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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45939/psn-pdf
    March 01, 2017 - Examining the Copy and Paste Function in the Use of Electronic Health Records. March 1, 2017 Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce; January 19, 2017. NIST Interagency/Internal Report (NISTIR)-8166. https://p…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837666/psn-pdf
    July 13, 2022 - Developing and aligning a safety event taxonomy for inpatient psychiatry. July 13, 2022 Barnes T, Fontaine T, Bautista C, et al. Developing and aligning a safety event taxonomy for inpatient psychiatry. J Patient Saf. 2022;18(4):e704-e713. doi:10.1097/pts.0000000000000935. https://psnet.ahrq.gov/issue/developing-a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866350/psn-pdf
    July 24, 2024 - Living with the aftermath: the second victim experience among certified registered nurse anesthetists. July 24, 2024 Kruse JA, Podojil-Kostecki P, Smith B. Living with the aftermath: the second victim experience among certified registered nurse anesthetists. AANA J. 2024;92(3):173-180. https://psnet.ahrq.gov/issue…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36088/psn-pdf
    September 28, 2010 - Impact and implications of disruptive behavior in the perioperative arena. September 28, 2010 Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41414/psn-pdf
    June 06, 2012 - Factors associated with reported preventable adverse drug events: a retrospective, case-control study. June 6, 2012 Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46(5):634-41. doi:10.1345/aph.1Q785. h…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44280/psn-pdf
    July 15, 2015 - Innovation in practice: a multidisciplinary medication safety initiative. July 15, 2015 Eid KA. Innovation in practice: A multidisciplinary medication safety initiative. Nursing. 2015;45(7):14-6. doi:10.1097/01.NURSE.0000466458.62870.99. https://psnet.ahrq.gov/issue/innovation-practice-multidisciplinary-medication…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47802/psn-pdf
    March 04, 2019 - The path to diagnostic excellence includes feedback to calibrate how clinicians think. March 4, 2019 Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738. doi:10.1001/jama.2019.0113. https://psnet.ahrq.gov/issue/path-diagnostic-excelle…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34662/psn-pdf
    December 24, 2008 - User's manual for the IOM's 'Quality Chasm' report. December 24, 2008 Berwick DM. A user's manual for the IOM's 'Quality Chasm' report. Health Aff (Millwood). 2002;21(3):80-90. https://psnet.ahrq.gov/issue/users-manual-ioms-quality-chasm-report Fifteen months after releasing its report on patient safety (To Err Is …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74102/psn-pdf
    January 01, 2022 - Workforce planning and safe workload in sterile compounding hospital pharmacy services. November 24, 2021 Chaker A, Omair I, Mohamed WH, et al. Workforce planning and safe workload in sterile compounding hospital pharmacy services. Am J Health Syst Pharm. 2022;79(3):187–192. doi:10.1093/ajhp/zxab379. https://psnet…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35159/psn-pdf
    January 02, 2017 - Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. January 2, 2017 Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13. https://psnet.ahrq.gov…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47068/psn-pdf
    June 25, 2018 - The need for closed-loop systems for management of abnormal test results. June 25, 2018 Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. https://psnet.ahrq.gov/issue/need-closed-loop-systems…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849122/psn-pdf
    May 17, 2023 - Structural racism in behavioral health presentation and management. May 17, 2023 Rainer T, Lim JK, He Y, et al. Structural racism in behavioral health presentation and management. Hosp Pediatr. 2023;13(5):461-470. doi:10.1542/hpeds.2023-007133. https://psnet.ahrq.gov/issue/structural-racism-behavioral-health-prese…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838193/psn-pdf
    September 28, 2022 - Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. September 28, 2022 de Bienassis K, Esmail L, Lopert R, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2022. OECD Health Working Papers, No. 147. …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47586/psn-pdf
    March 20, 2019 - Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. March 20, 2019 Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Intraoperative Blood Component Admin…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73125/psn-pdf
    April 07, 2021 - Black Patients are More Likely Than White Patients to be in Hospitals with Worse Patient Safety Conditions. April 7, 2021 Gangopadhyaya A. Washington DC: Urban Institute; March 29, 2021. https://psnet.ahrq.gov/issue/black-patients-are-more-likely-white-patients-be-hospitals-worse-patient- safety-conditions Racial…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39600/psn-pdf
    June 16, 2010 - Developing a patient safety surveillance system to identify adverse events in the intensive care unit. June 16, 2010 Stockwell DC, Kane-Gill SL. Developing a patient safety surveillance system to identify adverse events in the intensive care unit. Crit Care Med. 2010;38(6 Suppl):S117-25. doi:10.1097/CCM.0b013e3181d…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74003/psn-pdf
    October 27, 2021 - Test-retest reliability of an experienced Global Trigger Tool review team. October 27, 2021 Bjørn B, Anhøj J, Østergaard M, et al. Test-retest reliability of an experienced Global Trigger Tool review team. J Patient Saf. 2021;17(7):e593-e598. doi:10.1097/pts.0000000000000433. https://psnet.ahrq.gov/issue/test-rete…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47923/psn-pdf
    April 17, 2019 - Improving employee voice about transgressive or disruptive behavior: a case study. April 17, 2019 Dixon-Woods M, Campbell A, Martin G, et al. Improving Employee Voice About Transgressive or Disruptive Behavior: A Case Study. Acad Med. 2019;94(4):579-585. doi:10.1097/ACM.0000000000002447. https://psnet.ahrq.gov/iss…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35909/psn-pdf
    October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing Harm to Patients. October 7, 2008 McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006. https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients This report presents ten case studies to illustrate interventions that address p…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35365/psn-pdf
    February 17, 2011 - Accidental deaths, saved lives, and improved quality. February 17, 2011 Brennan TA, Gawande AA, Thomas EJ, et al. Accidental Deaths, Saved Lives, and Improved Quality. New England Journal of Medicine. 2005;353(13). doi:10.1056/nejmsb051157. https://psnet.ahrq.gov/issue/accidental-deaths-saved-lives-and-improved-qua…
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