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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47479/psn-pdfDecember 12, 2018 - "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. December 12, 2018 Shenvi EC, Feupe SF, Yang H, et al. "Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs. Diagnosis (Berl). 2018;5(4):235-242. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73060/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45299/psn-pdfJuly 20, 2016 - Reducing readmission at an academic medical center: results of a pharmacy-facilitated discharge counseling and medication reconciliation program. July 20, 2016 Zemaitis CT, Morris G, Cabie M, et al. Reducing Readmission at an Academic Medical Center: Results of a Pharmacy-Facilitated Discharge Counseling and Medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47385/psn-pdfApril 27, 2019 - Reasons for repeat rapid response team calls, and associations with in-hospital mortality. April 27, 2019 Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. doi:10.1016/j.jcjq.2018.10.005. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46142/psn-pdfJune 14, 2017 - Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. June 14, 2017 Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. https://psnet.ahrq.gov/issue/introducing-new-ju… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72717/psn-pdfFebruary 10, 2021 - Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? February 10, 2021 Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ Res Public Health. 2021;18(2):48… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47001/psn-pdfAugust 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837849/psn-pdfAugust 17, 2022 - Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes. August 17, 2022 Bail K, Gibson D, Acharya P, et al. Using health information technology in residential aged care homes: an integrative review to identify service and quality outcomes.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47027/psn-pdfJune 19, 2018 - Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. June 19, 2018 Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/bmjqs-2017-007571. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74183/psn-pdfDecember 15, 2021 - Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021 Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73514/psn-pdfJuly 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(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50376/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46446/psn-pdfSeptember 27, 2017 - Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. September 27, 2017 Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to Improve Quality of Care and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867684/psn-pdfMarch 05, 2025 - Development of a preliminary patient safety classification system for generative AI. March 5, 2025 Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017918. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45199/psn-pdfJune 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859350/psn-pdfDecember 20, 2023 - What are the experiences of team members involved in root cause analysis? A qualitative study. December 20, 2023 Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi:10.1186/s12913-023-10164-9. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44246/psn-pdfNovember 15, 2016 - RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. November 15, 2016 Boston, MA: National Patient Safety Foundation; 2015. https://psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm The National Patient Safety Foundation issued these guidelines for improving root cause a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44350/psn-pdfJuly 29, 2015 - Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. July 29, 2015 Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37960/psn-pdfSeptember 24, 2010 - A survey of the impact of disruptive behaviors and communication defects on patient safety. September 24, 2010 Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf. 2008;34(8):464-471. https://psnet.ahrq.gov/issue/survey-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837502/psn-pdfJune 22, 2022 - Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. June 22, 2022 Cedillo G, George MC, Deshpande R, et al. Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial. Addict Sci Clin Pract. 2022;17(1):28. doi:10.1186/s13722-022- 00311…
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