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psnet.ahrq.gov/node/41713/psn-pdf
September 26, 2012 - Why patients need leaders: introducing a ward safety
checklist.
September 26, 2012
Amin Y, Grewcock D, Andrews S, et al. Why patients need leaders: introducing a ward safety checklist. J R
Soc Med. 2012;105(9):377-83. doi:10.1258/jrsm.2012.120098.
https://psnet.ahrq.gov/issue/why-patients-need-leaders-introducing-…
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psnet.ahrq.gov/node/37119/psn-pdf
March 24, 2011 - Patient safety: helping medical students understand error
in healthcare.
March 24, 2011
Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in
healthcare. Qual Saf Health Care. 2007;16(4):256-9.
https://psnet.ahrq.gov/issue/patient-safety-helping-medical-students-under…
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psnet.ahrq.gov/node/36863/psn-pdf
August 29, 2011 - Embedding quality improvement and patient safety at
Liverpool Women's NHS Foundation Trust.
August 29, 2011
Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation
Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607.
https://psnet.ahrq.gov/issue/embedding-qual…
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psnet.ahrq.gov/node/44155/psn-pdf
June 24, 2015 - Patient Safety Tool Kit.
June 24, 2015
WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN:
9789290220596.
https://psnet.ahrq.gov/issue/patient-safety-tool-kit
Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and
s…
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psnet.ahrq.gov/node/42460/psn-pdf
July 31, 2013 - Effectiveness of the surgical safety checklist in a high
standard care environment.
July 31, 2013
Lübbeke A, Hovaguimian F, Wickboldt N, et al. Effectiveness of the surgical safety checklist in a high
standard care environment. Med Care. 2013;51(5):425-9. doi:10.1097/MLR.0b013e31828d1489.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/42563/psn-pdf
October 09, 2013 - Quick Response codes for surgical safety: a prospective
pilot study.
October 9, 2013
Dixon JL, Smythe WR, Momsen LS, et al. Quick Response codes for surgical safety: a prospective pilot
study. Journal of Surgical Research. 2013;184(1). doi:10.1016/j.jss.2013.06.036.
https://psnet.ahrq.gov/issue/quick-response-code…
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psnet.ahrq.gov/node/45311/psn-pdf
May 20, 2019 - The Joint Commission Big Book of Checklists. 2nd
Edition.
May 20, 2019
Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598.
https://psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition
Checklists are a widely accepted strategy to improve communication and standardize processes to su…
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psnet.ahrq.gov/node/40517/psn-pdf
June 08, 2011 - Learning safe prescribing during post-take ward rounds.
June 8, 2011
Conroy-Smith E, Herring R, Caldwell G. Learning safe prescribing during post-take ward rounds. The
clinical teacher. 2011;8(2):75-8. doi:10.1111/j.1743-498X.2011.00432.x.
https://psnet.ahrq.gov/issue/learning-safe-prescribing-during-post-take-ward…
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psnet.ahrq.gov/node/34991/psn-pdf
June 22, 2009 - Use of failure mode and effects analysis in improving the
safety of i.v. drug administration.
June 22, 2009
Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug
administration. Am J Health Syst Pharm. 2005;62(9):917-20.
https://psnet.ahrq.gov/issue/use-failure-mode-an…
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psnet.ahrq.gov/node/865348/psn-pdf
January 01, 2023 - Learning Health Systems
January 1, 2023
Agency for Health Research and Quality.
https://psnet.ahrq.gov/issue/learning-health-systems
The learning health system model centers on the purposeful, systematic use of internal data and
knowledge with external evidence to improve the safety and quality of care. This websi…
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psnet.ahrq.gov/node/43864/psn-pdf
January 28, 2015 - Starter Kit for Alarm Fatigue.
January 28, 2015
National Association of Clinical Nurse Specialists; NACNS.
https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue
Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit
provides checklists, resources, and implemen…
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psnet.ahrq.gov/node/38395/psn-pdf
January 02, 2017 - Reducing medication errors and improving systems
reliability using an electronic medication reconciliation
system.
January 2, 2017
Agrawal A, Wu WY. Reducing Medication Errors and Improving Systems Reliability Using an Electronic
Medication Reconciliation System. The Joint Commission Journal on Quality and Patient…
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psnet.ahrq.gov/node/41856/psn-pdf
November 21, 2012 - Electronic health records and National Patient-Safety
Goals.
November 21, 2012
Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of
Medicine. 2012;367(19). doi:10.1056/nejmsb1205420.
https://psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safet…
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psnet.ahrq.gov/node/39625/psn-pdf
June 23, 2010 - Cultural and associated enablers of, and barriers to,
adverse incident reporting.
June 23, 2010
Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to,
adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.1136/qshc.2008.030213.
https://psnet.ah…
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psnet.ahrq.gov/node/37816/psn-pdf
April 27, 2010 - In situ simulation: a method of experiential learning to
promote safety and team behavior.
April 27, 2010
Miller KK, Riley W, Davis SE, et al. In situ simulation: a method of experiential learning to promote safety
and team behavior. J Perinat Neonatal Nurs. 2008;22(2):105-113.
doi:10.1097/01.JPN.0000319096.97790.…
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psnet.ahrq.gov/node/36557/psn-pdf
July 14, 2010 - Adoption of technology to improve medication safety:
perspectives of pharmacy directors.
July 14, 2010
Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J
Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99.
https://psnet.ahrq.gov/issue/adoption-technolo…
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psnet.ahrq.gov/node/40155/psn-pdf
January 26, 2011 - Addressing safety concerns about U-500 insulin in a
hospital setting.
January 26, 2011
Samaan KH, Dahlke M, Stover J. Addressing safety concerns about U-500 insulin in a hospital setting. Am
J Health Syst Pharm. 2011;68(1):63-8. doi:10.2146/ajhp100224.
https://psnet.ahrq.gov/issue/addressing-safety-concerns-about-…
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psnet.ahrq.gov/node/41312/psn-pdf
April 18, 2012 - Functional safety of health information technology.
April 18, 2012
Chadwick L, Fallon EF, van der Putten WJ, et al. Functional safety of health information technology. Health
Informatics J. 2012;18(1):36-49. doi:10.1177/1460458211432587.
https://psnet.ahrq.gov/issue/functional-safety-health-information-technology
…
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psnet.ahrq.gov/node/35563/psn-pdf
June 08, 2010 - A comprehensive collaborative patient safety residency
curriculum to address the ACGME core competencies.
June 8, 2010
Singh R, Naughton B, Taylor JS, et al. A comprehensive collaborative patient safety residency curriculum
to address the ACGME core competencies. Med Educ. 2005;39(12):1195-204.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/36387/psn-pdf
July 14, 2010 - Effectiveness of a community collaborative for
eliminating the use of high-risk abbreviations written by
physicians.
July 14, 2010
Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk
Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…