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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867596/psn-pdfJanuary 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. January 22, 2025 Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72748/psn-pdfFebruary 17, 2021 - The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. February 17, 2021 De Brún A, Anjara S, Cunningham U, et al. The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety. Int J Environ Res Public Heal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40394/psn-pdfJanuary 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40994/psn-pdfDecember 18, 2014 - Implementing medication reconciliation in outpatient pediatrics. December 18, 2014 Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. https://psnet.ahrq.gov/issue/implementing-medication-reconciliat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47867/psn-pdfJune 19, 2019 - Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. June 19, 2019 Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Paediatr Anaesth. 2019;29(3):258-2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44552/psn-pdfJune 21, 2016 - Reducing diagnostic errors—why now? June 21, 2016 Khullar D, Jha AK, Jena AB. Reducing diagnostic errors--why now? N Engl J Med. 2015;373(26):2491- 2493. doi:10.1056/NEJMp1508044. https://psnet.ahrq.gov/issue/reducing-diagnostic-errors-why-now Diagnostic error has recently garnered attention as a patient safety pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44776/psn-pdfApril 15, 2016 - Best practices for chemotherapy administration in pediatric oncology: quality and safety process improvements (2015). April 15, 2016 Looper K, Winchester K, Robinson D, et al. Best Practices for Chemotherapy Administration in Pediatric Oncology: Quality and Safety Process Improvements (2015). J Pediatr Oncol Nurs.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47962/psn-pdfMay 01, 2019 - Understanding the clinical implications of resident involvement in uncommon operations. May 1, 2019 Dasani SS, Simmons KD, Wirtalla CJ, et al. Understanding the Clinical Implications of Resident Involvement in Uncommon Operations. J Surg Educ. 2019;76(5):1319-1328. doi:10.1016/j.jsurg.2019.03.011. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858162/psn-pdfJanuary 01, 2024 - Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. December 13, 2023 Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic, and health resource utilizatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47059/psn-pdfMay 16, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. May 16, 2018 Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35462/psn-pdfFebruary 18, 2011 - Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. February 18, 2011 Jha AK, Perlin JB, Kizer KW, et al. Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. N Engl J Med. 2003;348(22):2218-27. https://psnet.ahrq.gov/issue/effe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46794/psn-pdfMay 17, 2018 - Implementation of diagnostic pauses in the ambulatory setting. May 17, 2018 Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192. https://psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867229/psn-pdfJanuary 01, 2025 - Feasibility of prospective error reporting in home palliative care: a mixed methods study. December 4, 2024 Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692163241288774. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39716/psn-pdfAugust 09, 2013 - Patient handovers within the hospital: translating knowledge from motor racing to healthcare. August 9, 2013 Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Qual Saf Health Care. 2010;19(4):318-22. doi:10.1136/qshc.2009.026542. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45148/psn-pdfApril 24, 2018 - Safety of overlapping surgery at a high-volume referral center. April 24, 2018 Hyder JA, Hanson KT, Storlie CB, et al. Safety of Overlapping Surgery at a High-volume Referral Center. Ann Surg. 2017;265(4):639-644. doi:10.1097/SLA.0000000000002084. https://psnet.ahrq.gov/issue/safety-overlapping-surgery-high-volume… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45964/psn-pdfMarch 22, 2017 - What is known: examining the empirical literature in resident work hours using 30 influential articles. March 22, 2017 Philibert I. What Is Known: Examining the Empirical Literature in Resident Work Hours Using 30 Influential Articles. J Grad Med Educ. 2016;8(5):795-805. doi:10.4300/JGME-D-16-00642.1. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47537/psn-pdfNovember 14, 2018 - Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care. November 14, 2018 Jeffries M, Keers RN, Phipps D, et al. Developing a learning health system: Insights from a qualitative … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44970/psn-pdfMay 09, 2017 - Analysis of prescribers' notes in electronic prescriptions in ambulatory practice. May 9, 2017 Dhavle AA, Yang Y, Rupp MT, et al. Analysis of Prescribers' Notes in Electronic Prescriptions in Ambulatory Practice. JAMA Intern Med. 2016;176(4):463-70. doi:10.1001/jamainternmed.2015.7786. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854630/psn-pdfOctober 18, 2023 - Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. October 18, 2023 Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44331/psn-pdfSeptember 09, 2015 - Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? September 9, 2015 Shojania KG, van de Mheen PJM-. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse even…
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