-
psnet.ahrq.gov/node/46655/psn-pdf
December 13, 2017 - Gender, power and leadership: the effect of a superior's
gender on respiratory therapists' ability to challenge
leadership during a life-threatening emergency.
December 13, 2017
Pattni N, Bould MD, Hayter MA, et al. Gender, power and leadership: the effect of a superior's gender on
respiratory therapists' ability …
-
psnet.ahrq.gov/node/50589/psn-pdf
October 30, 2019 - Missed serious neurologic conditions in emergency
department patients discharged with nonspecific
diagnoses of headache or back pain.
October 30, 2019
Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department
Patients Discharged With Nonspecific Diagnoses of Headache or Back …
-
psnet.ahrq.gov/node/838183/psn-pdf
September 28, 2022 - Adding automation and independent dual verification to
reduce wrong blood in tube (WBIT) events.
September 28, 2022
Passwater M, Huggins YM, Delvo Favre ED, et al. Adding automation and independent dual verification to
reduce wrong blood in tube (WBIT) events. Am J Clin Pathol. 2022;158(2):212-215.
doi:10.1093/ajc…
-
psnet.ahrq.gov/node/45781/psn-pdf
July 02, 2017 - Reduction of medication errors related to sliding scale
insulin by the introduction of a standardized order sheet.
July 2, 2017
Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the
introduction of a standardized order sheet. J Eval Clin Pract. 2017;23(3):582-5…
-
psnet.ahrq.gov/node/36583/psn-pdf
January 14, 2011 - The effect of workload on infection risk in critically ill
patients.
January 14, 2011
Hugonnet S, Chevrolet J-C, Pittet D. The effect of workload on infection risk in critically ill patients. Crit
Care Med. 2007;35(1):76-81.
https://psnet.ahrq.gov/issue/effect-workload-infection-risk-critically-ill-patients
Lower…
-
psnet.ahrq.gov/node/50884/psn-pdf
February 12, 2020 - Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization.
February 12, 2020
Goyal P, Kneifati-Hayek J, Archambault A, et al. Prescribing patterns of heart failure-exacerbating
medications following a heart failure hospitalization. JACC Heart Fail. 2019;8(1):25-34.
do…
-
psnet.ahrq.gov/node/44921/psn-pdf
March 02, 2016 - Effective Board Governance of Safe Care: A (Theoretically
Underpinned) Cross-sectioned Examination of the
Breadth and Depth of Relationships through National
Quantitative Surveys and In-depth Qualitative Case
Studies.
March 2, 2016
Mannion R, Freeman T, Millar R, Davies H. Health and Social Care Delivery Research…
-
psnet.ahrq.gov/node/45217/psn-pdf
June 15, 2016 - Drug-related harms in hospitalized Medicare
beneficiaries: results from the Healthcare Cost and
Utilization Project, 2000–2008.
June 15, 2016
Shamliyan TA, Kane RL. Drug-Related Harms in Hospitalized Medicare Beneficiaries: Results From the
Healthcare Cost and Utilization Project, 2000-2008. J Patient Saf. 2016;12…
-
psnet.ahrq.gov/node/45563/psn-pdf
October 19, 2016 - Using a change model to reduce the risk of surgical site
infection.
October 19, 2016
Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-
955.
https://psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
Surgical site infections can resul…
-
psnet.ahrq.gov/node/43780/psn-pdf
September 09, 2015 - Rapid response systems and collective (in)competence:
an exploratory analysis of intraprofessional and
interprofessional activation factors.
September 9, 2015
Kitto S, Marshall SD, McMillan SE, et al. Rapid response systems and collective (in)competence: An
exploratory analysis of intraprofessional and interprofes…
-
psnet.ahrq.gov/node/843412/psn-pdf
February 01, 2023 - Patient and hospital characteristics associated with
delayed diagnosis of appendicitis.
February 1, 2023
Reyes AM, Royan R, Feinglass J, et al. Patient and hospital characteristics associated with delayed
diagnosis of appendicitis. JAMA Surg. 2023;158(3):e227055. doi:10.1001/jamasurg.2022.7055.
https://psnet.ahrq.…
-
psnet.ahrq.gov/node/865679/psn-pdf
October 10, 2015 - Detecting medication order discrepancies in nursing
homes: how RNs and LPNs differ.
October 10, 2015
Vogelsmeier A, Anbari A, Ganong L, et al. Detecting medication order discrepancies in nursing homes: how
RNs and LPNs differ. J Nurs Reg. 2015;6(3):48-56. doi:10.1016/s2155-8256(15)30785-7.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/72650/psn-pdf
January 20, 2021 - A roadmap to advance patient safety in ambulatory care.
January 20, 2021
Singh H, Carayon P. A roadmap to advance patient safety in ambulatory care. JAMA. 2020;324(24):2481-
2482. doi:10.1001/jama.2020.18551.
https://psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
Preventable harm, such as diag…
-
psnet.ahrq.gov/node/45559/psn-pdf
November 09, 2016 - Differentiating between detrimental and beneficial
interruptions: a mixed-methods study.
November 9, 2016
Myers RA, McCarthy MC, Whitlatch A, et al. Differentiating between detrimental and beneficial
interruptions: a mixed-methods study. BMJ Qual Saf. 2016;25(11):881-888. doi:10.1136/bmjqs-2015-
004401.
https://p…
-
psnet.ahrq.gov/node/848043/psn-pdf
April 26, 2023 - Tools for establishing a sustainable safety culture within
maternity services: a retrospective case study.
April 26, 2023
Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within
maternity services: a retrospective case study. SAGE Open Med. 2023;11:205031212311642.
doi…
-
psnet.ahrq.gov/node/841472/psn-pdf
December 14, 2022 - Reducing potential errors associated with insulin
administration: an integrative review.
December 14, 2022
Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval
Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668.
https://psnet.ahrq.gov/issue/reducing-pote…
-
psnet.ahrq.gov/node/47298/psn-pdf
September 24, 2018 - Physician engagement in malpractice risk reduction: a
UPHS case study.
September 24, 2018
Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS
Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/46601/psn-pdf
January 25, 2018 - Night-time communication at Stanford University
Hospital: perceptions, reality and solutions.
January 25, 2018
Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality
and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjqs-2017-006727.
https://psnet.ah…
-
psnet.ahrq.gov/node/45104/psn-pdf
June 08, 2016 - Implementing a distraction-free practice with the Red
Zone Medication Safety initiative.
June 8, 2016
Connor JA, Ahern JP, Cuccovia B, et al. Implementing a Distraction-Free Practice With the Red Zone
Medication Safety Initiative. Dimens Crit Care Nurs. 2016;35(3):116-24.
doi:10.1097/DCC.0000000000000179.
https:/…
-
psnet.ahrq.gov/node/45090/psn-pdf
July 01, 2016 - Association between the Centers for Medicare and
Medicaid Services hospital star rating and patient
outcomes.
July 1, 2016
Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid
Services Hospital Star Rating and Patient Outcomes. JAMA Intern Med. 2016;176(6):848-50.
doi:…