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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38524/psn-pdf
    July 13, 2009 - How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? July 13, 2009 Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Am J Surg. 2009;…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45905/psn-pdf
    December 22, 2017 - Safe practice recommendations for the use of copy- forward with nursing flow sheets in hospital settings. December 22, 2017 Patterson ES, Sillars DM, Staggers N, et al. Safe Practice Recommendations for the Use of Copy-Forward with Nursing Flow Sheets in Hospital Settings. Jt Comm J Qual Patient Saf. 2017;43(8):375…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39071/psn-pdf
    November 04, 2009 - Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. November 4, 2009 Pickering BW, Hurley K, Marsh B. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improve…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42396/psn-pdf
    July 31, 2013 - Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 31, 2013 Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Saf. 2013;39(…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43280/psn-pdf
    November 30, 2016 - Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 30, 2016 Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. Report No. 14-0032-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46923/psn-pdf
    August 17, 2018 - What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. August 17, 2018 O'Hara JK, Reynolds C, Moore S, et al. What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study. BMJ Qual Saf. 2018;27(9)…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48165/psn-pdf
    August 28, 2019 - Competencies for improving diagnosis: an interprofessional framework for education and training in health care. August 28, 2019 Olson A, Rencic J, Cosby K, et al. Competencies for improving diagnosis: an interprofessional framework for education and training in health care. Diagnosis (Berl). 2019;6(4):335-341. doi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73252/psn-pdf
    January 01, 2022 - Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. May 12, 2021 Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;37(1):137-144. doi:10.1007/s11606-021…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42081/psn-pdf
    April 09, 2013 - Types and origins of diagnostic errors in primary care settings. April 9, 2013 Singh H, Giardina TD, Meyer AND, et al. Types and origins of diagnostic errors in primary care settings. JAMA Intern Med. 2013;173(6):418-425. doi:10.1001/jamainternmed.2013.2777. https://psnet.ahrq.gov/issue/types-and-origins-diagnosti…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37768/psn-pdf
    April 27, 2010 - The wisdom and justice of not paying for "preventable complications." April 27, 2010 Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197. https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43067/psn-pdf
    November 23, 2014 - Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. November 23, 2014 Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery system using an enhanced glob…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39489/psn-pdf
    June 11, 2010 - What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. June 11, 2010 Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Qua…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47401/psn-pdf
    January 01, 2019 - We want to know: patient comfort speaking up about breakdowns in care and patient experience. October 17, 2018 Fisher K, Smith KM, Gallagher TH, et al. We want to know: patient comfort speaking up about breakdowns in care and patient experience. BMJ Qual Saf. 2019;28(3):190-197. doi:10.1136/bmjqs-2018-008159. http…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845278/psn-pdf
    March 01, 2023 - Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. March 1, 2023 Magnan EM, Tancredi DJ, Xing G, et al. Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control. JAMA Netw Open. 2023…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60314/psn-pdf
    May 13, 2020 - Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. May 13, 2020 Choi GYS, Wan WTP, Chan AKM, et al. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. Br J Anaesth. 2020;125(2):e236-e239. doi:10.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39839/psn-pdf
    November 07, 2011 - The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. November 7, 2011 Parand A, Burnett S, Benn J, et al. The disparity of frontline clinical staff and managers' perceptions of a quality and patient safety initiative. J Eval Clin Pract. 2011;17(6):1184-90. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866191/psn-pdf
    June 26, 2024 - Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". June 26, 2024 Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementation of the “Patient Safety Events …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40785/psn-pdf
    May 04, 2012 - A framework for evaluating the appropriateness of clinical decision support alerts and responses. May 4, 2012 McCoy AB, Waitman LR, Lewis JB, et al. A framework for evaluating the appropriateness of clinical decision support alerts and responses. J Am Med Inform Assoc. 2012;19(3):346-52. doi:10.1136/amiajnl- 2011-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43207/psn-pdf
    April 25, 2016 - Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. April 25, 2016 Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2014;40(6):253-62. https://…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43486/psn-pdf
    September 01, 2016 - Indication alerts intercept drug name confusion errors during computerized entry of medication orders. September 1, 2016 Galanter W, Bryson M, Falck S, et al. Indication alerts intercept drug name confusion errors during computerized entry of medication orders. PLoS One. 2014;9(7):e101977. doi:10.1371/journal.pone…
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