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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866808/psn-pdf
    September 25, 2024 - What is safety leadership? A systematic review of definitions. September 25, 2024 Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. https://psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-defini…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47566/psn-pdf
    January 30, 2019 - Important factors for effective patient safety governance auditing: a questionnaire survey. January 30, 2019 van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. doi:10.1186/s12913-018-3577-9. h…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73285/psn-pdf
    May 19, 2021 - The mindful path to nursing accuracy: a quasi- experimental study on minimizing medication administration errors. May 19, 2021 Ekkens CL, Gordon PA. The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. Holist Nurs Pract. 2021;35(3):115-122. doi:10.1097/h…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48032/psn-pdf
    July 10, 2019 - Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. July 10, 2019 Liu JJ, Rotteau L, Bell CM, et al. Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. BMJ Qual…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74264/psn-pdf
    January 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. January 19, 2022 Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842766/psn-pdf
    January 18, 2023 - Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial. January 18, 2023 Doctor JN, Stewart E, Lev R, et al. Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical tri…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864857/psn-pdf
    March 20, 2024 - Safety on the ground: using critical incident technique to explore the factors influencing medical registrars' provision of safe care. March 20, 2024 Ralston K, Smith SE, Kerins J, et al. Safety on the ground: using critical incident technique to explore the factors influencing medical registrars’ provision of saf…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46715/psn-pdf
    May 02, 2018 - Filling the gap: simulation-based crisis resource management training for emergency medicine residents. May 2, 2018 Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management training for emergency medicine residents. West J Emerg Med. 2018;19(1):205-210. doi:10.5811/wes…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46962/psn-pdf
    April 25, 2018 - Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety- net health system. April 25, 2018 Chung C, Patel S, Lee R, et al. Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system. A…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837316/psn-pdf
    June 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. June 1, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. AHRQ Publication No. 22-0027. https://psnet.ahrq.gov/issue/2022-updated-results-a…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47374/psn-pdf
    April 07, 2019 - Developing a conceptual framework for patient safety culture in emergency department: a review of the literature. April 7, 2019 Alshyyab MA, FitzGerald G, Dingle K, et al. Developing a conceptual framework for patient safety culture in emergency department: A review of the literature. Int J Health Plann Manage. 20…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39913/psn-pdf
    October 13, 2010 - The frequency of diagnostic errors in radiologic reports depends on the patient's age. October 13, 2010 Diaz S, Ekberg O. The frequency of diagnostic errors in radiologic reports depends on the patient's age. Acta Radiol. 2010;51(8):934-8. doi:10.3109/02841851.2010.503192. https://psnet.ahrq.gov/issue/frequency-di…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. September 1, 2018 Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability Following Medical Errors: The …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46873/psn-pdf
    June 27, 2018 - Diagnostic errors and the bedside clinical examination. June 27, 2018 Clark BW, Derakhshan A, Desai S. Diagnostic Errors and the Bedside Clinical Examination. Med Clin North Am. 2018;102(3):453-464. doi:10.1016/j.mcna.2017.12.007. https://psnet.ahrq.gov/issue/diagnostic-errors-and-bedside-clinical-examination Diag…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72661/psn-pdf
    January 20, 2021 - An intervention to increase situational awareness and the Culture of Mutual Care (Foco) and its effects during COVID-19 pandemic: a randomized controlled trial and qualitative analysis. January 20, 2021 Kozasa EH, Lacerda SS, Polissici MA, et al. An Intervention to Increase Situational Awareness and the Culture o…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50851/psn-pdf
    January 29, 2020 - International evaluation of an AI system for breast cancer screening. January 29, 2020 McKinney SM, Sieniek M, Godbole V, et al. International evaluation of an AI system for breast cancer screening. Nature. 2020;577(7788):89-94. doi:10.1038/s41586-019-1799-6. https://psnet.ahrq.gov/issue/international-evaluation-a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72574/psn-pdf
    December 16, 2020 - Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. December 16, 2020 Huang C, Koppel R, McGreevey JD, et al. Transitions from one electronic health record to another: challenges, pitfalls, and recommendations. Appl Clin Inform. 2020;11(05):742-754. doi:10.1055/s-004…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46182/psn-pdf
    June 28, 2017 - What we know about designing an effective improvement intervention (but too often fail to put into practice). June 28, 2017 Marshall M, de Silva D, Cruickshank L, et al. What we know about designing an effective improvement intervention (but too often fail to put into practice). BMJ Qual Saf. 2016;26(7). doi:10.113…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866317/psn-pdf
    July 17, 2024 - BONE break: a hot debrief tool to reduce second victim syndrome for nurses. July 17, 2024 Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005. https://psnet.ahrq.gov/issue/bone…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45256/psn-pdf
    July 01, 2017 - Applied use of safety event occurrence control charts of harm and non-harm events: a case study. July 1, 2017 Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291. doi:10.1177/1062860616646197. https://p…
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