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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/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/47007/psn-pdfMay 02, 2018 - Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature. May 2, 2018 Patterson ES. Workarounds to Intended Use of Health Information Technology: A Narrative Review of the Human Factors Engineering Literature. Hum Factors. 2018;60(3):281-292. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38485/psn-pdfJune 23, 2017 - Impact of a comprehensive patient safety strategy on obstetric adverse events. June 23, 2017 Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.01.022. https://psnet.ahrq.gov/issu… -
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/865678/psn-pdfApril 24, 2024 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024 Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40260/psn-pdfFebruary 08, 2017 - A case for safety leadership team training of hospital managers. February 8, 2017 Singer SJ, Hayes J, Cooper JB, et al. A case for safety leadership team training of hospital managers. Health Care Manage Rev. 2011;36(2):188-200. doi:10.1097/HMR.0b013e318208cd1d. https://psnet.ahrq.gov/issue/case-safety-leadership-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857455/psn-pdfJanuary 01, 2024 - Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration. December 6, 2023 List JM, Russell LE, Hausmann LRM, et al. Addressing veteran health-related social needs: how Joint Commission standard… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60051/psn-pdfMarch 18, 2020 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. March 18, 2020 Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850340/psn-pdfJune 14, 2023 - Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta- analysis. June 14, 2023 Chen H-W, Wu J-C, Kang Y-N, et al. Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. Nurse Educ Today. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50865/psn-pdfFebruary 05, 2020 - Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. February 5, 2020 Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865968/psn-pdfMay 29, 2024 - A strategic solution to preventing the harm associated with ambulance handover delays. May 29, 2024 Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. https://psnet.ahrq.gov/issue/strategic-solu… -
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/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/837200/psn-pdfMay 25, 2022 - Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause analysis. May 25, 2022 Buitrago I, Seidl KL, Gingold DB, et al. Analysis of readmissions in a mobile integrated health transitional care program using root cause analysis and common cause ana… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836984/psn-pdfApril 27, 2022 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. April 27, 2022 Beed M, Hussain S, Woodier N, et al. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. J Pat… -
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/73181/psn-pdfApril 28, 2021 - Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. April 28, 2021 Danielis M, Destrebecq A, Terzoni S, et al. Critical incidents involving the medical emergency team: a 5- year retrospective assessment for healthcare improvement. Dimens Crit Care … -
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… -
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…
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