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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764404/psn-pdf
    March 02, 2022 - Systemic safety inequities for people with learning disabilities: a qualitative integrative analysis of the experiences of English health and social care for people with learning disabilities, their families and carers. March 2, 2022 Ramsey L, Albutt AK, Perfetto K, et al. Systemic safety inequities for people wit…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72509/psn-pdf
    November 25, 2020 - Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. November 25, 2020 Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73188/psn-pdf
    April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8. ht…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60866/psn-pdf
    January 01, 2022 - Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. September 2, 2020 Dy SM, Acton RM, Yuan CT, et al. Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis. J Patient …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837960/psn-pdf
    August 31, 2022 - Interventions to reduce the incidence of medical error and its financial burden in health care systems: a systematic review of systematic reviews. August 31, 2022 Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of medical error and its financial burden in health care…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60299/psn-pdf
    May 06, 2020 - Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. May 6, 2020 Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. BMJ Qual Saf. 2020;29(10):844–853. doi:10.1136/bmjqs-2019…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60578/psn-pdf
    June 10, 2020 - Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. June 10, 2020 Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information technology in ambulatory cancer care: …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851928/psn-pdf
    August 02, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors. August 2, 2023 Schlesinger M, Grob R, Gleason K, et al. Rockville, MD: Agency for Healthcare Research and Quality; July 2023. https://psnet.ahrq.gov/issue/patient-experience-source-understanding-origins-impa…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44961/psn-pdf
    May 09, 2017 - Parent-reported errors and adverse events in hospitalized children. May 9, 2017 Khan A, Furtak SL, Melvin P, et al. Parent-reported errors and adverse events in hospitalized children. JAMA Pediatr. 2016;170(4):e154608. doi:10.1001/jamapediatrics.2015.4608. https://psnet.ahrq.gov/issue/parent-reported-errors-and-ad…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41587/psn-pdf
    September 19, 2016 - Supporting involved health care professionals (second victims) following an adverse health event: a literature review. September 19, 2016 Seys D, Scott SD, Wu AW, et al. Supporting involved health care professionals (second victims) following an adverse health event: a literature review. Int J Nurs Stud. 2013;50(5…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836916/psn-pdf
    April 13, 2022 - Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. April 13, 2022 Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1):23-30. doi:10.1097/jhq.000000000…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841763/psn-pdf
    December 21, 2022 - Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act. December 21, 2022 Apathy NC, Howe JL, Krevat S, et al. Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42619/psn-pdf
    January 23, 2019 - High-reliability health care: getting there from here. January 23, 2019 Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023. https://psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here Aviation is often cited as an …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36804/psn-pdf
    August 26, 2011 - Patterns of communication breakdowns resulting in injury to surgical patients. August 26, 2011 Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40. https://psnet.ahrq.gov/issue/patterns-communication-brea…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842758/psn-pdf
    January 18, 2023 - Paediatric family activated rapid response interventions; qualitative systematic review. January 18, 2023 Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):103363. doi:10.1016/j.iccn.2022.10336…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46391/psn-pdf
    February 08, 2018 - Nature of blame in patient safety incident reports: mixed methods analysis of a national database. February 8, 2018 Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-461. doi:10.1370/afm.2123. https…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853620/psn-pdf
    September 20, 2023 - Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. September 20, 2023 Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863213/psn-pdf
    February 28, 2024 - Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review. February 28, 2024 Ciudad-Gutiérrez P, del Valle-Moreno P, Lora-Escobar SJ, et al. Electronic medication reconciliation tools aimed at healthcare professionals to support medicatio…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37706/psn-pdf
    December 23, 2016 - Preventing pediatric medication errors. December 23, 2016 Preventing pediatric medication errors. Sentinel event alert. 2008;39:1-4. https://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk and to p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45205/psn-pdf
    July 11, 2017 - Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) tool. July 11, 2017 Landrigan CP, Stockwell DC, Toomey SL, et al. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics. 2016;137(6). doi:10.1542/peds.2015-4076. https://psnet.ahrq.gov/issue/performance-glo…
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