Outcome … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73067/psn-pdfMarch 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47947/psn-pdfMay 29, 2019 - Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. May 29, 2019 Sowan AK, Vera A, Malshe A, et al. Transcription Errors of Blood Glucose Values and Insulin Errors in an Intensive Care Unit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74086/psn-pdfNovember 17, 2021 - Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021 Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. J Patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73980/psn-pdfOctober 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. October 20, 2021 Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. J Patient Saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37960/psn-pdfSeptember 24, 2010 - A survey of the impact of disruptive behaviors and communication defects on patient safety. September 24, 2010 Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf. 2008;34(8):464-471. https://psnet.ahrq.gov/issue/survey-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840142/psn-pdfNovember 16, 2022 - The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. November 16, 2022 Angel M, Bechard L, Pua YH, et al. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. Age Ageing. 2022… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40145/psn-pdfNovember 14, 2011 - Postoperative sepsis in the United States. November 14, 2011 Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. https://psnet.ahrq.gov/issue/postoperative-sepsis-united-states The safety of patients undergoing surg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43130/psn-pdfSeptember 27, 2017 - Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital. September 27, 2017 Haw C, Stubbs J, Dickens GL. Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospita… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73492/psn-pdfJuly 14, 2021 - How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications. July 14, 2021 Nævestad T-O, Storesund Hesjevoll I, Elvik R. How can regulatory authorities improve safety in organizations by influencing safety c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73916/psn-pdfJanuary 01, 2022 - Use of heuristics during the clinical decision process from family care physicians in real conditions. October 6, 2021 Fernández?Aguilar C, Martín?Martín JJ, Minué Lorenzo S, et al. Use of heuristics during the clinical decision process from family care physicians in real conditions. J Eval Clin Pract. 2022;28(1):1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858170/psn-pdfDecember 13, 2023 - Unsafe care in residential settings for older adults. A content analysis of accreditation reports. December 13, 2023 Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(4):mzad085. doi:10.1093/intqhc/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35577/psn-pdfApril 06, 2011 - Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. April 6, 2011 Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74865/psn-pdfFebruary 23, 2022 - Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study. February 23, 2022 Long JA, Webster CS, Holliday T, et al. Latent safety threats and countermeasures in the operating theater: a national in situ simulation-based observational study. Simul H… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39013/psn-pdfOctober 14, 2009 - The nature and causes of unintended events reported at ten emergency departments. October 14, 2009 Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. https://psnet.ahrq.gov/issue/natur…
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