-
psnet.ahrq.gov/node/40603/psn-pdf
December 31, 2014 - ICU nurses' acceptance of electronic health records.
December 31, 2014
Carayon P, Cartmill R, Blosky MA, et al. ICU nurses' acceptance of electronic health records. J Am Med
Inform Assoc. 2011;18(6):812-9. doi:10.1136/amiajnl-2010-000018.
https://psnet.ahrq.gov/issue/icu-nurses-acceptance-electronic-health-records
…
-
psnet.ahrq.gov/node/39251/psn-pdf
September 24, 2016 - No interruptions please: impact of a no interruption zone
on medication safety in intensive care units.
September 24, 2016
Anthony K, Wiencek C, Bauer C, et al. No interruptions please: impact of a No Interruption Zone on
medication safety in intensive care units. Crit Care Nurse. 2010;30(3):21-9. doi:10.4037/ccn20…
-
psnet.ahrq.gov/node/40329/psn-pdf
August 25, 2011 - Using prospective clinical surveillance to identify adverse
events in hospital.
August 25, 2011
Forster AJ, Worthington JR, Hawken S, et al. Using prospective clinical surveillance to identify adverse
events in hospital. BMJ Qual Saf. 2011;20(9):756-63. doi:10.1136/bmjqs.2010.048694.
https://psnet.ahrq.gov/issue/u…
-
psnet.ahrq.gov/node/73660/psn-pdf
September 01, 2021 - Hospital inpatient falls across clinical departments.
September 1, 2021
Mikos M, Banas T, Czerw A, et al. Hospital inpatient falls across clinical departments. Int J Environ Res
Public Health. 2021;18(15):8167. doi:10.3390/ijerph18158167.
https://psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departm…
-
psnet.ahrq.gov/node/42984/psn-pdf
February 26, 2014 - Delivering the truth: challenges and opportunities for
error disclosure in obstetrics.
February 26, 2014
Carranza L, Lyerly AD, Lipira L, et al. Delivering the Truth. Obstetrics & Gynecology. 2014;123(3).
doi:10.1097/aog.0000000000000130.
https://psnet.ahrq.gov/issue/delivering-truth-challenges-and-opportunities-e…
-
psnet.ahrq.gov/node/45572/psn-pdf
March 22, 2017 - Ordering interruptions in a tertiary care center: a
prospective observational study.
March 22, 2017
Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective
Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016-0127.
https://psnet.ahrq.gov/iss…
-
psnet.ahrq.gov/node/43654/psn-pdf
April 02, 2015 - Nursing bedside clinical handover—an integrated review
of issues and tools.
April 2, 2015
Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of
issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706.
https://psnet.ahrq.gov/issue/nursing-bedside-cl…
-
psnet.ahrq.gov/node/35158/psn-pdf
January 02, 2017 - Using simulation-based training to improve patient safety:
what does it take?
January 2, 2017
Salas E, Wilson K, Burke S, et al. Using simulation-based training to improve patient safety: what does it
take? Jt Comm J Qual Patient Saf. 2005;31(7):363-71.
https://psnet.ahrq.gov/issue/using-simulation-based-training-…
-
psnet.ahrq.gov/node/40670/psn-pdf
August 03, 2011 - ED revamp: team approach to care reduces errors, boosts
patient and clinician satisfaction.
August 3, 2011
ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction. ED
management : the monthly update on emergency department management. 2011;23(7):78-80.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/38055/psn-pdf
January 12, 2009 - Improving patient safety: patient-focused, high-reliability
team training.
January 12, 2009
McKeon LM, Cunningham PD, Oswaks JSD. Improving patient safety: patient-focused, high-reliability team
training. J Nurs Care Qual. 2009;24(1):76-82. doi:10.1097/NCQ.0b013e31818f5595.
https://psnet.ahrq.gov/issue/improving-p…
-
psnet.ahrq.gov/node/47003/psn-pdf
July 18, 2018 - Impact of an antiretroviral stewardship strategy on
medication error rates.
July 18, 2018
Shea KM, Hobbs AL, Shumake JD, et al. Impact of an antiretroviral stewardship strategy on medication
error rates. Am J Health Syst Pharm. 2018;75(12):876-885. doi:10.2146/ajhp170420.
https://psnet.ahrq.gov/issue/impact-antire…
-
psnet.ahrq.gov/node/45885/psn-pdf
May 03, 2017 - E-collection: Safety and Error Prevention in Health.
May 3, 2017
https://psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
The increasing implementation of health information technology has introduced both benefits and
challenges to patient safety. Articles in this series explore the impacts of t…
-
psnet.ahrq.gov/node/44909/psn-pdf
March 23, 2016 - Root Cause Analysis Workbook for
Community/Ambulatory Pharmacy.
March 23, 2016
Horsham, PA: Institute for Safe Medication Practices; 2013.
https://psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy
Root cause analysis offers a structured way to detect and address system weaknesses. This…
-
psnet.ahrq.gov/node/40290/psn-pdf
May 25, 2011 - Fatigue, performance and the work environment: a survey
of registered nurses.
May 25, 2011
Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses.
J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x.
https://psnet.ahrq.gov/issue/fatigue-performance-and…
-
psnet.ahrq.gov/node/44332/psn-pdf
July 29, 2015 - Health IT Safety Center Roadmap.
July 29, 2015
RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology;
July 2015.
https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap
The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
-
psnet.ahrq.gov/node/41426/psn-pdf
June 06, 2012 - Nursing mortality and morbidity and journal club cycles:
paving the way for nursing autonomy, patient safety, and
evidence-based practice.
June 6, 2012
Staveski S, Leong K, Graham K, et al. Nursing Mortality and Morbidity and Journal Club Cycles. AACN Adv
Crit Care. 2012;23(2):133-141. doi:10.1097/nci.0b013e318242…
-
psnet.ahrq.gov/node/44457/psn-pdf
September 29, 2017 - Hospitals slow to adopt patient apology policies.
September 29, 2017
Rice S. Hospitals slow to adopt patient apology policies. Modern healthcare. 2015;45(33):16, 29-30.
https://psnet.ahrq.gov/issue/hospitals-slow-adopt-patient-apology-policies
Communication-and-resolution approaches to medical errors have garnered …
-
psnet.ahrq.gov/node/37847/psn-pdf
June 18, 2008 - Effect of the 80-hour work week on resident case
coverage.
June 18, 2008
Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg.
2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028.
https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…
-
psnet.ahrq.gov/node/848044/psn-pdf
April 26, 2023 - Effect of a hospital command centre on patient safety: an
interrupted time series study.
April 26, 2023
Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653.
https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
Command centers…
-
psnet.ahrq.gov/node/38644/psn-pdf
May 20, 2009 - A quality initiative to decrease pathology specimen-
labeling errors using radiofrequency identification in a
high-volume endoscopy center.
May 20, 2009
Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling
errors using radiofrequency identification in a high-volume en…