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  1. Factors influencing nurses' decisions to raise concerns about care quality. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-nurses-decisions-raise-concerns-about-care-quality
    June 22, 2009 - Study Factors influencing nurses' decisions to raise concerns about care quality. Citation Text: Attree M. Factors influencing nurses' decisions to raise concerns about care quality. J Nurs Manag. 2007;15(4):392-402. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

  2. Improving care transitions: optimizing medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
    June 17, 2014 - Commentary Improving care transitions: optimizing medication reconciliation. Citation Text: Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…

  3. A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible! | PSNet

    psnet.ahrq.gov/issue/safe-haven-nurses-report-medication-errors-clarian-and-spectrum-health-systems-prove-it
    September 24, 2010 - Commentary A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible! Citation Text: Paparella S. A Safe Haven for Nurses to Report Medication Errors? Clarian and Spectrum Health Systems Prove It Is Possible!. J Emerg Nurs. 2005;31(4)…

  4. Clinicians in quality improvement: a new career pathway in academic medicine. | PSNet

    psnet.ahrq.gov/issue/clinicians-quality-improvement-new-career-pathway-academic-medicine
    June 09, 2015 - Commentary Clinicians in quality improvement: a new career pathway in academic medicine. Citation Text: Shojania KG, Levinson W. Clinicians in quality improvement: a new career pathway in academic medicine. JAMA. 2009;301(7):766-8. doi:10.1001/jama.2009.140. Copy Citation Format:…

  5. Disclosing unanticipated outcomes to patients: the art and practice. | PSNet

    psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
    July 14, 2010 - Commentary Disclosing unanticipated outcomes to patients: the art and practice. Citation Text: Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W. Copy Citation Save Save to your library …

  6. An organizational framework to reduce professional burnout and bring back joy in practice. | PSNet

    psnet.ahrq.gov/issue/organizational-framework-reduce-professional-burnout-and-bring-back-joy-practice
    February 03, 2016 - Commentary An organizational framework to reduce professional burnout and bring back joy in practice. Citation Text: Swensen S, Shanafelt TD. An Organizational Framework to Reduce Professional Burnout and Bring Back Joy in Practice. Jt Comm J Qual Patient Saf. 2017;43(6):308-313. doi:10.…

  7. Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. | PSNet

    psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-between-physicians-and
    August 02, 2016 - Study Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Citation Text: Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Sears…

  8. Lessons from the war on cancer: the need for basic research on safety. | PSNet

    psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
    July 14, 2010 - Commentary Lessons from the war on cancer: the need for basic research on safety. Citation Text: Lessons from the war on cancer: the need for basic research on safety. Cook RI. J Patient Saf. 2005.1(1):7-8 Copy Citation Save Save to your library Print Do…

  9. Risk of mistaken DNR orders. | PSNet

    psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
    October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  10. Reporting adverse events to patients: a step-by-step approach. | PSNet

    psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach
    November 16, 2022 - Newspaper/Magazine Article Reporting adverse events to patients: a step-by-step approach. Citation Text: Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. Copy Citation Format: Google Schola…

  11. Misdiagnosis is dangerous. Help your doctor get it right. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right
    August 03, 2022 - Newspaper/Magazine Article Misdiagnosis is dangerous. Help your doctor get it right. Citation Text: Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  12. In Conversation with…Jennifer Daley, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md
    January 01, 2008 - In Conversation with…Jennifer Daley, MD January 1, 2008  Also Read an Essay Citation Text: In Conversation with…Jennifer Daley, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Co…

  13. Implementing a Patient Safety Program at a Large National Health System | PSNet

    psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
    January 01, 2008 - Implementing a Patient Safety Program at a Large National Health System Loran Hauck, MD, and Jan Jacob, MBA, RN | January 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Hauck LD, Jacob J. Implementing a Patient Safety …

  14. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet

    psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
    August 29, 2021 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia Citation Text: Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…

  15. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
    June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…

  16. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/842920
    December 14, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Errors Case Studies Curated Library Web M&Ms A Postpartum Woman with an Erroneous SARS-CoV-2 Test Stephen A. Martin, MD, EdM, Gordon D. Schiff, MD, and Sanjat Kanjilal, MD, MPH | April 28, 2021 A pregnant patient was admitted for…

  17. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet

    psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
    December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events Citation Text: Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49658/psn-pdf
    July 01, 2012 - Misleading Complaint July 1, 2012 Soni K, Dhaliwal G. Misleading Complaint. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/misleading-complaint The Case A 54-year-old homeless man with a history of alcoholism presented to the emergency department (ED) with complaints of knee problems. The triage nurse docu…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73106/psn-pdf
    April 01, 2021 - Strategies and Approaches for Tracking Improvements in Patient Safety April 1, 2021 Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety Background An essential aspect …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33854/psn-pdf
    March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety March 1, 2018 Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety Perspective Errors in hospitals remain a major cause of death.(1…
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