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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43869/psn-pdfNovember 03, 2015 - Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. November 3, 2015 Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective analysis of all reported safety events 2005 to 2011. Int J Med In… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42923/psn-pdfSeptember 26, 2017 - Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. September 26, 2017 Vaida AJ, Lamis RL, Smetzer JL, et al. Assessing the State of Safe Medication Practices Using the ISMP Medication Safety Self Assessment ® for Hospitals: 2000 and 2011.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42039/psn-pdfDecember 31, 2014 - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. December 31, 2014 Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47531/psn-pdfJune 19, 2019 - Patient Safety. June 19, 2019 Health Aff (Millwood). 2018;37(11):1723-1908. https://psnet.ahrq.gov/issue/patient-safety-14 The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37544/psn-pdfJune 16, 2011 - Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. June 16, 2011 Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training progr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45385/psn-pdfJanuary 03, 2017 - Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. January 3, 2017 Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39045/psn-pdfApril 04, 2011 - Risks of complications by attending physicians after performing nighttime procedures. April 4, 2011 Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/jama.2009.1423. https://psnet.ahrq.gov/issue/risks-complications-attendi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42333/psn-pdfJune 05, 2013 - Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. June 5, 2013 DiDiodato G. Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44197/psn-pdfNovember 03, 2015 - Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. November 3, 2015 Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Ann Su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46806/psn-pdfJanuary 01, 2020 - Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. February 28, 2018 Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40221/psn-pdfJuly 21, 2011 - The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. July 21, 2011 Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the emergency department and adverse events in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40565/psn-pdfJune 29, 2011 - National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011 Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. J Emerg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41212/psn-pdfMarch 14, 2012 - A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. March 14, 2012 de Feijter JM, de Grave WS, Muijtjens AM, et al. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complain… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42298/psn-pdfDecember 31, 2014 - Using statistical text classification to identify health information technology incidents. December 31, 2014 Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10.1136/amiajnl-2012-001409. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46864/psn-pdfAugust 17, 2018 - Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. August 17, 2018 Wong A, Amato MG, Seger DL, et al. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. BMJ Qual Saf. 2018;27(9):718-724. doi:10.1136… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47149/psn-pdfJune 06, 2018 - Reducing serious safety events and priority hospital- acquired conditions in a pediatric hospital with the implementation of a patient safety program. June 6, 2018 Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in a Pediatric Hospital with the Imp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42938/psn-pdfFebruary 12, 2014 - Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. February 12, 2014 Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J Infect Control. 2014;42(2):139-43… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43419/psn-pdfOctober 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. October 20, 2014 McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43687/psn-pdfNovember 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46902/psn-pdfAugust 20, 2018 - Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. August 20, 2018 Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. BMJ Qual Saf. 2018;27(9…
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