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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837299/psn-pdf
    June 01, 2022 - A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. June 1, 2022 Ramani S, Halpern TA, Akerman M, et al. A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes. Am J O…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43016/psn-pdf
    May 28, 2014 - Identification of serious and reportable events in home care: a Delphi survey to develop consensus. May 28, 2014 Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu00…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38455/psn-pdf
    January 02, 2017 - Clinical triggers: an alternative to a rapid response team. January 2, 2017 Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. https://psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team A national cam…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60562/psn-pdf
    June 03, 2020 - A case-controlled study of relatives' complaints concerning patients who died in hospital: the role of treatment escalation/limitation planning. June 3, 2020 Taylor DR, Bouttell J, Campbell JN, et al. A case-controlled study of relatives’ complaints concerning patients who died in hospital: the role of treatment e…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845357/psn-pdf
    March 29, 2023 - Reducing hospital harm: establishing a command centre to foster situational awareness. March 29, 2023 Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885. https://psnet.ahrq.gov/innovation/reducing-hospital-harm-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47088/psn-pdf
    May 02, 2018 - Medical Office Survey on Patient Safety Culture: 2018 User Database Report. May 2, 2018 Famolaro T, Yount N, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2018. AHRQ Publication No. 18-0030-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2018-user-dat…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45684/psn-pdf
    January 01, 2020 - A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. June 29, 2017 Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relationships With Perceptions of Voluntary Event Reporting. J Patient Sa…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844801/psn-pdf
    January 01, 2021 - A mixed-methods study of challenges experienced by clinical teams in measuring improvement. September 11, 2019 Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048. https:/…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38536/psn-pdf
    February 03, 2011 - Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. February 3, 2011 Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423. https://psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-an…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45595/psn-pdf
    April 19, 2017 - Estimating deaths due to medical error: the ongoing controversy and why it matters. April 19, 2017 Shojania KG, Dixon-Woods M. Estimating deaths due to medical error: the ongoing controversy and why it matters. BMJ Qual Saf. 2017;26(5):423-428. doi:10.1136/bmjqs-2016-006144. https://psnet.ahrq.gov/issue/estimating…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46454/psn-pdf
    August 20, 2018 - First, Do No Harm: Marshaling Clinician Leadership to Counter the Opioid Epidemic. August 20, 2018 Adams SM, Blanco C, Chaudhry HJ, et al. Washington, DC: National Academy of Medicine; 2017. ISBN 9781947103108. https://psnet.ahrq.gov/issue/first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic M…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844790/psn-pdf
    January 01, 2020 - Effectiveness of double checking to reduce medication administration errors: a systematic review. September 18, 2019 Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019- 00955…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47736/psn-pdf
    February 27, 2019 - Using a potentially aggressive/violent patient huddle to improve health care safety. February 27, 2019 Larson LA, Finley JL, Gross TL, et al. Using a Potentially Aggressive/Violent Patient Huddle to Improve Health Care Safety. Jt Comm J Qual Patient Saf. 2019;45(2):74-80. doi:10.1016/j.jcjq.2018.08.011. https://ps…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47735/psn-pdf
    June 24, 2019 - The Financial and Human Cost of Medical Error... and How Massachusetts Can Lead the Way on Patient Safety. June 24, 2019 Boston, MA: Betsy Lehman Center for Patient Safety; June 2019. https://psnet.ahrq.gov/issue/financial-and-human-cost-medical-error-and-how-massachusetts-can-lead- way-patient-safety The Betsy L…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42118/psn-pdf
    March 20, 2013 - Simulation exercises as a patient safety strategy: a systematic review. March 20, 2013 Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-201303051- 00010. https://psnet.ahrq.go…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44102/psn-pdf
    May 06, 2015 - Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. May 6, 2015 Polisena J, Gagliardi AR, Urbach DR, et al. Factors that influence the recognition, reporting and resolution of incidents related to medical d…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45814/psn-pdf
    March 22, 2017 - Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: a qualitative study. March 22, 2017 Guise J-M, Hansen M, O'Brien K, et al. Emergency medical services responders' perceptions of the effect of stress and anxi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42103/psn-pdf
    January 07, 2015 - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). January 7, 2015 Galanter W, Falck S, Burns M, et al. Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). J Am Med Inform Assoc. 2013;20(3…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41226/psn-pdf
    April 22, 2012 - Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. April 22, 2012 Benin AL, Borgstrom CP, Jenq GY, et al. Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators. BMJ Qual Saf. 2012;21(5):391-8. do…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45314/psn-pdf
    September 01, 2018 - The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and outcomes. September 1, 2018 Lambert BL, Centomani NM, Smith KM, et al. The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and Outcomes. Health Serv Res. 2016;51(suppl 3)…
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