-
psnet.ahrq.gov/node/60731/psn-pdf
July 29, 2020 - Patient feedback for safety improvement in primary care:
results from a feasibility study.
July 29, 2020
Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a
feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen-2020-037887.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/44204/psn-pdf
June 17, 2015 - Effectiveness of interventions to improve patient
handover in surgery: a systematic review.
June 17, 2015
Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in
surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017.
https://psnet.…
-
psnet.ahrq.gov/node/60804/psn-pdf
August 12, 2020 - Improved medication management with introduction of a
perioperative and prescribing pharmacist service.
August 12, 2020
Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative
and prescribing pharmacist service. J Pharm Pract. 2020;33(3):299-305. doi:10.1177/0897190018…
-
psnet.ahrq.gov/node/34594/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog
Group for Patient Safety: rewarding higher standards.
January 4, 2017
Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety:
rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/837904/psn-pdf
August 24, 2022 - A state-of-the-art review of speaking up in healthcare.
August 24, 2022
Violato E. A state-of-the-art review of speaking up in healthcare. Adv Health Sci Educ Theory Pract.
2022;27(4):1177-1194. doi:10.1007/s10459-022-10124-8.
https://psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
Speaking up behaviors …
-
psnet.ahrq.gov/node/42455/psn-pdf
September 09, 2013 - Improving patient care through leadership engagement
with frontline staff: a Department of Veterans Affairs case
study.
September 9, 2013
Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline
staff: a Department of Veterans Affairs case study. Jt Comm J Qual Pati…
-
psnet.ahrq.gov/node/42206/psn-pdf
April 24, 2013 - Use of simulation to assess electronic health record
safety in the intensive care unit: a pilot study.
April 24, 2013
March CA, Steiger D, Scholl G, et al. Use of simulation to assess electronic health record safety in the
intensive care unit: a pilot study. BMJ Open. 2013;3(4). doi:10.1136/bmjopen-2013-002549.
ht…
-
psnet.ahrq.gov/node/50891/psn-pdf
February 12, 2020 - Nurses as antimicrobial stewards: recognition,
confidence, and organizational factors across nine
hospitals.
February 12, 2020
Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence,
and organizational factors across nine hospitals. Am J Infect Control. 2020. doi:10.1…
-
psnet.ahrq.gov/node/44065/psn-pdf
July 16, 2015 - Nurses' use of computerized clinical guidelines to
improve patient safety in hospitals.
July 16, 2015
Hovde B, Jensen KH, Alexander GL, et al. Nurses' Use of Computerized Clinical Guidelines to Improve
Patient Safety in Hospitals. West J Nurs Res. 2015;37(7):877-98. doi:10.1177/0193945915577430.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/60824/psn-pdf
August 19, 2020 - For-profit long-term care homes and the risk of COVID-19
outbreaks and resident deaths.
August 19, 2020
Stall NM, Jones A, Brown KA, et al. For-profit long-term care homes and the risk of COVID-19 outbreaks
and resident deaths. CMAJ. 2020;192(33):e946-e955 . doi:10.1503/cmaj.201197.
https://psnet.ahrq.gov/issue/pr…
-
psnet.ahrq.gov/node/838014/psn-pdf
September 07, 2022 - Effect of a rapid response team on the incidence of in-
hospital mortality.
September 7, 2022
Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital
mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005.
https://psnet.ahrq.gov/issue/effect…
-
psnet.ahrq.gov/node/40295/psn-pdf
March 16, 2011 - The relationship of the emotional climate of work and
threat to patient outcome in a high-volume thoracic
surgery operating room team.
March 16, 2011
Nurok M, Evans LA, Lipsitz S, et al. The relationship of the emotional climate of work and threat to patient
outcome in a high-volume thoracic surgery operating room…
-
psnet.ahrq.gov/node/72628/psn-pdf
January 13, 2021 - Awareness of human factors in the operating theatres
during the COVID-19 pandemic.
January 13, 2021
Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the
COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858.
https://psnet.ahrq.gov/issue/awa…
-
psnet.ahrq.gov/node/33576/psn-pdf
December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient
Surgery
December 15, 2024
Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…
-
psnet.ahrq.gov/node/867022/psn-pdf
October 30, 2024 - Delayed Symptomatic Subdural Hematoma Following an
Initially Normal CT Head
October 30, 2024
Martin R, Shahlaie K. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head.
PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-h…
-
psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
March 03, 2021 - SPOTLIGHT CASE
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.
Citation Text:
Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…
-
psnet.ahrq.gov/node/42585/psn-pdf
June 17, 2014 - https://psnet.ahrq.gov/issue/safety-subject-science
https://psnet.ahrq.gov/issue/patient-safety-indicators-overview
-
psnet.ahrq.gov/node/37142/psn-pdf
August 29, 2007 - psnet.ahrq.gov/issue/patient-safety-canada-update
Using survey data as well as information on patient safety indicators
-
psnet.ahrq.gov/issue/factors-associated-hospital-admission-after-outpatient-surgery-veterans-health-administration
August 17, 2018 - detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators … June 5, 2013
Validity of selected patient safety indicators: opportunities and concerns
-
psnet.ahrq.gov/issue/opportunities-and-challenges-quality-and-safety-applications-icd-11-international-survey
February 17, 2017 - Related Resources From the Same Author(s)
Deriving ICD-10 codes for patient safety indicators … November 30, 2022
Application of patient safety indicators internationally: a pilot study