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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72752/psn-pdfFebruary 17, 2021 - Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation. February 17, 2021 O’Neill SM, Clyne B, Bell M, et al. Why do healthcare professionals fail to escalate as per the early warning system (… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842416/psn-pdfJanuary 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023 Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60342/psn-pdfMay 20, 2020 - Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare workers: rapid review and meta-analysis. May 20, 2020 Kisely S, Warren N, McMahon L, et al. Occurrence, prevention, and management of the psychological effects of emerging virus outbreaks on healthcare wor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47561/psn-pdfFebruary 22, 2019 - "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. February 22, 2019 Louch G, Mohammed MA, Hughes L, et al. "Change is what can actually make the tough times better": A patient-centred patient safety interven… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42882/psn-pdfNovember 23, 2016 - Structuring patient and family involvement in medical error event disclosure and analysis. November 23, 2016 Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. doi:10.1377/hlthaff.2013.0831. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41647/psn-pdfJuly 02, 2014 - Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. July 2, 2014 Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. Acad Med. 2012;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43072/psn-pdfNovember 21, 2016 - Physician attitudes toward family-activated medical emergency teams for hospitalized children. November 21, 2016 Paciotti B, Roberts KE, Tibbetts KM, et al. Physician attitudes toward family-activated medical emergency teams for hospitalized children. Jt Comm J Qual Patient Saf. 2014;40(4):187-192. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47500/psn-pdfOctober 24, 2018 - Use of a novel, electronic health record–centered, interprofessional ICU rounding simulation to understand latent safety issues. October 24, 2018 Bordley J, Sakata KK, Bierman J, et al. Use of a Novel, Electronic Health Record-Centered, Interprofessional ICU Rounding Simulation to Understand Latent Safety Issues. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836719/psn-pdfMarch 09, 2022 - Prevalence and factors associated with patient-requested corrections to the medical record through use of a patient portal: findings from a national survey. March 9, 2022 Nguyen OT, Hong Y-R, Alishahi Tabriz A, et al. Prevalence and factors associated with patient-requested corrections to the medical record throug… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764402/psn-pdfMarch 02, 2022 - A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. March 2, 2022 Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37446/psn-pdfJanuary 06, 2017 - How useful are voluntary medication error reports? The case of warfarin-related medication errors. January 6, 2017 Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60591/psn-pdfJune 17, 2020 - National trends in the safety performance of electronic health record systems from 2009 to 2018. June 17, 2020 Classen DC, Holmgren AJ, Co Z, et al. National trends in the safety performance of electronic health record systems from 2009 to 2018. JAMA Netw Open. 2020;3(5). doi:10.1001/jamanetworkopen.2020.5547. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866908/psn-pdfOctober 09, 2024 - Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. October 9, 2024 Taylor MA, Yonash RA. Risk factors for wrong-site surgery: a study of 1,166 reports of informed consent and schedule errors. Patient Safety. 2024;6(1):1-11. doi:10.33940/001c.117084. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836774/psn-pdfMarch 23, 2022 - Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. March 23, 2022 Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Crit Care Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857444/psn-pdfDecember 06, 2023 - The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. December 6, 2023 Blatter C, Osi?ska M, Simon M, et al. The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews. Int J Nurs Stud. 2023;150:104641. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50775/psn-pdfJanuary 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? January 8, 2020 Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult patient transfers, handovers, an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47934/psn-pdfApril 17, 2019 - Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative Database Report. April 17, 2019 Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2019. AHRQ Publication No. 19-0033. https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842764/psn-pdfJanuary 18, 2023 - Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. January 18, 2023 Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de- prescribing in multiple Veterans Affairs medical centers. J Gen Intern Med. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39252/psn-pdfAugust 08, 2010 - Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. August 8, 2010 McDowell SE, Mt-Isa S, Ashby D, et al. Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. Qual Saf … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44494/psn-pdfJune 21, 2016 - Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial. June 21, 2016 Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic Evaluation for Cancer: A Cluster Randomized Controlled Trial. J Cl…
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