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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43283/psn-pdf
    June 25, 2014 - Development, implementation, and dissemination of the I- PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. June 25, 2014 Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I- PASS handoff curriculum: A multisite educational in…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60823/psn-pdf
    August 19, 2020 - Disaster ergonomics: human factors in COVID-19 pandemic emergency management. August 19, 2020 Sasangohar F, Moats J, Mehta R, et al. Disaster ergonomics: human factors in COVID-19 pandemic emergency management. Hum Factors. 2020;62(7):1061-1068. doi:10.1177/0018720820939428. https://psnet.ahrq.gov/issue/disaster-e…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846147/psn-pdf
    March 15, 2023 - Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta- analysis. March 15, 2023 Eppler MB, Sayegh AS, Maas M, et al. Automated capture of intraoperative adverse events using artificial intelligence: a systematic review and meta-analysis. J Clin Med. 2023;12(…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37929/psn-pdf
    February 18, 2011 - Impact of duty hour regulations on medical students' education: views of key clinical faculty. February 18, 2011 Reed DA, Levine RB, Miller RG, et al. Impact of duty hour regulations on medical students' education: views of key clinical faculty. J Gen Intern Med. 2008;23(7):1084-9. doi:10.1007/s11606-008-0532-1. h…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851191/psn-pdf
    July 05, 2023 - Disclosing medical errors: prioritising the needs of patients and families. July 5, 2023 Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. https://psnet.ahrq.gov/issue/disclosing-med…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837759/psn-pdf
    January 01, 2023 - Employee silence in health care: charting new avenues for leadership and management. August 3, 2022 Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for leadership and management. Health Care Manage Rev. 2023;48(1):52-60. doi:10.1097/hmr.0000000000000349. https://ps…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73699/psn-pdf
    September 15, 2021 - Making safety training stickier: a richer model of safety training engagement and transfer. September 15, 2021 Casey T, Turner N, Hu X, et al. Making safety training stickier: a richer model of safety training engagement and transfer. J Safety Res. 2021;78:303-313. doi:10.1016/j.jsr.2021.06.004. https://psnet.ahrq…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61032/psn-pdf
    October 14, 2020 - System Governance Towards Improved Patient Safety: Key Functions, Approaches and Pathways to Implementation. October 14, 2020 Auraaen A, Saar K, Klazinga N for the Organisation for Economic Co-operation and Development. OECD Publishing, Paris, France; 2020. OECD Health Working Papers, No. 120. https://psnet.ahrq.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34777/psn-pdf
    February 16, 2011 - Systems errors versus physicians' errors: finding the balance in medical education. February 16, 2011 Casarett D, Helms C. Systems errors versus physicians' errors: finding the balance in medical education. Acad Med. 1999;74(1):19-22. https://psnet.ahrq.gov/issue/systems-errors-versus-physicians-errors-finding-bal…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47279/psn-pdf
    July 23, 2018 - No Place Like Home: Advancing the Safety of Care in the Home. July 23, 2018 Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home The home care setting harbors unique challenges to patient safety. This report builds on a previous evidence ass…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33931/psn-pdf
    June 23, 2015 - An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. June 23, 2015 Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Anesthesiology. 1984;60(…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43336/psn-pdf
    July 09, 2014 - Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? July 9, 2014 Rutter P, Brown D, Howard J, et al. Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance? Drug Saf. 2014;37(…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60676/psn-pdf
    July 15, 2020 - Northeastern University Hospital Surge Capacity Planning Model: Bed, Ventilator, and PPE 1-30 Day Demand. July 15, 2020 Rockville, MD; Agency for Healthcare Research and Quality: 2020. https://psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator- and-ppe-1-30 The COVI…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46102/psn-pdf
    May 31, 2017 - Improving infusion pump safety through usability testing. May 31, 2017 Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208. https://psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-t…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849136/psn-pdf
    May 17, 2023 - Using morbidity and mortality conferences to drive quality improvement and reduce errors. May 17, 2023 Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. https://psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and- reduce-errors Morbidity and mortality (…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73250/psn-pdf
    May 12, 2021 - Adverse events associated with home blood transfusion: a retrospective cohort study. May 12, 2021 Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.15734. https://psnet.ahrq.gov/issue…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846151/psn-pdf
    March 15, 2023 - Managing safety in perioperative settings: strategies of meso-level nurse leaders. March 15, 2023 Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.0000000000000364. https://psnet.ahrq.gov/iss…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38988/psn-pdf
    October 07, 2009 - Resident duty-hour reform associated with increased morbidity following hip fracture. October 7, 2009 Browne JA, Cook C, Olson SA, et al. Resident duty-hour reform associated with increased morbidity following hip fracture. J Bone Joint Surg Am. 2009;91(9):2079-85. doi:10.2106/JBJS.H.01240. https://psnet.ahrq.gov/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60060/psn-pdf
    March 18, 2020 - The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. March 18, 2020 Dwyer PE, Watts CD. The benefits and burdens of working with patient safety organizations under the Patient Safety and Quality Improvement Act of 2005. J Health Life Sc…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73919/psn-pdf
    October 06, 2021 - Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. October 6, 2021 King AE, Gerolamo AM, Hass RW, et al. J Allied Health. 2021;50(3):175-181. https://psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-…
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