-
psnet.ahrq.gov/node/47858/psn-pdf
July 10, 2019 - Modification of potentially inappropriate prescribing
following fall-related hospitalizations in older adults.
July 10, 2019
Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-
related hospitalizations in older adults. Drugs Aging. 2019;36(5):461-470. doi:10.…
-
psnet.ahrq.gov/node/47103/psn-pdf
August 22, 2018 - Understanding procedural violations using Safety-I and
Safety-II: the case of community pharmacies.
August 22, 2018
Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The
case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10.1016/j.ssci.2018.02.002.
https:…
-
psnet.ahrq.gov/node/866075/psn-pdf
June 05, 2024 - Oncology patients' willingness to report their medication
safety concerns from home: a qualitative study.
June 5, 2024
Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety
concerns from home: a qualitative study. Support Care Cancer. 2024;32(6):352. doi:10.1007/s00520…
-
psnet.ahrq.gov/node/74056/psn-pdf
January 01, 2022 - Critical care simulation education program during the
COVID-19 pandemic.
November 10, 2021
Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19
pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928.
https://psnet.ahrq.gov/issue/critical-care…
-
psnet.ahrq.gov/node/45292/psn-pdf
September 07, 2016 - Electronic approaches to making sense of the text in the
adverse event reporting system.
September 7, 2016
Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event
reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhrm.21237.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - Dashboard design to identify and balance competing risk
of multiple hospital-acquired conditions.
July 13, 2022
Makic MBF, Stevens KR, Gritz RM, et al. Dashboard design to identify and balance competing risk of
multiple hospital-acquired conditions. Appl Clin Inform. 2022;13(3):621-631. doi:10.1055/s-0042-1749598.
…
-
psnet.ahrq.gov/node/36837/psn-pdf
December 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…
-
psnet.ahrq.gov/node/45044/psn-pdf
May 11, 2016 - Creating a nurse-led culture to minimize horizontal
violence in the acute care setting: a multi-interventional
approach.
May 11, 2016
Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in
the Acute Care Setting: A Multi-Interventional Approach. J Nurses Prof Dev.…
-
psnet.ahrq.gov/node/47519/psn-pdf
February 22, 2019 - Simulation-based education to train learners to "speak
up" in the clinical environment: results of a randomized
trial.
February 22, 2019
Oner C, Fisher N, Atallah F, et al. Simulation-Based Education to Train Learners to "Speak Up" in the
Clinical Environment: Results of a Randomized Trial. Simul Healthc. 2018;13(…
-
psnet.ahrq.gov/node/36276/psn-pdf
October 21, 2010 - Effects of nursing rounds on patients' call light use,
satisfaction, and safety.
October 21, 2010
Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and
safety. Am J Nurs. 2006;106(9):58-71.
https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light…
-
psnet.ahrq.gov/node/44730/psn-pdf
December 08, 2015 - Why studying human behavior is a critical component of
patient safety.
December 8, 2015
Su L. Why Studying Human Behavior is a Critical Component of Patient Safety. Curr Probl Pediatr Adolesc
Health Care. 2015;45(12):367-9. doi:10.1016/j.cppeds.2015.10.004.
https://psnet.ahrq.gov/issue/why-studying-human-behavior-…
-
psnet.ahrq.gov/node/47864/psn-pdf
April 08, 2019 - Healthcare scandals and the failings of doctors: do
official inquiries hold the profession to account?
April 8, 2019
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ
Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
https://psnet.ahrq.gov/issue/healthcar…
-
psnet.ahrq.gov/node/45691/psn-pdf
January 11, 2017 - Qualitative study about the experiences of colleagues of
health professionals involved in an adverse event.
January 11, 2017
Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health
Professionals Involved in an Adverse Event. J Patient Saf. 2016;17(1):36-43.
doi:10.1…
-
psnet.ahrq.gov/node/50686/psn-pdf
January 01, 2020 - 'Whatever you cut, I can fix it': clinical supervisors'
interview accounts of allowing trainee failure while
guarding patient safety.
November 20, 2019
Klasen JM, Driessen E, Teunissen PW, et al. ‘Whatever you cut, I can fix it’: clinical supervisors’ interview
accounts of allowing trainee failure while guarding p…
-
psnet.ahrq.gov/node/46048/psn-pdf
July 05, 2017 - Association between elements of electronic health record
systems and the weekend effect in urgent general
surgery.
July 5, 2017
Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record
Systems and the Weekend Effect in Urgent General Surgery. JAMA Surg. 2017;152(6):602-…
-
psnet.ahrq.gov/node/50555/psn-pdf
October 16, 2019 - Improving critical incident reporting in primary care
through education and involvement.
October 16, 2019
Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through
education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556.
https://psnet…
-
psnet.ahrq.gov/node/850352/psn-pdf
June 14, 2023 - Stigmatizing language expressed towards individuals
with current or previous OUD who have pain and cancer:
a qualitative study.
June 14, 2023
Sedney CL, Dekeseredy P, Singh SA, et al. Stigmatizing language expressed towards individuals with
current or previous OUD who have pain and cancer: a qualitative study. J P…
-
psnet.ahrq.gov/node/44120/psn-pdf
November 06, 2015 - Designing highly reliable adverse-event detection
systems to predict subsequent claims.
November 6, 2015
Helmchen LA, Burke ME, Wojtusiak J. Designing highly reliable adverse-event detection systems to predict
subsequent claims. J Healthc Risk Manag. 2015;34(4):7-17. doi:10.1002/jhrm.21167.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/46045/psn-pdf
December 22, 2018 - Validating domains of patient contextual factors essential
to preventing contextual errors: a qualitative study
conducted at Chicago area Veterans Health
Administration sites.
December 22, 2018
Binns-Calvey AE, Malhiot A, Kostovich CT, et al. Validating Domains of Patient Contextual Factors
Essential to Preventin…
-
psnet.ahrq.gov/node/865589/psn-pdf
April 17, 2024 - Why talking is not cheap: adverse events and informal
communication.
April 17, 2024
Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal
communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635.
https://psnet.ahrq.gov/issue/why-talking-not-cheap-adver…