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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40534/psn-pdf
    March 23, 2012 - Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. March 23, 2012 Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admiss…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841799/psn-pdf
    August 14, 2023 - Diagnostic Errors in the Emergency Department: A Systematic Review. December 21, 2022 Newman-Toker DE, Peterson SM, Badihian S, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2022. AHRQ Publication No. 22(23)-EHC043. https://psnet.ahrq.gov/issue/diagnostic-errors-emergency-departme…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44168/psn-pdf
    May 27, 2015 - The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative data. May 27, 2015 Spittal MJ, Bismark M, Studdert DM. The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely collected administrative …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44831/psn-pdf
    January 27, 2016 - IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. January 27, 2016 Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. https://psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events Prior research has shown that sa…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47921/psn-pdf
    June 18, 2019 - Using incident reports to assess communication failures and patient outcomes. June 18, 2019 Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2019.02.006. https://psnet.ahrq.gov…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40048/psn-pdf
    December 01, 2010 - Temporal trends in rates of patient harm resulting from medical care. December 1, 2010 Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJMsa1004404. https://psnet.ahrq.gov/issue/temporal-trends-rates-pati…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47524/psn-pdf
    June 19, 2019 - Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety. June 19, 2019 Giardina TD, Haskell H, Menon S, et al. Learning From Patients' Experiences Related To Diagnostic Errors Is Essential For Progress In Patient Safety. Health Aff (Millwood). 2018;37(11):1821-18…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47602/psn-pdf
    January 27, 2019 - Association of nurse workload with missed nursing care in the neonatal intensive care unit. January 27, 2019 Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit. JAMA Pediatr. 2019;173(1):44-51. doi:10.1001/jamapediatrics.2018.3619. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40726/psn-pdf
    July 03, 2014 - Automated identification of postoperative complications within an electronic medical record using natural language processing. July 3, 2014 Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within an electronic medical record using natural language processing. JAMA. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44096/psn-pdf
    November 03, 2015 - Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. November 3, 2015 Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. BMJ. 2015;350:h1460. doi:10.1136…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47609/psn-pdf
    December 19, 2018 - Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study. December 19, 2018 Griffiths P, Ball JE, Bloor K, et al. Nurse Staffing Levels, Missed Vital Signs And Mortality In Hospitals: Retrospective Longitudinal Observational Study. Southampton, UK: NIHR J…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42900/psn-pdf
    September 19, 2016 - Suicide attempts and completions on medical-surgical and intensive care units. September 19, 2016 Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. https://psnet.ahrq.gov/issue/suicide-attempts-and-compl…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41539/psn-pdf
    January 07, 2015 - Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care. January 7, 2015 Palmer WL, Bottle A, Davie C, et al. Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46859/psn-pdf
    January 01, 2020 - Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application. June 13, 2018 Collins SA, Couture B, Smith A, et al. Mixed-Methods Evaluation of Real-Time Safety Reporting by Hospitalized Patients and Their Care Partners. J Patient Saf. 2020;16(2…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42693/psn-pdf
    December 23, 2016 - Preventing unintended retained foreign objects. December 23, 2016 Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects Sentinel event alerts are issued periodically by The Joint Commission to identify common …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43604/psn-pdf
    October 15, 2014 - The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. October 15, 2014 Tuffrey-Wijne I, Goulding L, Gordon V, et al. The challenges in monitoring and preventing patient safety incidents for people…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46404/psn-pdf
    December 07, 2017 - Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. December 7, 2017 Lipitz-Snyderman A, Pfister D, Classen D, et al. Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum. Cancer. 2017;123(23):4728-4736. doi:10.1002/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42067/psn-pdf
    March 18, 2013 - Methodological variations and their effects on reported medication administration error rates. March 18, 2013 McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.1136/bmjqs-2012-001330. https://psne…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37940/psn-pdf
    June 16, 2010 - Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? June 16, 2010 Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do n…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38145/psn-pdf
    March 04, 2011 - Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data. March 4, 2011 Romano PS, Mull HJ, Rivard PE, et al. Validity of selected AHRQ patient safety indicators based on VA National Surgical Quality Improvement Program data. Health Serv Res. 2009;44(1):182…
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