-
psnet.ahrq.gov/node/34661/psn-pdf
March 07, 2005 - Teaching smart people how to learn.
March 7, 2005
Argyris C. Harvard Business Review. 1991:69(May-June):99+.
https://psnet.ahrq.gov/issue/teaching-smart-people-learn
Argyris, a Harvard Business School professor, theorizes that companies and organizations must learn in
order to continually improve and succeed, but …
-
psnet.ahrq.gov/node/46272/psn-pdf
January 01, 2019 - Deployment of a second victim peer support program: a
replication study.
September 24, 2017
Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication
study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031.
https://psnet.ahrq.gov/issue/deployment-second-…
-
psnet.ahrq.gov/node/42727/psn-pdf
November 13, 2013 - Impact of electronic health record systems on information
integrity: quality and safety implications.
November 13, 2013
Bowman S. Impact of electronic health record systems on information integrity: quality and safety
implications. Perspect Health Inf Manag. 2013;10:1c.
https://psnet.ahrq.gov/issue/impact-electron…
-
psnet.ahrq.gov/node/44339/psn-pdf
July 29, 2015 - Rapid response systems: a systematic review and meta-
analysis.
July 29, 2015
Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit
Care. 2015;19(1). doi:10.1186/s13054-015-0973-y.
https://psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis…
-
psnet.ahrq.gov/node/38385/psn-pdf
February 04, 2009 - Impact of a computerized physician order entry system
on nurse-physician collaboration in the medication
process.
February 4, 2009
Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on
nurse-physician collaboration in the medication process. Int J Med Inform. 2008…
-
psnet.ahrq.gov/node/40716/psn-pdf
March 22, 2017 - Promoting Safety and Quality Through Human Resource
Practices: Executive Summary.
March 22, 2017
McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare
Research and Quality; August 2011. AHRQ Publication No. 11-0080-EF.
https://psnet.ahrq.gov/issue/promoting-safety-and-quality-th…
-
psnet.ahrq.gov/node/838929/psn-pdf
October 26, 2022 - Toolkit To Improve Antibiotic Use in Ambulatory Care.
October 26, 2022
Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-ambulatory-care
Inappropriate antibiotic prescribing is associated with increased risk potential. This toolkit a…
-
psnet.ahrq.gov/node/43018/psn-pdf
March 19, 2014 - Improved obstetric safety through programmatic
collaboration.
March 19, 2014
Goffman D, Brodman M, Friedman AJ, et al. Improved obstetric safety through programmatic collaboration.
J Healthc Risk Manag. 2014;33(3):14-22. doi:10.1002/jhrm.21131.
https://psnet.ahrq.gov/issue/improved-obstetric-safety-through-program…
-
psnet.ahrq.gov/node/35375/psn-pdf
January 02, 2017 - Integrating the intensive care unit safety reporting system
with existing incident reporting systems.
January 2, 2017
Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting
system with existing incident reporting systems. Jt Comm J Qual Patient Saf. 2005;31(10):585-93.…
-
psnet.ahrq.gov/node/50734/psn-pdf
December 11, 2019 - The evolution of patient safety procedures in an oral
surgery department
December 11, 2019
Graham C, Reid S, Lord TC, et al. The evolution of patient safety procedures in an oral surgery
department. Br Dent J. 2019;226(1):32-38. doi:10.1038/sj.bdj.2019.5.
https://psnet.ahrq.gov/issue/evolution-patient-safety-proce…
-
psnet.ahrq.gov/node/40980/psn-pdf
December 31, 2014 - Transmitting and processing electronic prescriptions:
experiences of physician practices and pharmacies.
December 31, 2014
Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions:
experiences of physician practices and pharmacies. J Am Med Inform Assoc. 2012;19(3):353-9.
doi:1…
-
psnet.ahrq.gov/node/35966/psn-pdf
January 02, 2017 - Assessing and monitoring override medications in
automated dispensing devices.
January 2, 2017
Kowiatek JG, Weber RJ, Skledar S, et al. Assessing and monitoring override medications in automated
dispensing devices. Jt Comm J Qual Patient Saf. 2006;32(6):309-17.
https://psnet.ahrq.gov/issue/assessing-and-monitoring…
-
psnet.ahrq.gov/node/45497/psn-pdf
October 12, 2016 - Detection of adverse drug events using an electronic
trigger tool.
October 12, 2016
Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J
Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481.
https://psnet.ahrq.gov/issue/detection-adverse-drug-…
-
psnet.ahrq.gov/node/44018/psn-pdf
November 16, 2015 - Targeted communication intervention using nursing crew
resource management principles.
November 16, 2015
Tschannen D, McClish D, Aebersold M, et al. Targeted communication intervention using nursing crew
resource management principles. J Nurs Care Qual. 2015;30(1):7-11.
doi:10.1097/NCQ.0000000000000073.
https://p…
-
psnet.ahrq.gov/node/35636/psn-pdf
June 24, 2010 - Improving Papanicolaou test quality and reducing
medical errors by using Toyota production system
methods.
June 24, 2010
Raab SS, Andrew-JaJa C, Condel JL, et al. Improving Papanicolaou test quality and reducing medical
errors by using Toyota production system methods. Am J Obstet Gynecol. 2006;194(1).
doi:10.101…
-
psnet.ahrq.gov/node/37802/psn-pdf
November 14, 2011 - Differences in day and night shift clinical performance in
anesthesiology.
November 14, 2011
Cao CGL, Weinger MB, Slagle JM, et al. Differences in day and night shift clinical performance in
anesthesiology. Hum Factors. 2008;50(2):276-90.
https://psnet.ahrq.gov/issue/differences-day-and-night-shift-clinical-perfor…
-
psnet.ahrq.gov/node/38925/psn-pdf
September 16, 2009 - A literature review of the individual and systems factors
that contribute to medication errors in nursing practice.
September 16, 2009
Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute
to medication errors in nursing practice. J Nurs Manag. 2009;17(6):679-97…
-
psnet.ahrq.gov/node/45003/psn-pdf
July 18, 2016 - Effect of surgical safety checklists on pediatric surgical
complications in Ontario.
July 18, 2016
O'Leary JD, Wijeysundera DN, Crawford MW. Effect of surgical safety checklists on pediatric surgical
complications in Ontario. CMAJ. 2016;188(9):E191-E198. doi:10.1503/cmaj.151333.
https://psnet.ahrq.gov/issue/effect…
-
psnet.ahrq.gov/node/60192/psn-pdf
April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic
Health Records.
April 1, 2020
Philadelphia, PA: Pew Charitable Trusts; March 2020.
https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records
Electronic health records both enhance and challenge the safety of care proce…
-
psnet.ahrq.gov/node/48182/psn-pdf
August 21, 2019 - Organizational learning in hospitals: a realist review.
August 21, 2019
Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs.
2019;75(11):2352-2377. doi:10.1111/jan.14091.
https://psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
Organization…