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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837307/psn-pdfJune 01, 2022 - Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring the perspective of patients and family. June 1, 2022 McQueen JM, Gibson KR, Manson M, et al. Adverse event reviews in healthcare: what matters to patients and their family? A qualitative study exploring th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867447/psn-pdfJanuary 08, 2025 - The influence of hospital physician integration on culture of patient safety. January 8, 2025 Upadhyay S, Chien L-C. The influence of hospital physician integration on culture of patient safety. J Patient Saf. 2024;20(8):542-548. doi:10.1097/pts.0000000000001280. https://psnet.ahrq.gov/issue/influence-hospital-phy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73165/psn-pdfApril 21, 2021 - Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. April 21, 2021 Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. J Amer Med Inform Assoc. 2020;28(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837853/psn-pdfAugust 17, 2022 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Lambert BL, Schiff GD. RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. J Am Coll Clin Pharm. 2022;5(9):981-987. doi:10.1002/ja… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846454/psn-pdfMarch 22, 2023 - Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. March 22, 2023 Society for Maternal-Fetal Medicine Special Statement: curriculum outline on patient safety and quality for maternal-fetal medicine fellows. Am J Obstet Gyneco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860732/psn-pdfApril 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45877/psn-pdfJuly 19, 2017 - Piece of my mind. Stories doctors tell. July 19, 2017 Moniz T, Lingard LA, Watling C. Stories Doctors Tell. JAMA. 2017;318(2):124-125. doi:10.1001/jama.2017.5518. https://psnet.ahrq.gov/issue/piece-my-mind-stories-doctors-tell The sharing of stories is a key method to provide context to drive change. The authors e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73714/psn-pdfSeptember 15, 2021 - Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021 Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. Report No. 21-01502-240. https://psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36837/psn-pdfDecember 03, 2018 - Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. December 3, 2018 Weick KE, Sutcliffe KM. Hospitals as Cultures of Entrapment: A Re-Analysis of the Bristol Royal Infirmary. Calif Manage Rev. 2012;45(2):73-84. doi:10.2307/41166166. https://psnet.ahrq.gov/issue/hospitals-cultures-en… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47596/psn-pdfMarch 27, 2019 - Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. March 27, 2019 Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnost… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837058/psn-pdfMay 11, 2022 - Establishing psychological safety in clinical supervision: multi-professional perspectives. May 11, 2022 Lee EH, Pitts S, Pignataro S, et al. Establishing psychological safety in clinical supervision: multi? professional perspectives. Clin Teach. 2022;19(2):71-78. doi:10.1111/tct.13451. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46072/psn-pdfNovember 08, 2017 - Repeat prescribing of medications: a system-centred risk management model for primary care organisations. November 8, 2017 Price J, Man SL, Bartlett S, et al. Repeat prescribing of medications: A system-centred risk management model for primary care organisations. J Eval Clin Pract. 2017;23(4):779-796. doi:10.1111/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47841/psn-pdfApril 24, 2019 - Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. April 24, 2019 Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1136/bmj.l706. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38071/psn-pdfFebruary 15, 2011 - A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. February 15, 2011 Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184- 190. doi:10.1097/pts.0b013e318184a9d5. https://psnet.ahrq.gov/issue/multifaceted-appr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852459/psn-pdfAugust 16, 2023 - Reimagining Healthcare Teams: Leveraging the Patient- Clinician-AI Triad To Improve Diagnostic Safety. August 16, 2023 James C, Singh K, Valley TS, et al. Rockville, MD; Agency for Healthcare Research and Quality; July 2023. AHRQ Publication No. 23-0040-4-EF. https://psnet.ahrq.gov/issue/reimagining-healthcare-tea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60791/psn-pdfAugust 12, 2020 - Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. August 12, 2020 Dekker - van Doorn C, Wauben LSGL, van Wijngaarden JDH, et al. Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study. BMC Health Serv Res. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863750/psn-pdfMarch 06, 2024 - "Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. March 6, 2024 Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better managing the paradox of planning versus ada… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46445/psn-pdfDecember 19, 2017 - An appeal for evidence-based resident duty hours reform. December 19, 2017 Khoong EC, Linker AS. An Appeal for Evidence-Based Resident Duty Hours Reform. JAMA Intern Med. 2017;177(11):1555-1556. doi:10.1001/jamainternmed.2017.4469. https://psnet.ahrq.gov/issue/appeal-evidence-based-resident-duty-hours-reform The i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837335/psn-pdfJune 08, 2022 - Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review. June 8, 2022 Driesen BEJM, Baartmans M, Merten H, et al. Root cause analysis using the prevention and recovery information system for monitoring and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73622/psn-pdfAugust 25, 2021 - The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. August 25, 2021 Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health Serv Res. 2021;21(1):773. doi:10.1…
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