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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38064/psn-pdfFebruary 23, 2009 - Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. February 23, 2009 Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions from two paper-based systems to the same comput… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837597/psn-pdfJune 29, 2022 - Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals. June 29, 2022 Kutza J-O, Hübner U, Holmgren AJ, et al. Patient safety informatics: criteria development for assessing the maturity of digital patient safety in hospitals. Stud Health Technol Inform. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60950/psn-pdfSeptember 23, 2020 - An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. September 23, 2020 Fink BC, Uyttebrouck O, Larson RS. An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths. J Law Med Eth… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60985/psn-pdfOctober 07, 2020 - Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. October 7, 2020 Desai S, Eappen S, Murray K, et al. Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. Jt Comm J Qual Patient Saf. 2020;46(12):715-714. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60974/psn-pdfSeptember 30, 2020 - Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic. September 30, 2020 London, UK: General Medical Council; September 14, 2020. https://psnet.ahrq.gov/issue/covid-19-assessing-risk-public-protection-posed-doctor-result-concerns-about… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60823/psn-pdfAugust 19, 2020 - Disaster ergonomics: human factors in COVID-19 pandemic emergency management. August 19, 2020 Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. https://psnet.ahrq.gov/issue/disaster-e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74102/psn-pdfJanuary 01, 2022 - Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854255/psn-pdfOctober 04, 2023 - Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. October 4, 2023 McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qual. 2023;12(3):e002220. doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47020/psn-pdfJanuary 16, 2019 - Unintended harm associated with the Hospital Readmissions Reduction Program. January 16, 2019 Fonarow GC. Unintended Harm Associated With the Hospital Readmissions Reduction Program. JAMA. 2018;320(24):2539-2541. doi:10.1001/jama.2018.19325. https://psnet.ahrq.gov/issue/unintended-harm-associated-hospital-readmiss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44267/psn-pdfOctober 13, 2015 - Crew resource management in the intensive care unit: a prospective 3-year cohort study. October 13, 2015 Haerkens MHTM, Kox M, Lemson J, et al. Crew Resource Management in the Intensive Care Unit: a prospective 3-year cohort study. Acta Anaesthesiol Scand. 2015;59(10):1319-29. doi:10.1111/aas.12573. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44373/psn-pdfAugust 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review. August 12, 2015 Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188. https://psnet.ahrq.gov/issue/healthcare-utilizing-del… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47227/psn-pdfOctober 03, 2018 - Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. October 3, 2018 Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. Am J Health Sy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46426/psn-pdfSeptember 28, 2017 - Toward more proactive approaches to safety in the electronic health record era. September 28, 2017 Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. https://psnet.ahrq.gov/issue/toward… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45868/psn-pdfJanuary 31, 2018 - Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. January 31, 2018 Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee- Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906. doi:10.1016/j.acap.2017.01.00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43751/psn-pdfFebruary 11, 2015 - Perceptions of time spent on safety tasks in surgical operations: a focus group study. February 11, 2015 Høyland S, Haugen AS, Thomassen Ø. Perceptions of time spent on safety tasks in surgical operations: A focus group study. Saf Sci. 2014;70. doi:10.1016/j.ssci.2014.05.009. https://psnet.ahrq.gov/issue/perceptio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46528/psn-pdfJanuary 10, 2018 - Five Years of Experience Using Front-line Ownership to Improve Healthcare Quality and Safety. January 10, 2018 Healthc Pap. 2017;17:1-61. https://psnet.ahrq.gov/issue/five-years-experience-using-front-line-ownership-improve-healthcare-quality- and-safety Patient safety leaders have noted the need to recognize the… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841475/psn-pdfJanuary 01, 2023 - The second victim of unanticipated adverse events. December 14, 2022 Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010. https://psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events “Se… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50823/psn-pdfJanuary 22, 2020 - Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. January 22, 2020 Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy- led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385. https://psnet.ahrq.gov/issue/reduci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867097/psn-pdfNovember 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44748/psn-pdfAugust 19, 2016 - Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. August 19, 2016 Pannick S, Sevdalis N, Athanasiou T. Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities. BM…
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