-
psnet.ahrq.gov/node/850909/psn-pdf
June 21, 2023 - Context matters: toward a multilevel perspective on
context in clinical reasoning and error.
June 21, 2023
Choi JJ, Durning SJ. Context matters: toward a multilevel perspective on context in clinical reasoning and
error. Diagnosis (Berl). 2023;10(2):89-95. doi:10.1515/dx-2022-0117.
https://psnet.ahrq.gov/issue/con…
-
psnet.ahrq.gov/node/37674/psn-pdf
June 16, 2011 - An overview of patient safety climate in the VA.
June 16, 2011
Hartmann CW, Rosen AK, Meterko M, et al. An overview of patient safety climate in the VA. Health Serv
Res. 2008;43(4):1263-84. doi:10.1111/j.1475-6773.2008.00839.x.
https://psnet.ahrq.gov/issue/overview-patient-safety-climate-va
Measurement of institut…
-
psnet.ahrq.gov/node/60158/psn-pdf
March 25, 2020 - Identifying adverse events: reflections on an imperfect
gold standard after 20 years of patient safety research.
March 25, 2020
Shojania KG, Marang-van de Mheen PJ. Identifying adverse events: reflections on an imperfect gold
standard after 20 years of patient safety research. BMJ Qual Saf. 2020;29(4). doi:10.1136/…
-
psnet.ahrq.gov/node/60732/psn-pdf
July 29, 2020 - Restructuring of a general surgery residency program in
an epicenter of the coronavirus disease 2019 pandemic:
lessons from New York City.
July 29, 2020
Juprasert JM, Gray KD, Moore MD, et al. Restructuring of a general surgery residency program in an
epicenter of the coronavirus disease 2019 pandemic: lessons fro…
-
psnet.ahrq.gov/node/850914/psn-pdf
June 21, 2023 - A call for safety: anticipating and mitigating risk across
an obstetrics and gynecology service line.
June 21, 2023
Combs A, Klein VR. A call for safety: anticipating and mitigating risk across an obstetrics and gynecology
service line. J Healthc Risk Manag. 2023;43(1):38-42. doi:10.1002/jhrm.21538.
https://psnet.…
-
psnet.ahrq.gov/node/43147/psn-pdf
July 19, 2017 - ACOG Committee Opinion #590: preparing for clinical
emergencies in obstetrics and gynecology.
July 19, 2017
Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies
in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5.
doi:10.1097/01.AOG.0000444442.04111.c6.
…
-
psnet.ahrq.gov/node/74106/psn-pdf
November 24, 2021 - Artificial intelligence for identifying the prevention of
medication incidents causing serious or moderate harm:
an analysis using incident reporters' views.
November 24, 2021
Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the prevention
of medication incidents caus…
-
psnet.ahrq.gov/node/46032/psn-pdf
May 03, 2017 - Leveraging the Partnership for Patients' initiative to
improve patient safety and quality within the Military
Health System.
May 3, 2017
King HB, Kesling K, Birk C, et al. Leveraging the Partnership for Patients' Initiative to Improve Patient
Safety and Quality Within the Military Health System. Mil Med. 2017;182(…
-
psnet.ahrq.gov/node/45791/psn-pdf
September 01, 2018 - Changes in physician practice patterns after
implementation of a communication-and-resolution
program.
September 1, 2018
Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of
a Communication-and-Resolution Program. Health Serv Res. 2016;51(Suppl 3):2516-2536.
doi:10.…
-
psnet.ahrq.gov/node/37011/psn-pdf
September 24, 2010 - What do medical records tell us about potentially harmful
co-prescribing?
September 24, 2010
Lafata JE, Simpkins J, Kaatz S, et al. What do medical records tell us about potentially harmful co-
prescribing? Jt Comm J Qual Patient Saf. 2007;33(7):395-400.
https://psnet.ahrq.gov/issue/what-do-medical-records-tell-us…
-
psnet.ahrq.gov/node/866937/psn-pdf
October 09, 2024 - Improving nursing home safety through adoption of a
practical resilient health care approach.
October 9, 2024
Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical
resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014. doi:10.1016/j.jamda.2024.03.124.
ht…
-
psnet.ahrq.gov/node/837767/psn-pdf
August 03, 2022 - How safe are paediatric emergency departments? A
national prospective cohort study.
August 3, 2022
Plint AC, Newton AS, Stang A, et al. How safe are paediatric emergency departments? A national
prospective cohort study. BMJ Qual Saf. 2022;31(11):806-817. doi:10.1136/bmjqs-2021-014608.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/849601/psn-pdf
May 31, 2023 - VHA's movement for change: implementing high-
reliability principles and practices.
May 31, 2023
Cox GR, Starr LM. VHA's movement for change: implementing high-reliability principles and practices. J
Healthc Manag. 2023;68(3):151-157. doi:10.1097/jhm-d-23-00056.
https://psnet.ahrq.gov/issue/vhas-movement-change-im…
-
psnet.ahrq.gov/node/46722/psn-pdf
March 20, 2018 - Nurses' clinical reasoning practices that support safe
medication administration: an integrative review of the
literature.
March 20, 2018
Rohde E, Domm E. Nurses' clinical reasoning practices that support safe medication administration: An
integrative review of the literature. J Clin Nurs. 2018;27(3-4):e402-e411. …
-
psnet.ahrq.gov/node/837338/psn-pdf
June 08, 2022 - Healthcare-related infections within nursing homes
(NHS): a qualitative study of care practices based on a
systemic approach.
June 8, 2022
Lefosse G, Rasero L, Bellandi T, et al. Healthcare-related infections within nursing homes (NHS): A
qualitative study of care practices based on a systemic approach. J Patient …
-
psnet.ahrq.gov/node/838240/psn-pdf
October 05, 2022 - Potentially inappropriate prescribing for adults living with
diabetes mellitus: a scoping review.
October 5, 2022
Ayalew MB, Spark MJ, Quirk F, et al. Potentially inappropriate prescribing for adults living with diabetes
mellitus: a scoping review. Int J Clin Pharm. 2022;44(4):860-872. doi:10.1007/s11096-022-01414-…
-
psnet.ahrq.gov/node/36515/psn-pdf
May 27, 2011 - Nurses' perceptions of causes of medication errors and
barriers to reporting.
May 27, 2011
Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and
barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33.
https://psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-e…
-
psnet.ahrq.gov/node/847723/psn-pdf
April 19, 2023 - Efforts to improve the safety culture of the elderly in
nursing homes: a qualitative study.
April 19, 2023
Indarwati R, Efendi F, Fauziningtyas R, et al. Efforts to improve the safety culture of the elderly in nursing
homes: a qualitative study. Risk Manag Healthc Policy. 2023;16:393-400. doi:10.2147/rmhp.s399826.
…
-
psnet.ahrq.gov/node/46575/psn-pdf
December 13, 2017 - Economic evaluation of pharmacist-led medication
reviews in residential aged care facilities.
December 13, 2017
Hasan SS, Thiruchelvam K, Kow CS, et al. Economic evaluation of pharmacist-led medication reviews in
residential aged care facilities. Expert Rev Pharmacoecon Outcomes Res. 2017;17(5):431-439.
doi:10.108…
-
psnet.ahrq.gov/node/45202/psn-pdf
October 08, 2016 - Towards international consensus on patient harm:
perspectives on pressure injury policy.
October 8, 2016
Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm:
perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.1111/jonm.12396.
https://psnet.ahrq.…