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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851457/psn-pdfJuly 19, 2023 - Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. July 19, 2023 Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48119/psn-pdfAugust 07, 2019 - Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inpatient setting: a systematic review. August 7, 2019 Alimenti D, Buydos S, Cunliffe L, et al. Improving perceptions of patient safety through standardizing handoffs from the emergency department to the inp… -
psnet.ahrq.gov/issue/marylanddc-patient-safety-coalitionSeptember 28, 2023 - Multi-use Website Maryland/DC Patient Safety Coalition. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 The Maryland Patient Safety Center facilitates the study …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60899/psn-pdfSeptember 09, 2020 - Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. September 9, 2020 Vanneman MW, Balakrishna A, Lang AL, et al. Improving Transfusion Safety in the… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43666/psn-pdfMarch 14, 2016 - Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. March 14, 2016 Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conference: using a revised morbidit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836743/psn-pdfMarch 16, 2022 - Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. March 16, 2022 Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis. Am J Surg. 2022;224(1 Pt A):228-238. doi:10.1016/j.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47890/psn-pdfJune 15, 2019 - Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. June 15, 2019 Dalal A, Fuller T, Garabedian P, et al. Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital. J Am Med Inform Ass… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73635/psn-pdfAugust 25, 2021 - Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital August 25, 2021 Wei W, Coffey W, Adeola M, et al. Impact of smart pump-electronic health record interoperability on patient safety and finances at a community hospital. Am J Health Syst Pharm. 2021… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38054/psn-pdfJuly 05, 2013 - Ticket to ride: reducing handoff risk during hospital patient transport. July 5, 2013 Pesanka DA, Greenhouse PK, Rack LL, et al. Ticket to ride: reducing handoff risk during hospital patient transport. J Nurs Care Qual. 2009;24(2):109-15. doi:10.1097/01.NCQ.0000347446.98299.b5. https://psnet.ahrq.gov/issue/ticket-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46559/psn-pdfDecember 22, 2018 - Effect of promoting high-quality staff interactions on fall prevention in nursing homes: a cluster-randomized trial. December 22, 2018 Colón-Emeric CS, Corazzini K, McConnell ES, et al. Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized Trial. JAMA Intern M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73067/psn-pdfMarch 24, 2021 - Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. March 24, 2021 LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths. J Trauma Acute Care Surg. 2020;89… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865342/psn-pdfMarch 27, 2024 - Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. March 27, 2024 Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU: a standard electronic template … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73420/psn-pdfJune 23, 2021 - Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. June 23, 2021 Norris B, Soncrant C, Mills PD, et al. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2021;47(8):489-495. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72523/psn-pdfDecember 02, 2020 - Clinical decision support improves the appropriateness of laboratory test ordering in primary care without increasing diagnostic error: the ELMO cluster randomized trial. December 2, 2020 Delvaux N, Piessens V, Burghgraeve TD, et al. Clinical decision support improves the appropriateness of laboratory test orderi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45268/psn-pdfSeptember 27, 2016 - The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: a prospective evaluation in patients undergoing emergency surgery. September 27, 2016 Inaba K, Okoye O, Aksoy H, et al. The Role of Radio Frequency Detection System Embedded Surgical Sponges in Preventi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73465/psn-pdfJuly 07, 2021 - Identifying health information technology usability issues contributing to medication errors across medication process stages. July 7, 2021 Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medication process stages. J Patient Saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851055/psn-pdfJune 28, 2023 - How do we learn about error? A cross-sectional study of urology trainees. June 28, 2023 Browne C, Crone L, O'Connor E. How do we learn about error? A cross-sectional study of urology trainees. J Surg Educ. 2023;80(6):864-872. doi:10.1016/j.jsurg.2023.03.007. https://psnet.ahrq.gov/issue/how-do-we-learn-about-error… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34843/psn-pdfMarch 02, 2011 - Hand hygiene among physicians: performance, beliefs, and perceptions. March 2, 2011 Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141(1):1-8. https://psnet.ahrq.gov/issue/hand-hygiene-among-physicians-performance-beliefs-and-percept… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838252/psn-pdfOctober 05, 2022 - A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. October 5, 2022 Whatley C, Schlogl J, Whalen BL, et al. A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit. Jt Co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47388/psn-pdfMarch 13, 2019 - Artificial intelligence systems for complex decision- making in acute care medicine: a review. March 13, 2019 Lynn LA. Artificial intelligence systems for complex decision-making in acute care medicine: a review. Patient Saf Surg. 2019;13:6. doi:10.1186/s13037-019-0188-2. https://psnet.ahrq.gov/issue/artificial-in…
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