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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43580/psn-pdf
    October 01, 2014 - Reducing medication errors in critical care: a multimodal approach. October 1, 2014 Kruer RM, Jarrell AS, Latif A. Reducing medication errors in critical care: a multimodal approach. Clin Pharmacol. 2014;6:117-26. doi:10.2147/CPAA.S48530. https://psnet.ahrq.gov/issue/reducing-medication-errors-critical-care-multim…

  2. 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…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39975/psn-pdf
    March 03, 2011 - Communication failure in the operating room. March 3, 2011 Halverson AL, Casey JT, Andersson J, et al. Communication failure in the operating room. Surgery. 2011;149(3):305-310. doi:10.1016/j.surg.2010.07.051. https://psnet.ahrq.gov/issue/communication-failure-operating-room Communication failures are a well-chara…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837893/psn-pdf
    August 24, 2022 - Exploring nurses' attitudes, skills, and beliefs of medication safety practices. August 24, 2022 Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000000635. https://psnet.ahrq.gov/i…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43958/psn-pdf
    April 22, 2015 - Non-intercepted dose errors in prescribing antineoplastic treatment: a prospective, comparative cohort study. April 22, 2015 Mattsson TO, Holm B, Michelsen H, et al. Non-intercepted dose errors in prescribing anti-neoplastic treatment: a prospective, comparative cohort study. Ann Oncol. 2015;26(5):981-6. doi:10.10…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46079/psn-pdf
    June 28, 2017 - Death due to pharmacy compounding error reinforces need for safety focus. June 28, 2017 ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. https://psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus Compounding pharmacies prepare medicines for patients that a…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45868/psn-pdf
    January 31, 2018 - Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. January 31, 2018 Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee- Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906. doi:10.1016/j.acap.2017.01.00…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47866/psn-pdf
    May 11, 2019 - Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. May 11, 2019 Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. BJOG. 201…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41251/psn-pdf
    March 29, 2012 - Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. March 29, 2012 Wilson R, Michel P, Olsen S, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. BMJ. 2012;344:e832. doi:10.1…

  10. 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…

  11. 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 …

  12. 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…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45848/psn-pdf
    November 19, 2018 - New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. November 19, 2018 Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014. https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies- physicians Poor c…

  14. 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- …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47797/psn-pdf
    June 14, 2019 - The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. June 14, 2019 Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head Neck Surg. 2019;160(6):1003-1008. d…

  16. 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…

  17. 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…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47636/psn-pdf
    December 12, 2018 - Learning from tragedy: the Julia Berg story. December 12, 2018 Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067. https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story This commentary provides a clinical review of …

  19. 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…

  20. 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)…
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