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psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-mdSeptember 01, 2011 - In Conversation With…Kaveh G. Shojania, MD September 1, 2011 Also Read an Essay Citation Text: In Conversation With…Kaveh G. Shojania, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50942/psn-pdfFebruary 26, 2020 - Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. February 26, 2020 Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. Learn Hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34769/psn-pdfMarch 28, 2005 - The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. March 28, 2005 Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN 9780226851754. https://psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa A model of root cause analysis on a syste… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72593/psn-pdfJanuary 01, 2021 - Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. December 23, 2020 Alagha MA, Jaulin F, Yeung W, et al. Patient harm during COVID-19 pandemic: using a human factors lens to promote patient and workforce safety. J Patient Saf. 2021;17(2):87-89. doi:10.1097/p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73516/psn-pdfJuly 21, 2021 - Missed nursing care during the COVID-19 pandemic: a comparative observational study. July 21, 2021 von Vogelsang A?C, Göransson KE, Falk A?C, et al. Missed nursing care during the COVID?19 pandemic: a comparative observational study. J Nurs Manag. 2021;29(8):2343-2352. doi:10.1111/jonm.13392. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837143/psn-pdfJanuary 01, 2023 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. May 18, 2022 Lalani M, Morgan S, Basu A, et al. Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from ‘Learni… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43287/psn-pdfJuly 02, 2014 - Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. July 2, 2014 Wrigstad J, Bergström J, Gustafson P. Mind the gap between recom… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72684/psn-pdfJanuary 27, 2021 - National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. January 27, 2021 Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event. J Obstet Gynecol Neonatal Nurs. 2021;50(1):88-101. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60304/psn-pdfJanuary 01, 2021 - Patients' perspectives of diagnostic error: a qualitative study. May 6, 2020 Sacco AY, Self QR, Worswick EL, et al. Patients' perspectives of diagnostic error: a qualitative study. J Patient Saf. 2021;17(8):e1759-e1773. doi:10.1097/pts.0000000000000642. https://psnet.ahrq.gov/issue/patients-perspectives-diagnostic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72571/psn-pdfDecember 16, 2020 - Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. December 16, 2020 Cutler NA, Sim J, Halcomb E, et al. Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study. J Clin Nurs. 2020;29(21-22):4379-4386. doi:10.1111/joc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845071/psn-pdfFebruary 22, 2023 - Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals. February 22, 2023 Pavithra A, Mannion R, Sunderland N, et al. Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74002/psn-pdfOctober 27, 2021 - EMS non-conveyance: a safe practice to decrease ED crowding or a threat to patient safety? October 27, 2021 Paulin J, Kurola J, Koivisto M, et al. EMS non-conveyance: A safe practice to decrease ED crowding or a threat to patient safety? BMC Emerg Med. 2021;21(1):115. doi:10.1186/s12873-021-00508-1. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60763/psn-pdfAugust 05, 2020 - Supporting the emotional well-being of health care workers during the COVID-19 pandemic. August 5, 2020 Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(3):93-96. doi:10.1177/2516043520931971. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838919/psn-pdfJanuary 01, 2024 - Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. October 26, 2022 Michelson KA, McGarghan FLE, Patterson EE, et al. Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments. BMJ Qual Saf. 2024;33(5):293-300. doi:10.1136/bmjqs-2022-015314. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72577/psn-pdfDecember 16, 2020 - Identifying trigger concepts to screen emergency department visits for diagnostic errors. December 16, 2020 Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/dx-2020-0122. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859302/psn-pdfDecember 20, 2023 - Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. December 20, 2023 Aunger JA, Maben J, Abrams R, et al. Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review. BMC Health Serv Res. 2023;23(1):1326. doi:10.1186/s12913-023-10291-3. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843327/psn-pdfFebruary 01, 2023 - Speaking up during the COVID-19 pandemic: nurses' experiences of organizational disregard and silence. February 1, 2023 Abrams R, Conolly A, Rowland E, et al. Speaking up during the COVID?19 pandemic: nurses' experiences of organizational disregard and silence. J Adv Nurs. 2023;79(6):2189-2199. doi:10.1111/jan.1552… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74863/psn-pdfFebruary 23, 2022 - Factors associated with missed nursing care and nurse- assessed quality of care during the COVID-19 pandemic. February 23, 2022 Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse?assessed quality of care during the COVID?19 pandemic. J Nurs Manag. 2022;30(1):62-70. doi:10.1111… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45199/psn-pdfJune 15, 2016 - Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. June 15, 2016 Darrah NJ, O'Connor NR. Toward Safer Transitions: A Curriculum to Teach and Assess Hospital-to- Hospice Handoffs. J Pain Symptom Manage. 2016;51(6):959-962.e2. doi:10.1016/j.jpainsymman.2016.01.012. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73376/psn-pdfJune 09, 2021 - Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. June 9, 2021 Vanhaecht K, Zeeman G, Schouten L, et al. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross?sectional study. J Nurs Manag. …
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