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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46903/psn-pdfDecember 04, 2018 - Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? December 4, 2018 Massoud MR, Kimble LE, Goldmann D, eds. Int J Qual Health Care. 2018;30(suppl 1):1-41. https://psnet.ahrq.gov/issue/salzburg-global-seminar-session-565-better-health-care-how-do-we-learn- about-improvement … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853063/psn-pdfAugust 30, 2023 - Exploring medication safety structures and processes in nursing homes: a cross-sectional study. August 30, 2023 Favez L, Zúñiga F, Meyer-Massetti C. Exploring medication safety structures and processes in nursing homes: a cross-sectional study. Int J Clin Pharm. 2023;45(6):1464-1471. doi:10.1007/s11096-023-01625-6.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43289/psn-pdfJuly 09, 2014 - Designing a critical care nurse–led rapid response team using only available resources: 6 years later. July 9, 2014 Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):41-55; quiz 56. doi:10.4037/ccn20144… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45529/psn-pdfOctober 11, 2017 - Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. October 11, 2017 Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health system's experience. Am J Surg. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72798/psn-pdfMarch 03, 2021 - Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. March 3, 2021 Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observationa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866279/psn-pdfJuly 10, 2024 - Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. July 10, 2024 Pronovost PJ, Carrington EM. Need to systematically identify and mitigate risks upon hospitalisation for patients with chronic health conditions. BMJ Qual Saf. 2024;33(11):755-758. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41186/psn-pdfJanuary 03, 2017 - The costs of adverse drug events in community hospitals. January 3, 2017 Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals Adverse drug events (ADEs) a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34707/psn-pdfSeptember 29, 2017 - National Patient Safety Foundation agenda for research and development in patient safety. September 29, 2017 Cooper JB, Gaba DM, Liang B, et al. The National Patient Safety Foundation agenda for research and development in patient safety. MedGenMed. 2000;2(3):E38. https://psnet.ahrq.gov/issue/national-patient-safe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47591/psn-pdfJanuary 01, 2021 - Advancing patient safety through the clinical application of a framework focused on communication. December 19, 2018 Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e737. doi:10.1097/PTS.00000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74008/psn-pdfOctober 27, 2021 - Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021 Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(12):783-792. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60743/psn-pdfJuly 29, 2020 - The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. July 29, 2020 Furrow BR. The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies. Am J Law Med. 2020;46(2-3):219-235… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47293/psn-pdfOctober 10, 2018 - Specifications of computerized provider order entry and clinical decision support systems for cancer patients undergoing chemotherapy: a systematic review. October 10, 2018 Rahimi R, Kazemi A, Moghaddasi H, et al. Specifications of Computerized Provider Order Entry and Clinical Decision Support Systems for Cancer … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61095/psn-pdfNovember 04, 2020 - Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. November 4, 2020 Pohlman KA, Funabashi M, Ndetan H, et al. Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. J Manipulative P… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45399/psn-pdfNovember 01, 2017 - A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. November 1, 2017 Mathew R, Gundy S, Ulic D, et al. A Reduced Duty Hours Model for Senior Internal Medicine Residents: A Qualitative Analysis of Residents' Experiences and Perceptions… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837677/psn-pdfJuly 13, 2022 - Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Washington, DC: VA Office of the Inspector General; June 28, 2022. Report No 21-03349-186. https://psnet.ahrq.gov/issue/multiple-failures-test-results-follow-patient-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60059/psn-pdfAugust 12, 2020 - Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. August 12, 2020 ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15). https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety- best-practices This article rep… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855096/psn-pdfNovember 08, 2023 - Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. November 8, 2023 Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837642/psn-pdfJuly 06, 2022 - Supplemental Item Set for Nursing Home SOPS: Call for Pilot Participants. July 6, 2022 Rockville, MD: Agency for Health Quality and Research; June 2022. https://psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants The potential for workplace violence degrades patient and staff safet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45973/psn-pdfMarch 29, 2017 - Clinical perspective: creating an effective practice peer review process—a primer. March 29, 2017 Gandhi M, Louis FS, Wilson SH, et al. Clinical perspective: creating an effective practice peer review process-a primer. Am J Obstet Gynecol. 2017;216(3):244-249. doi:10.1016/j.ajog.2016.11.1035. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44754/psn-pdfMarch 23, 2016 - Use of failure mode and effects analysis to improve emergency department handoff processes. March 23, 2016 Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000169. https://psnet.ahrq.gov/issue/use-…
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