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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50447/psn-pdfOctober 09, 2019 - Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis October 9, 2019 Dinnen T, Williams H, Yardley S, et al. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. BMJ Support Palliat Care. 2019. doi:10.1136/bmjspcare-2019-001824. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862994/psn-pdfFebruary 21, 2024 - Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. February 21, 2024 Miller MJ, Johansen ML, de Cordova PB, et al. Impact of the primary care nurse manager on nurse intent to leave and staff perception of patient safety. Nurs Manage. 2024;55(1):32-42. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867017/psn-pdfOctober 23, 2024 - Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis. October 23, 2024 Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850340/psn-pdfJune 14, 2023 - Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta- analysis. June 14, 2023 Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. Nurse Educ Today. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47040/psn-pdfOctober 18, 2018 - Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. October 18, 2018 Donaghy E, Salisbury L, Lone NI, et al. Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers. BMJ Qual Saf. 2018;27(11):915-9… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73981/psn-pdfOctober 20, 2021 - Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. October 20, 2021 Breuker C, Macioce V, Mura T, et al. Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to imp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72803/psn-pdfMarch 03, 2021 - First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. March 3, 2021 English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and improve safety is a critical initial st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44577/psn-pdfOctober 21, 2015 - Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. October 21, 2015 Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838126/psn-pdfSeptember 21, 2022 - Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. September 21, 2022 Stenquist DS, Yeung CM, Szapary HJ, et al. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. J Am Acad Orthop Surg Glob Res Rev. 2022;6(9):e22.0007… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764391/psn-pdfMarch 02, 2022 - Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery. March 2, 2022 Sun LY, Jones PM, Wijeysundera DN, et al. Association between handover of anesthesiology care and 1- year mortality among adults undergoing cardiac surgery. JAMA Netw Open. 2022;5(2):e214… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42419/psn-pdfJuly 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60223/psn-pdfJanuary 01, 2021 - The effects of harm events on 30-day readmission in surgical patients. April 15, 2020 Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261. https://psnet.ahrq.gov/issue/effects-harm-even… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72731/psn-pdfFebruary 10, 2021 - Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. February 10, 2021 Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841142/psn-pdfDecember 07, 2022 - Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed- methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM) trial. December 7, 2022 Thevelin S, Pétein C, Metry B, et al. Experience of h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837063/psn-pdfMay 11, 2022 - Patients' experiences and perspectives of patient- reported outcome measures in clinical care: a systematic review and qualitative meta-synthesis. May 11, 2022 Carfora L, Foley CM, Hagi-Diakou P, et al. Patients’ experiences and perspectives of patient-reported outcome measures in clinical care: a systematic revie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73662/psn-pdfSeptember 01, 2021 - Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. September 1, 2021 Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation u… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854384/psn-pdfJanuary 01, 2024 - Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. October 11, 2023 Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Int J Clin Ph… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60645/psn-pdfJuly 01, 2020 - How health care systems let our patients down: a systematic review into suicide deaths. July 1, 2020 Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74061/psn-pdfNovember 10, 2021 - Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. November 10, 2021 Rosenkrantz AB, Siegal D, Skillings JA, et al. Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. J Am Coll Radiol. 2021;18(9):1310-1316. doi:10.1016/j.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853432/psn-pdfSeptember 13, 2023 - Healthcare leaders' and elected politicians' approach to support-systems and requirements for complying with quality and safety regulation in nursing homes - a case study. September 13, 2023 Magerøy MR, Braut GS, Macrae C, et al. Healthcare leaders’ and elected politicians’ approach to support- systems and requir…
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