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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764390/psn-pdfMarch 02, 2022 - Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. March 2, 2022 Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Health Care. 2022;31(4):231-241. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47573/psn-pdfDecember 19, 2018 - Can communication-and-resolution programs achieve their potential? Five key questions. December 19, 2018 Gallagher TH, Mello MM, Sage WM, et al. Can Communication-And-Resolution Programs Achieve Their Potential? Five Key Questions. Health Aff (Millwood). 2018;37(11):1845-1852. doi:10.1377/hlthaff.2018.0727. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60906/psn-pdfAugust 18, 2021 - Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. August 18, 2021 Geneva, Switzerland: World Health Organization; 2021. ISBN: 9789240032705. https://psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable- harm-health-care The Wo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853620/psn-pdfSeptember 20, 2023 - Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. September 20, 2023 Kramer JS, Hayley Burgess L, Warren C, et al. Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system. J Patient Saf Risk Manag. 2023;28(6)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35771/psn-pdfMay 27, 2011 - Return on investment for a computerized physician order entry system. May 27, 2011 Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system. J Am Med Inform Assoc. 2006;13(3):261-6. https://psnet.ahrq.gov/issue/return-investment-computerized-physician-order-entry-syst… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43635/psn-pdfNovember 12, 2014 - Electronic medical record: a balancing act of patient safety, privacy and health care delivery. November 12, 2014 Gummadi S, Housri N, Zimmers TA, et al. Electronic medical record: a balancing act of patient safety, privacy and health care delivery. Am J Med Sci. 2014;348(3):238-243. doi:10.1097/MAJ.00000000000002… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38625/psn-pdfNovember 19, 2009 - The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. November 19, 2009 van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? study: a cluster randomised trial… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72669/psn-pdfJanuary 27, 2021 - Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. January 27, 2021 Abbas M, Robalo Nunes T, Martischang R, et al. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47097/psn-pdfJune 26, 2018 - Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. June 26, 2018 Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7326/M17-3065. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50865/psn-pdfFebruary 05, 2020 - Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. February 5, 2020 Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60540/psn-pdfNovember 01, 2016 - Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. November 1, 2016 Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Jt Comm J Qual Patient Saf. 2016;43(2)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844051/psn-pdfFebruary 08, 2023 - Insurance claims for wrong-side, wrong-organ, wrong- procedure, or wrong-person surgical errors: a retrospective study for 10 years. February 8, 2023 Vacheron C-H, Acker A, Autran M, et al. Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective study for 10 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837069/psn-pdfJanuary 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. May 11, 2022 Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844991/psn-pdfFebruary 22, 2023 - Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020. February 22, 2023 Brummell Z, Braun D, Hussein Z, et al. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thematic analysis of national statu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43787/psn-pdfJune 22, 2016 - Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. June 22, 2016 Russ S, Rout S, Caris J, et al. Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional stud… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866200/psn-pdfJune 26, 2024 - Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. June 26, 2024 Zawati M'n H, Lang M. Does an app a day keep the doctor away? AI symptom checker applications, entrenched bias, and professional responsibility. J Med Internet Res. 2024;26:e5034… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73182/psn-pdfApril 28, 2021 - Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. April 28, 2021 de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. J Patient Saf. 2021;17(3):231-238. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853959/psn-pdfSeptember 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. September 27, 2023 Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitator… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841140/psn-pdfDecember 07, 2022 - Association of measured quality and future financial performance among hospitals performing cardiac surgery. December 7, 2022 Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance among hospitals performing cardiac surgery. J Healthc Manag. 2022;67(5):367-379. doi:10.1097/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866950/psn-pdfOctober 16, 2024 - Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. October 16, 2024 Al Abbas AI, Meier J, Daniel W, et al. Impact of team performance on the surgical safety checklist on patient outcomes: an operating room black box analysis. Surg Endosc. 2024;38(…
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