-
psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
January 17, 2012 - Study
Classic
Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
Citation Text:
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…
-
psnet.ahrq.gov/issue/frequency-and-nature-potentially-harmful-preventable-problems-primary-care-patients
June 30, 2021 - Study
Frequency and nature of potentially harmful preventable problems in primary care from the patient's perspective with clinician review: a population-level survey in Great Britain.
Citation Text:
Stocks SJ, Donnelly A, Esmail A, et al. Frequency and nature of potentially harmful prev…
-
psnet.ahrq.gov/issue/impact-closed-loop-electronic-prescribing-and-administration-system-prescribing-errors
November 13, 2009 - Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Citation Text:
Franklin BD, O'Grady K, Donyai P, et al. The impact of a closed-loop electronic prescribing and admin…
-
psnet.ahrq.gov/issue/paediatric-family-activated-rapid-response-interventions-qualitative-systematic-review
November 24, 2021 - Review
Paediatric family activated rapid response interventions; qualitative systematic review.
Citation Text:
Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):1033…
-
psnet.ahrq.gov/issue/using-consumer-engagement-strategies-improve-healthcare-safety-young-people-exploration
September 15, 2021 - Study
Using consumer engagement strategies to improve healthcare safety for young people: an exploration of the relevance and suitability of current approaches.
Citation Text:
Newman B, Joseph K, McDonald FEJ, et al. Using consumer engagement strategies to improve healthcare safety for y…
-
psnet.ahrq.gov/issue/opinions-nurses-and-physicians-patient-family-and-visitor-activated-rapid-response-system-use
February 14, 2024 - Study
Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings.
Citation Text:
King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…
-
psnet.ahrq.gov/issue/frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies
April 09, 2013 - Study
Classic
The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations.
Citation Text:
Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimatio…
-
psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
December 18, 2013 - Review
Classic
How safe is primary care? A systematic review.
Citation Text:
Panesar SS, deSilva D, Carson-Stevens A, et al. How safe is primary care? A systematic review. BMJ Qual Saf. 2016;25(7):544-53. doi:10.1136/bmjqs-2015-004178.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/medication-related-interventions-improve-medication-safety-and-patient-outcomes-transition
October 27, 2021 - Review
Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis.
Citation Text:
Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medica…
-
psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
January 15, 2014 - Study
Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events.
Citation Text:
Rawat N, Yang T, Ali KJ, et al. Two-State Collaborative Study of a Multifaceted Intervention to Decrease Ventilator-Associated Events. Crit Care Med. 2017;45(7):120…
-
psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse
November 24, 2021 - Study
Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions.
Citation Text:
Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a quali…
-
psnet.ahrq.gov/issue/medicare-and-medicaid-programs-and-childrens-health-insurance-program-hospital-inpatient
November 23, 2015 - Legislation/Regulation
Medicare and Medicaid Programs and the Children’s Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requir…
-
psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
May 25, 2013 - Study
Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval.
Citation Text:
Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…
-
psnet.ahrq.gov/issue/coping-medical-error-systematic-review-papers-assess-effects-involvement-medical-errors
March 04, 2015 - Review
Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being.
Citation Text:
Sirriyeh R, Lawton R, Gardner P, et al. Coping with medical error: a systematic review of papers …
-
psnet.ahrq.gov/issue/impact-structured-interdisciplinary-bedside-rounding-patient-outcomes-large-academic-health
December 09, 2020 - Study
Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre.
Citation Text:
Sunkara PR, Islam T, Bose A, et al. Impact of structured interdisciplinary bedside rounding on patient outcomes at a large academic health centre. BMJ Qual …
-
psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney
August 10, 2022 - Study
Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study.
Citation Text:
Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic o…
-
psnet.ahrq.gov/issue/early-diagnosis-cancer-systems-approach-support-clinicians-primary-care
December 14, 2022 - Commentary
Early diagnosis of cancer: systems approach to support clinicians in primary care.
Citation Text:
Black GB, Lyratzopoulos G, Vincent CA, et al. Early diagnosis of cancer: systems approach to support clinicians in primary care. BMJ. 2023;380:e071225. doi:10.1136/bmj-2022-071225…
-
psnet.ahrq.gov/node/42871/psn-pdf
September 13, 2016 - Diagnosis.
September 13, 2016
Graber ML, Plebani M, eds. Berlin, Germany: Society to Improve Diagnosis in Medicine and DeGruyter.
ISSN: 2194-802X.
https://psnet.ahrq.gov/issue/diagnosis
This journal offers multidisciplinary research and commentary covering such topics as diagnostic error,
clinical reasoning, and …
-
psnet.ahrq.gov/node/40669/psn-pdf
August 27, 2013 - STate Action on Avoidable Rehospitalizations.
August 27, 2013
Institute for Healthcare Improvement. 2009 -2013.
https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care
and communication betwe…
-
psnet.ahrq.gov/node/39940/psn-pdf
December 14, 2016 - Quality and Safety in Women's Health Care. Second
Edition.
December 14, 2016
Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. Washington,
DC: American College of Obstetricians and Gynecologists; 2010. ISBN: 9781934946930.
https://psnet.ahrq.gov/issue/quality-and-safety-womens-he…