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  1. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/efforts-improve-safety-culture-elderly-nursing-homes-qualitative-study
    April 18, 2018 - Study Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Citation Text: Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:3…

  2. Exploring Alternatives To Malpractice Litigation. | PSNet

    psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation
    September 01, 2018 - Special or Theme Issue Exploring Alternatives To Malpractice Litigation. Citation Text: Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  3. Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. | PSNet

    psnet.ahrq.gov/issue/achieving-exceptional-patient-and-family-experience-inpatient-hospital-care
    August 09, 2017 - Book/Report Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Citation Text: Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care. Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2…

  4. Validity of Patient Safety Indicators in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/validity-patient-safety-indicators-veterans-health-administration
    October 16, 2008 - Special or Theme Issue Validity of Patient Safety Indicators in the Veterans Health Administration. Citation Text: Validity of Patient Safety Indicators in the Veterans Health Administration. J Am Coll Surg. 2011;212:921-990.   Copy Citation Save Save t…

  5. Patient Safety: Investigating and Reporting Serious Clinical Incidents. | PSNet

    psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
    November 10, 2017 - Book/Report Patient Safety: Investigating and Reporting Serious Clinical Incidents. Citation Text: Patient Safety: Investigating and Reporting Serious Clinical Incidents. Kelsey R. CRC Press: Boca Raton, FL; 2017. ISBN: 9781498781169. Copy Citation Save Save to yo…

  6. Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. | PSNet

    psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
    November 29, 2023 - Book/Report Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. Citation Text: Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. Dorset, UK: Health Services Safety Investigatio…

  7. Sentinel Event Data Summary. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
    February 28, 2018 - Measurement Tool/Indicator Sentinel Event Data Summary. Citation Text: Sentinel Event Data Summary. Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  8. Terms & Conditions/Copyright | PSNet

    psnet.ahrq.gov/information/Terms
    Terms & Conditions Security For site security purposes and to ensure that this service remains available to all users, we employ software programs to monitor traffic to identify unauthorized attempts to upload or change information, or otherwise cause damage. Such attempts are strictly prohibited and may be punisha…

  9. National Surgical Quality Improvement Program. | PSNet

    psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
    October 15, 2018 - Multi-use Website Classic National Surgical Quality Improvement Program. Citation Text: National Surgical Quality Improvement Program. American College of Surgeons. Copy Citation Save Save to your library Print Download PDF …

  10. The pain was unbearable. So why did doctors turn her away? | PSNet

    psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away
    November 25, 2020 - Newspaper/Magazine Article The pain was unbearable. So why did doctors turn her away? Citation Text: The pain was unbearable. So why did doctors turn her away? Szalavitz M. Wired Magazine. August 11, 2021.  Copy Citation Save Save to your library P…

  11. ISMP Guidelines for Safe Electronic Communication of Medication Information. | PSNet

    psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
    May 07, 2019 - Book/Report ISMP Guidelines for Safe Electronic Communication of Medication Information. Citation Text: ISMP Guidelines for Safe Electronic Communication of Medication Information. Horsham, PA: Institute for Safe Medication Practices; January 2019. Copy Citation Save …

  12. ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. | PSNet

    psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
    June 13, 2018 - Toolkit ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Citation Text: ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. Horsham, PA: Institute for Safe Medication Practices; 2018. Copy Citation Save Save to your library …

  13. A Thematic Analysis of HSIB's First 22 Investigations.  | PSNet

    psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
    October 28, 2020 - Book/Report A Thematic Analysis of HSIB's First 22 Investigations.  Citation Text: A Thematic Analysis of HSIB's First 22 Investigations.  Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. Copy Citation Save Save to your library …

  14. Top 10 Patient Safety Concerns. | PSNet

    psnet.ahrq.gov/issue/top-10-patient-safety-concerns
    March 10, 2021 - Book/Report Top 10 Patient Safety Concerns. Citation Text: Top 10 Patient Safety Concerns. Plymouth Meeting, PA: ECRI; March 2025. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  15. Building a high-reliability organization: one system's patient safety journey. | PSNet

    psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey
    November 23, 2005 - Commentary Building a high-reliability organization: one system's patient safety journey. Citation Text: Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…

  16. Research from webAIRS incident reporting system. | PSNet

    psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
    February 15, 2023 - Special or Theme Issue Research from webAIRS incident reporting system. Citation Text: Research from webAIRS incident reporting system. Anaesth Intensive Care. 2023;51(6):372-421. Copy Citation Save Save to your library Print Download PDF Share…

  17. Reducing latent errors, drift errors, and stakeholder dissonance. | PSNet

    psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance
    December 14, 2010 - Commentary Reducing latent errors, drift errors, and stakeholder dissonance. Citation Text: Reducing latent errors, drift errors, and stakeholder dissonance. Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955. Copy Citation Save Save to your library …

  18. The risks of the prescribing cascade. | PSNet

    psnet.ahrq.gov/issue/risks-prescribing-cascade
    December 16, 2020 - Newspaper/Magazine Article The risks of the prescribing cascade. Citation Text: Brody JE. The risks of the prescribing cascade. New York Times. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

  19. Strategic Plan for Preventing and Mitigating Drug Shortages. | PSNet

    psnet.ahrq.gov/issue/strategic-plan-preventing-and-mitigating-drug-shortages
    October 09, 2013 - Book/Report Strategic Plan for Preventing and Mitigating Drug Shortages. Citation Text: Strategic Plan for Preventing and Mitigating Drug Shortages. Silver Spring, MD: Food and Drug Administration; October 2013. Copy Citation Save Save to your library Print …

  20. Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. | PSNet

    psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all-hospitals
    November 16, 2015 - Newspaper/Magazine Article Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. Citation Text: Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19…
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