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  1. 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…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45630/psn-pdf
    March 29, 2017 - Do leadership style, unit climate, and safety climate contribute to safe medication practices? March 29, 2017 Farag A, Tullai-McGuinness S, Anthony MK, et al. Do Leadership Style, Unit Climate, and Safety Climate Contribute to Safe Medication Practices? J Nurs Adm. 2017;47(1):8-15. https://psnet.ahrq.gov/issue/do-…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43345/psn-pdf
    July 16, 2014 - Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. July 16, 2014 Fakih MG, Heavens M, Grotemeyer J, et al. Avoiding potential harm by improving appropriateness of urinary catheter use in 18 emergency departments. Ann Emerg Med. 2014;63(6):761-8.e1. doi:10.1016…

  4. 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 …

  5. 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…

  6. 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…

  7. 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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46314/psn-pdf
    November 01, 2020 - AHRQ Safety Program for Improving Antibiotic Use. July 9, 2019 Agency for Healthcare Research and Quality, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, and University of Chicago. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-antibiotic-use Improving antibiotic use is a st…

  9. 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35762/psn-pdf
    January 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72832/psn-pdf
    March 10, 2021 - Communication and Transparency as a Means to Strengthening Workplace Culture During COVID-19. March 10, 2021 Nadkarni A, Levy-Carrick NC, Kroll DS, et al. Communication And Transparency As A Means To Strengthening Workplace Culture During Covid-19. National Academy of Medicine; 2021. doi:10.31478/202103a. https:/…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45766/psn-pdf
    February 08, 2017 - Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use. February 8, 2017 Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy and Management at Brandeis University; 2016. https://psnet.ahrq.gov/issue/prescription-drug-monit…

  13. 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…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836753/psn-pdf
    March 16, 2022 - Inequities in quality and safety outcomes for hospitalized children with intellectual disability. March 16, 2022 Mimmo L, Harrison R, Travaglia J, et al. Inequities in quality and safety outcomes for hospitalized children with intellectual disability. Dev Med Child Neurol. 2022;64(3):314-322. doi:10.1111/dmcn.15066…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46821/psn-pdf
    June 06, 2018 - Focus on the Quadruple Aim: development of a resiliency center to promote faculty and staff wellness initiatives. June 6, 2018 Morrow E, Call M, Marcus R, et al. Focus on the Quadruple Aim: Development of a Resiliency Center to Promote Faculty and Staff Wellness Initiatives. Jt Comm J Qual Patient Saf. 2018;44(5):2…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47161/psn-pdf
    July 25, 2018 - Quality and the health system: becoming a high reliability organization. July 25, 2018 Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. https://psnet.ahrq.gov/issue/quality-and-health-system-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36045/psn-pdf
    November 10, 2011 - IHI announces that hospitals participating in 100,000 Lives Campaign have saved an estimated 122,300 lives. November 10, 2011 https://psnet.ahrq.gov/issue/ihi-announces-hospitals-participating-100000-lives-campaign-have-saved- estimated-122300-lives In December 2004, the Institute for Healthcare Improvement (IHI) …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47257/psn-pdf
    September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. September 26, 2018 Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events. J Pa…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50378/psn-pdf
    September 25, 2019 - Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. September 25, 2019 Lewis-Pierre LT, Anglade D, Saber D, et al. Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center. J Nurs Manag. 2019;27(5):1005-1010.…

  20. 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…
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