-
psnet.ahrq.gov/node/48064/psn-pdf
June 12, 2019 - Lives Lost, Lives Saved: An Updated Comparative
Analysis of Avoidable Deaths at Hospitals Graded by The
Leapfrog Group.
June 12, 2019
Austin M, Derk J. Baltimore, MD: Armstrong Institute for Patient Safety and Quality, and Johns Hopkins
Medicine; May 2019.
https://psnet.ahrq.gov/issue/lives-lost-lives-saved-updat…
-
psnet.ahrq.gov/node/34863/psn-pdf
June 12, 2007 - Internal Bleeding: The Truth Behind America's Terrifying
Epidemic of Medical Mistakes. Updated edition.
June 12, 2007
Wachter R, Shojania K. New York: Rugged Land; 2005. ISBN: 9781590710739.
https://psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes-
updated-edition
…
-
psnet.ahrq.gov/node/837903/psn-pdf
August 24, 2022 - The impact of drug error reduction software on
preventing harmful adverse drug events in England: a
retrospective database study.
August 24, 2022
Sutherland A, Gerrard WS, Patel A, et al. The impact of drug error reduction software on preventing
harmful adverse drug events in England: a retrospective database stud…
-
psnet.ahrq.gov/node/47121/psn-pdf
August 08, 2018 - Assessment of programs aimed to decrease or prevent
mistreatment of medical trainees.
August 8, 2018
Mazer LM, Bereknyei Merrell S, Hasty BN, et al. Assessment of Programs Aimed to Decrease or Prevent
Mistreatment of Medical Trainees. JAMA Netw Open. 2018;1(3):e180870.
doi:10.1001/jamanetworkopen.2018.0870.
https…
-
psnet.ahrq.gov/node/74705/psn-pdf
January 26, 2022 - 20 years after To Err Is Human: a bibliometric analysis of
‘the IOM report’s’ impact on research on patient safety.
January 26, 2022
St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the
IOM report’s’ impact on research on patient safety. Safety Sci. 2021;147:1055…
-
psnet.ahrq.gov/node/45817/psn-pdf
October 25, 2017 - The Case for Investing in Patient Safety in Canada.
October 25, 2017
RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017.
https://psnet.ahrq.gov/issue/case-investing-patient-safety-canada
Medical error and patient harm affect individuals and organizations around the world. This report estimates
that…
-
psnet.ahrq.gov/node/60898/psn-pdf
September 09, 2020 - Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system.
September 9, 2020
Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric
medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-…
-
psnet.ahrq.gov/node/44157/psn-pdf
November 06, 2015 - Are measurements of patient safety culture and adverse
events valid and reliable? Results from a cross sectional
study.
November 6, 2015
Farup PG. Are measurements of patient safety culture and adverse events valid and reliable? Results from
a cross sectional study. BMC Health Serv Res. 2015;15:186. doi:10.1186/s1…
-
psnet.ahrq.gov/node/45451/psn-pdf
October 05, 2016 - Healthcare professional and patient codesign and
validation of a mechanism for service users to feedback
patient safety experiences following a care transfer: a
qualitative study.
October 5, 2016
Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and validation of a
mechanism for ser…
-
psnet.ahrq.gov/node/45214/psn-pdf
July 13, 2016 - Recognizing quality improvement and patient safety
activities in academic promotion in departments of
medicine: innovative language in promotion criteria.
July 13, 2016
Staiger TO, Mills LM, Wong BM, et al. Recognizing Quality Improvement and Patient Safety Activities in
Academic Promotion in Departments of Medici…
-
psnet.ahrq.gov/node/48078/psn-pdf
August 14, 2019 - Prompting rounding teams to address a daily best
practice checklist in a pediatric intensive care unit.
August 14, 2019
Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a
pediatric intensive care unit. Jt Comm J Qual Patient Saf. 2019;45(8):543-551.
doi:10.…
-
psnet.ahrq.gov/node/34678/psn-pdf
February 09, 2011 - Changes in rates of autopsy-detected diagnostic errors
over time: a systematic review.
February 9, 2011
Shojania KG, Burton EC, McDonald KM, et al. Changes in rates of autopsy-detected diagnostic errors over
time: a systematic review. JAMA. 2003;289(21):2849-2856.
https://psnet.ahrq.gov/issue/changes-rates-autopsy…
-
psnet.ahrq.gov/node/45695/psn-pdf
December 14, 2016 - Significant reduction in preanalytical errors for
nonphlebotomy blood draws after implementation of a
novel integrated specimen collection module.
December 14, 2016
Le RD, Melanson SEF, Petrides AK, et al. Significant Reduction in Preanalytical Errors for Nonphlebotomy
Blood Draws After Implementation of a Novel I…
-
psnet.ahrq.gov/node/47174/psn-pdf
June 13, 2018 - Safe handling of concentrated electrolyte products from
outsourcing facilities during critical drug shortages.
June 13, 2018
National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American
Society of Health-System Pharmacists. May 24, 2018.
https://psnet.ahrq.gov/issue/safe-han…
-
psnet.ahrq.gov/node/36186/psn-pdf
September 30, 2010 - Findings of the first consensus conference on medical
emergency teams.
September 30, 2010
DeVita MA, Bellomo R, Hillman KM, et al. Findings of the First Consensus Conference on Medical
Emergency Teams*. Crit Care Med. 2006;34(9). doi:10.1097/01.ccm.0000235743.38172.6e.
https://psnet.ahrq.gov/issue/findings-first-c…
-
psnet.ahrq.gov/node/865338/psn-pdf
March 27, 2024 - Analysis of intervention employability in pharmacy-
related medication safety reports at a tertiary medical
center.
March 27, 2024
Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related
medication safety reports at a tertiary medical center. Hosp Pharm. 2024;59(2):210-…
-
psnet.ahrq.gov/node/47379/psn-pdf
November 14, 2018 - Analysis of medication therapy discontinuation orders in
new electronic prescriptions and opportunities for
implementing CancelRx.
November 14, 2018
Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new
electronic prescriptions and opportunities for implementing C…
-
psnet.ahrq.gov/node/33717/psn-pdf
September 01, 2011 - Incident Reporting: More Attention to the Safety Action
Feedback Loop, Please
September 1, 2011
Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet
[internet]. 2011.
https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
…
-
psnet.ahrq.gov/web-mm/danger-disruption
July 29, 2020 - Danger in Disruption
Citation Text:
Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…
-
psnet.ahrq.gov/node/50769/psn-pdf
February 15, 2017 - Cultural Competence and Patient Safety
December 27, 2019
Brach C, Hall KK, Fitall E. Cultural Competence and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/cultural-competence-and-patient-safety
Background
Culture can be defined as the “personal identification, language, thoughts, co…