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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46777/psn-pdf
    January 24, 2018 - Safety analysis over time: seven major changes to adverse event investigation. January 24, 2018 Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-4. https://psnet.ahrq.gov/issue/safe…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41166/psn-pdf
    February 29, 2012 - Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. February 29, 2012 Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. Inj Prev. 2011;17(6)…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60060/psn-pdf
    March 18, 2020 - The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. March 18, 2020 Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. J Health Life Sc…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39672/psn-pdf
    December 17, 2010 - Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. December 17, 2010 Kim H, Capezuti E, Kovner C, et al. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. Gerontologist. 2010;50(6)…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865661/psn-pdf
    April 24, 2024 - Pay-for-performance and patient safety in acute care: a systematic review. April 24, 2024 Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. https://psnet.ahrq.gov/issue/pay-pe…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45702/psn-pdf
    January 25, 2017 - Implantable infusion pumps in the magnetic resonance (MR) environment: FDA safety communication—important safety precautions. January 25, 2017 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 11, 2017. https://psnet.ahrq.gov/issue/implantable-infusion-pumps-magnetic-resonance-mr-e…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42822/psn-pdf
    December 18, 2013 - Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. December 18, 2013 Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: electronic adverse event identif…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837806/psn-pdf
    August 10, 2022 - Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. August 10, 2022 Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512. doi:…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46926/psn-pdf
    March 07, 2018 - A comprehensive program to reduce rates of hospital- acquired pressure ulcers in a system of community hospitals. March 7, 2018 Englebright J, Westcott R, McManus K, et al. A Comprehensive Program to Reduce Rates of Hospital- Acquired Pressure Ulcers in a System of Community Hospitals. J Patient Saf. 2018;14(1):54…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839315/psn-pdf
    January 01, 2024 - Six major steps to make investigations of suicide valuable for learning and prevention. November 2, 2022 Fröding E, Vincent C, Andersson-Gäre B, et al. Six major steps to make investigations of suicide valuable for learning and prevention. Arch Suicide Res. 2024;28(1):1-19. doi:10.1080/13811118.2022.2133652. https…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41561/psn-pdf
    August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012 Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2012. Report No. OEI-06-09-00092. https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reporte…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852464/psn-pdf
    August 16, 2023 - Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. August 16, 2023 Rockville, MD: Agency for Research and Quality; July 27, 2023. Notice Number NOT-HS-23-018. https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announceme…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836755/psn-pdf
    March 16, 2022 - Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. March 16, 2022 Tewfik G, Naftalovich R, Kaushal N, et al. Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39621/psn-pdf
    June 23, 2010 - Defining near misses: towards a sharpened definition based on empirical data about error handling processes. June 23, 2010 Kessels-Habraken M, Van der Schaaf T, De Jonge J, et al. Defining near misses: towards a sharpened definition based on empirical data about error handling processes. Soc Sci Med. 2010;70(9):130…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44181/psn-pdf
    June 03, 2015 - Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. June 3, 2015 Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/bmjqs-2014-003870. https://psnet.ah…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47538/psn-pdf
    January 23, 2019 - What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. January 23, 2019 Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. PLoS One. 2018;13(10):e0206233. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50708/psn-pdf
    December 04, 2019 - Identifying medication errors in neonatal intensive care units: a two-center study December 4, 2019 Eslami K, Aletayeb F, Aletayeb SMH, et al. Identifying medication errors in neonatal intensive care units: a two-center study. BMC Pediatr. 2019;19(1):365. doi:10.1186/s12887-019-1748-4. https://psnet.ahrq.gov/issue…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837983/psn-pdf
    August 31, 2022 - Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. August 31, 2022 Schulson LB, Thomas AD, Tsuei J, et al.  Santa Monica, CA: RAND Corporation; 2022 https://psnet.ahrq.gov/issue/identifying-and-understanding-ways-address-impact-racism-patient-safety- …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41305/psn-pdf
    April 18, 2012 - Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. April 18, 2012 Meer A, Gwerder T, Duembgen L, et al. Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threaten…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43981/psn-pdf
    April 22, 2015 - National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ?85% of patient deaths. April 22, 2015 Hickey EJ, Nosikova Y, Pham-Hung E, et al. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac sur…
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