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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851651/psn-pdfJuly 26, 2023 - Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. July 26, 2023 Gur-Arieh S, Mendlovic S, Rozenblum R, et al. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. J Patient Saf. 2023… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72474/psn-pdfJanuary 01, 2021 - Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. November 18, 2020 Leviatan I, Oberman B, Zimlichman E, et al. Associations of physicians’ prescribing experience, work hours, and workload with prescription errors. J Am Med Inform Assoc. 2021;28(6):1074-1080. do… -
AHRQ Safety Program for Perinatal Care: Background Quality Improvement Team Information Form (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/team-info-form.docxMay 01, 2017 - AHRQ Safety Program for Perinatal Care: Background Quality Improvement Team Information Form AHRQ Safety Program for Perinatal Care Background Quality Improvement Team Information Form Who should use this tool? Health care teams Please indicate staff members designated as Labor and Delivery Quality Improvement Team… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73157/psn-pdfApril 21, 2021 - The impact of power on health care team performance and patient safety: a review of the literature. April 21, 2021 Stevens EL, Hulme A, Salmon PM. The impact of power on health care team performance and patient safety: a review of the literature. Ergonomics. 2021;64(8):1072-1090. doi:10.1080/00140139.2021.1906454.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836773/psn-pdfMarch 23, 2022 - Association between operative autonomy of surgical residents and patient outcomes. March 23, 2022 Oliver JB, Kunac A, McFarlane JL, et al. Association between operative autonomy of surgical residents and patient outcomes. JAMA Surg. 2022;157(3):211-219. doi:10.1001/jamasurg.2021.6444. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44165/psn-pdfMay 27, 2015 - Unplanned return to theater: a quality of care and risk management index? May 27, 2015 Pujol N, Merrer J, Lemaire B, et al. Unplanned return to theater: A quality of care and risk management index? Orthop Traumatol Surg Res. 2015;101(4):399-403. doi:10.1016/j.otsr.2015.03.013. https://psnet.ahrq.gov/issue/unplanne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73208/psn-pdfMay 05, 2021 - Accuracy of practitioner estimates of probability of diagnosis before and after testing. May 5, 2021 Morgan DJ, Pineles L, Owczarzak J, et al. Accuracy of practitioner estimates of probability of diagnosis before and after testing. JAMA Intern Med. 2021;181(6):747-755. doi:10.1001/jamainternmed.2021.0269. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867228/psn-pdfDecember 04, 2024 - Risk factors for wrong-patient medication orders in the emergency department. December 4, 2024 Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. https://psnet.ahrq.gov/issue/risk-factor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865520/psn-pdfApril 10, 2024 - The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a systematic review and meta-analysis. April 10, 2024 Freedman B, Li WW, Liang Z, et al. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: a … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865342/psn-pdfMarch 27, 2024 - Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. March 27, 2024 Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU: a standard electronic template … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843086/psn-pdfJanuary 25, 2023 - Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. January 25, 2023 Riman KA, Harrison JM, Sloane DM, et al. Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction. Nurs Res. 2023;72(1):20-2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843083/psn-pdfJanuary 25, 2023 - Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent recalls. January 25, 2023 Kramer DB, Yeh RW. Use of recalled devices in new device authorizations under the US Food and Drug Administration's 510(k) pathway and risk of subsequent … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73656/psn-pdfSeptember 01, 2021 - Opioid prescribing to US children and young adults in 2019. September 1, 2021 Chua K-P, Brummett CM, Conti RM, et al. Opioid prescribing to US children and young adults in 2019. Pediatrics. 2021;148(3):e2021051539. doi:10.1542/peds.2021-051539. https://psnet.ahrq.gov/issue/opioid-prescribing-us-children-and-young-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60052/psn-pdfMarch 18, 2020 - Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. March 18, 2020 Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. Int J Phar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60726/psn-pdfJanuary 01, 2021 - User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. July 29, 2020 Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. BMJ Qual … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72718/psn-pdfFebruary 10, 2021 - Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study. February 10, 2021 Lagisetty P, Macleod C, Thomas J, et al. Assessing reasons for decreased primary care access for individuals on prescribed opioids. Pain. 2021;162(5):1379-1386. doi:10.1097/j.pain.00000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866819/psn-pdfSeptember 25, 2024 - Machine learning to enhance electronic detection of diagnostic errors. September 25, 2024 Zimolzak AJ, Wei L, Mir U, et al. Machine learning to enhance electronic detection of diagnostic errors. JAMA Netw Open. 2024;7(9):e2431982. doi:10.1001/jamanetworkopen.2024.31982. https://psnet.ahrq.gov/issue/machine-learnin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866351/psn-pdfJuly 24, 2024 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. July 24, 2024 Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health Care. 2024;36(3):mzae057. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861289/psn-pdfJanuary 01, 2025 - Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. January 24, 2024 Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50795/psn-pdfJanuary 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis. January 15, 2020 Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…
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