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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39777/psn-pdf
    November 04, 2012 - The Economic Measurement of Medical Errors. November 4, 2012 Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. https://psnet.ahrq.gov/issue/economic-measurement-medical-errors Although the Institute of Medicine's estimate of up to 98,000 deaths ye…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45608/psn-pdf
    October 27, 2016 - Errors, omissions, and outliers in hourly vital signs measurements in intensive care. October 27, 2016 Maslove DM, Dubin JA, Shrivats A, et al. Errors, Omissions, and Outliers in Hourly Vital Signs Measurements in Intensive Care. Crit Care Med. 2016;44(11):e1021-e1030. https://psnet.ahrq.gov/issue/errors-omissions…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61065/psn-pdf
    October 28, 2020 - Health care-associated infections among critically ill children in the US, 2013-2018. October 28, 2020 Hsu HE, Mathew R, Wang R, et al. Health care-associated infections among critically ill children in the US, 2013-2018. JAMA Pediatr. 2020;174(12):1176-1183. doi:10.1001/jamapediatrics.2020.3223. https://psnet.ahr…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46781/psn-pdf
    August 20, 2018 - Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls approach in healthcare. August 20, 2018 Liberati EG, Peerally MF, Dixon-Woods M. Learning from high risk industries may not be straightforward: a qualitative study of the hierarchy of risk controls …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37874/psn-pdf
    April 18, 2011 - Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. April 18, 2011 Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. Br J Anaesth. 2008;101(3):332-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60887/psn-pdf
    September 09, 2020 - Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. September 9, 2020 Kirkendall ES, Timmons K, Huth H, et al. Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies. Drug Saf. 2020;43(11):1073-1087. doi:10.1007/s40264…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846158/psn-pdf
    March 15, 2023 - Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023 Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40695/psn-pdf
    December 31, 2014 - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. December 31, 2014 Wetterneck TB, Walker JM, Blosky MA, et al. Factors contributing to an increase in duplicate medication order errors after CPOE implementation. J Am Med Inform Assoc. 2011;18(6):774-782. doi:10.113…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836716/psn-pdf
    March 09, 2022 - Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. March 9, 2022 Fischer H, Hahn EE, Li BH, et al. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. Jt Comm J…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866320/psn-pdf
    January 01, 2025 - Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementation factors, activities and outcomes. July 17, 2024 Ohlsen JT, Søfteland E, Akselsen PE, et al. Rapid response systems, antibiotic stewardship and medication reconciliation: a scoping review on implementati…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41986/psn-pdf
    January 23, 2013 - Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. January 23, 2013 Moran J, Scanlon D. Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts. Health Aff (Millwood). 2013;32(1):27-35. doi:10.1377/hlthaff.2011.0056. https://psnet.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48187/psn-pdf
    August 21, 2019 - How medical error shapes physicians' perceptions of learning: an exploratory study. August 21, 2019 Shepherd L, LaDonna KA, Cristancho SM, et al. How Medical Error Shapes Physicians' Perceptions of Learning: An Exploratory Study. Acad Med. 2019;94(8):1157-1163. doi:10.1097/ACM.0000000000002752. https://psnet.ahrq.…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39083/psn-pdf
    April 01, 2010 - Emergency physician perceptions of patient safety risks. April 1, 2010 Sklar DP, Crandall CS, Zola T, et al. Emergency physician perceptions of patient safety risks. Ann Emerg Med. 2010;55(4):336-40. doi:10.1016/j.annemergmed.2009.08.020. https://psnet.ahrq.gov/issue/emergency-physician-perceptions-patient-safety-r…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46700/psn-pdf
    November 19, 2018 - Promising practices for improving hospital patient safety culture. November 19, 2018 Campione J, Famolaro T. Promising Practices for Improving Hospital Patient Safety Culture. Jt Comm J Qual Patient Saf. 2018;44(1):23-32. doi:10.1016/j.jcjq.2017.09.001. https://psnet.ahrq.gov/issue/promising-practices-improving-ho…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40978/psn-pdf
    March 21, 2012 - Relationship between patient safety and hospital surgical volume. March 21, 2012 Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x. https://psnet.ahrq.gov/issue/relationship-betwee…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36105/psn-pdf
    May 27, 2011 - Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. May 27, 2011 Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Pediat…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36184/psn-pdf
    June 13, 2011 - Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. June 13, 2011 Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-95. https://psnet.ahrq.gov/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867750/psn-pdf
    March 12, 2025 - Doing 'detective work' to find a cancer: how are non- specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. March 12, 2025 Black GB, Nicholson BD, Moreland J-A, et al. Doing ‘detective work’ to find a cancer: ho…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41884/psn-pdf
    December 21, 2014 - Supratherapeutic dosing of acetaminophen among hospitalized patients. December 21, 2014 Zhou L, Maviglia SM, Mahoney LM, et al. Supratherapeutic dosing of acetaminophen among hospitalized patients. Arch Intern Med. 2012;172(22):1721-8. https://psnet.ahrq.gov/issue/supratherapeutic-dosing-acetaminophen-among-hospit…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44151/psn-pdf
    July 03, 2016 - Safety incidents in the primary care office setting. July 3, 2016 Rees P, Edwards A, Panesar S, et al. Safety incidents in the primary care office setting. Pediatrics. 2015;135(6):1027-35. doi:10.1542/peds.2014-3259. https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting Patient safety in outpat…
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