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psnet.ahrq.gov/node/47119/psn-pdf
September 19, 2018 - A usability and safety analysis of electronic health
records: a multi-center study.
September 19, 2018
Ratwani RM, Savage E, Will A, et al. A usability and safety analysis of electronic health records: a multi-
center study. J Am Med Inform Assoc. 2018;25(9):1197-1201. doi:10.1093/jamia/ocy088.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/39102/psn-pdf
January 04, 2010 - Quality and safety on an acute surgical ward: an
exploratory cohort study of process and outcome.
January 4, 2010
Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort
study of process and outcome. Ann Surg. 2009;250(6):1035-40. doi:10.1097/SLA.0b013e3181bd54c2.…
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psnet.ahrq.gov/node/39270/psn-pdf
February 03, 2010 - Organization-wide adoption of computerized provider
order entry systems: a study based on diffusion of
innovations theory.
February 3, 2010
Rahimi B, Timpka T, Vimarlund V, et al. Organization-wide adoption of computerized provider order entry
systems: a study based on diffusion of innovations theory. BMC Med Info…
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psnet.ahrq.gov/node/46057/psn-pdf
September 24, 2017 - Narrative feedback from OR personnel about the safety of
their surgical practice before and after a surgical safety
checklist intervention.
September 24, 2017
Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their
surgical practice before and after a surgical safety che…
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psnet.ahrq.gov/node/43412/psn-pdf
May 28, 2015 - An observational study of how patients are identified
before medication administrations in medical and surgical
wards.
May 28, 2015
Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before
medication administrations in medical and surgical wards. Nurs Health Sci. 2015;1…
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psnet.ahrq.gov/node/39351/psn-pdf
March 10, 2010 - Effectiveness of patient safety training in equipping
medical students to recognise safety hazards and
propose robust interventions.
March 10, 2010
Hall LW, Scott SD, Cox KR, et al. Effectiveness of patient safety training in equipping medical students to
recognise safety hazards and propose robust interventions. …
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psnet.ahrq.gov/node/73112/psn-pdf
April 07, 2021 - Smartphone distraction during nursing care: systematic
literature review.
April 7, 2021
Fiorinelli M, Di Mario S, Surace A, et al. Smartphone distraction during nursing care: systematic literature
review. Appl Nurs Res. 2021;58:151405. doi:10.1016/j.apnr.2021.151405.
https://psnet.ahrq.gov/issue/smartphone-distrac…
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psnet.ahrq.gov/node/73575/psn-pdf
August 04, 2021 - Unlocking Solutions in Imaging: Working Together to
Learn from Failings in the NHS.
August 4, 2021
Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016.
https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs
Lack of appropriate follow up o…
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psnet.ahrq.gov/node/39707/psn-pdf
January 07, 2015 - Introduction of a rapid response system at a United
States Veterans Affairs hospital reduced cardiac arrests.
January 7, 2015
Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States
veterans affairs hospital reduced cardiac arrests. Anesth Analg. 2010;111(3):679-86.
do…
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psnet.ahrq.gov/node/42002/psn-pdf
May 10, 2013 - National efforts to improve health information system
safety in Canada, the United States of America and
England.
May 10, 2013
Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety
in Canada, the United States of America and England. Int J Med Inform. 2013;82(5):…
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psnet.ahrq.gov/node/44320/psn-pdf
October 28, 2015 - Interventions for reducing medication errors in children in
hospital.
October 28, 2015
Maaskant JM, Vermeulen H, Apampa B, et al. Interventions for reducing medication errors in children in
hospital. Cochrane Database Syst Rev. 2015;(3):CD006208. doi:10.1002/14651858.CD006208.pub3.
https://psnet.ahrq.gov/issue/int…
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psnet.ahrq.gov/node/73589/psn-pdf
August 11, 2021 - Suicide and suicide attempts on hospital grounds and
clinic areas.
August 11, 2021
Mills PD, Watts BV, Hemphill RR. Suicide and suicide attempts on hospital grounds and clinic areas. J
Patient Saf. 2021;17(5):e423-e428. doi:10.1097/pts.0000000000000356.
https://psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hos…
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psnet.ahrq.gov/node/39773/psn-pdf
August 18, 2010 - Preventing potentially inappropriate medication use in
hospitalized older patients with a computerized provider
order entry warning system.
August 18, 2010
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in
hospitalized older patients with a computerized provider order e…
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psnet.ahrq.gov/node/45298/psn-pdf
April 22, 2017 - The problem with root cause analysis.
April 22, 2017
Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-
422. doi:10.1136/bmjqs-2016-005511.
https://psnet.ahrq.gov/issue/problem-root-cause-analysis
Root cause analysis (RCA) is a strategy to investigate incident…
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psnet.ahrq.gov/node/72708/psn-pdf
February 03, 2021 - How communication "failed" or "saved the day":
counterfactual accounts of medical errors.
February 3, 2021
Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual
Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1177/2374373520925270.
https://p…
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psnet.ahrq.gov/node/36734/psn-pdf
March 10, 2011 - Integrating incident reporting into an electronic patient
record system.
March 10, 2011
Haller G, Myles PS, Stoelwinder J, et al. Integrating incident reporting into an electronic patient record
system. J Am Med Inform Assoc. 2007;14(2):175-81.
https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic…
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psnet.ahrq.gov/node/837739/psn-pdf
July 27, 2022 - Support methods for healthcare professionals who are
second victims: an integrative review.
July 27, 2022
Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.
https://psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-
review
Healthcare workers who ar…
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psnet.ahrq.gov/node/43469/psn-pdf
August 27, 2014 - Effect of using a safety checklist on patient complications
after surgery: a systematic review and meta-analysis.
August 27, 2014
Gillespie BM, Chaboyer W, Thalib L, et al. Effect of using a safety checklist on patient complications after
surgery: a systematic review and meta-analysis. Anesthesiology. 2014;120(6):1…
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psnet.ahrq.gov/node/44856/psn-pdf
September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical
Playbook.
September 29, 2017
National Quality Partners. Washington, DC: National Quality Forum; 2016.
https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
Antimicrobial stewardship has been promoted as a strategy to improve patient safe…
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psnet.ahrq.gov/node/38174/psn-pdf
November 05, 2008 - National Surgical Quality Improvement Program.
November 5, 2008
American College of Surgeons.
https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program
During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the
quality of surgical care in their hospital…