-
psnet.ahrq.gov/node/73514/psn-pdf
July 21, 2021 - Association between limiting the number of open records
in a tele-critical care setting and retract-reorder errors.
July 21, 2021
Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-
critical care setting and retract–reorder errors. J Am Med Inform Assoc. 2021;28(…
-
psnet.ahrq.gov/node/45973/psn-pdf
March 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…
-
psnet.ahrq.gov/node/73133/psn-pdf
April 14, 2021 - A human factors intervention in a hospital--evaluating the
outcome of a TeamSTEPPS program in a surgical ward.
April 14, 2021
Aaberg OR, Hall-Lord ML, Husebø SIE, et al. A human factors intervention in a hospital - evaluating the
outcome of a TeamSTEPPS program in a surgical ward. BMC Health Serv Res. 2021;21(1):11…
-
psnet.ahrq.gov/node/74264/psn-pdf
January 19, 2022 - Characteristics of critical incident reporting systems in
primary care: an international survey.
January 19, 2022
Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care:
an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…
-
psnet.ahrq.gov/node/47554/psn-pdf
November 07, 2018 - Diagnostic Excellence Initiative.
November 7, 2018
Gordon and Betty Moore Foundation.
https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care
Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite
an increasing focus on di…
-
psnet.ahrq.gov/node/838252/psn-pdf
October 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…
-
psnet.ahrq.gov/node/44128/psn-pdf
September 12, 2018 - Sustained improvement in neonatal intensive care unit
safety attitudes after teamwork training.
September 12, 2018
Murphy T, Laptook A, Bender J. Sustained Improvement in Neonatal Intensive Care Unit Safety Attitudes
After Teamwork Training. J Patient Saf. 2018;14(3):174-180. doi:10.1097/PTS.0000000000000191.
http…
-
psnet.ahrq.gov/node/35497/psn-pdf
June 30, 2011 - Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process.
June 30, 2011
Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16.
https://psnet.ahr…
-
psnet.ahrq.gov/node/837681/psn-pdf
September 11, 2023 - Compendium of Strategies to Prevent HAIs in Acute Care
Hospitals 2022.
September 11, 2023
Infect Control Hosp Epidemiol. 2022-2023.
https://psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2022
Health care–associated infections (HAIs) affect patients both during and after hospitalizatio…
-
psnet.ahrq.gov/node/35926/psn-pdf
July 26, 2010 - The patient's right to safety—improving the quality of care
through litigation against hospitals.
July 26, 2010
Annas GJ. The patient's right to safety--improving the quality of care through litigation against hospitals. N
Engl J Med. 2006;354(19):2063-2066.
https://psnet.ahrq.gov/issue/patients-right-safety-impro…
-
psnet.ahrq.gov/node/867381/psn-pdf
December 18, 2024 - Promoting medication safety for older adults upon
hospital discharge: guiding principles for a medication
discharge plan.
December 18, 2024
Zhang FH, Lauzon J, Payette J, et al. Promoting medication safety for older adults upon hospital discharge:
guiding principles for a medication discharge plan. Br J Clin Pharm…
-
psnet.ahrq.gov/node/45851/psn-pdf
February 22, 2017 - Eight years of decreased methicillin-resistant
Staphylococcus aureus health care–associated infections
associated with a Veterans Affairs prevention initiative.
February 22, 2017
Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus
aureus health care-associated i…
-
psnet.ahrq.gov/node/45920/psn-pdf
May 05, 2017 - Examining the nature of interprofessional interventions
designed to promote patient safety: a narrative review.
May 5, 2017
Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to
promote patient safety: a narrative review. International Journal for Quality in Health…
-
psnet.ahrq.gov/node/45432/psn-pdf
September 14, 2016 - Clinical decision support: a 25 year retrospective and a 25
year vision.
September 14, 2016
Middleton B, Sittig DF, Wright A. Clinical Decision Support: a 25 Year Retrospective and a 25 Year Vision.
Yearb Med Inform. 2016;Suppl 1:S103-16. doi:10.15265/IYS-2016-s034.
https://psnet.ahrq.gov/issue/clinical-decision-s…
-
psnet.ahrq.gov/node/50376/psn-pdf
September 25, 2019 - Stakeholder perceptions of smart infusion pumps and
drug library updates: a multisite, interdisciplinary study.
September 25, 2019
DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug
library updates: A multisite, interdisciplinary study. Am J Health Syst Pharm. 2…
-
psnet.ahrq.gov/node/45384/psn-pdf
November 18, 2016 - Inter-professional clinical handover in post-anaesthetic
care units: tools to improve quality and safety.
November 18, 2016
Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units:
tools to improve quality and safety. Int J Qual Health Care. 2016;28(5):573-579.
htt…
-
psnet.ahrq.gov/node/35134/psn-pdf
June 22, 2009 - Introduction of the medical emergency team (MET)
system: a cluster-randomised controlled trial.
June 22, 2009
Hillman K, Chen J, Cretikos M, et al. Introduction of the medical emergency team (MET) system: a cluster-
randomised controlled trial. Lancet. 2005;365(9477):2091-7.
https://psnet.ahrq.gov/issue/introducti…
-
psnet.ahrq.gov/node/73060/psn-pdf
March 24, 2021 - How much and what local adaptation is acceptable? A
comparison of 24 surgical safety checklists in
Switzerland.
March 24, 2021
Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison
of 24 surgical safety checklists in Switzerland. J Patient Saf. 2021;17(3):217-222.
doi…
-
psnet.ahrq.gov/node/74263/psn-pdf
January 19, 2022 - "Some version, most of the time": the surgical safety
checklist, patient safety, and the everyday experience of
practice variation.
January 19, 2022
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety
checklist, patient safety, and the everyday experience of practice va…
-
psnet.ahrq.gov/node/74088/psn-pdf
November 17, 2021 - Surgical teams' attitudes about surgical safety and the
surgical safety checklist at 10 years: a multinational
survey.
November 17, 2021
Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety
checklist at 10 years: a multinational survey. Ann Surg. 2021;2(3):e07…