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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33715/psn-pdfJuly 01, 2011 - Becoming a Patient Safety Organization July 1, 2011 Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/becoming-patient-safety-organization Perspective While I was the first employee of the California Hospital Patient Safety Organization (CHPSO), its story … -
psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysisMarch 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008 View more articles from the same authors. Citation Text: Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73244/psn-pdfMay 12, 2021 - Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. May 12, 2021 Brown NJ, Wilson B, Szabadi S, et al. Ethical considerations and patient safety concerns for cancelling non-urgent surgeries during the COVID-19 pandemic: a review. Patient Sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867444/psn-pdfJanuary 08, 2025 - Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. January 8, 2025 Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medications in a paediatric hospital… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867596/psn-pdfJanuary 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. January 22, 2025 Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73108/psn-pdfApril 07, 2021 - A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. April 7, 2021 Holm S, Stanton C, Bartlett B. A new argument for no-fault compensation in health care: the introduction of artificial intelligence systems. Health Care Anal. 2021;29(3):171-188. doi:10.1007/s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38485/psn-pdfJune 23, 2017 - Impact of a comprehensive patient safety strategy on obstetric adverse events. June 23, 2017 Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.01.022. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841152/psn-pdfDecember 07, 2022 - Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022 Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867634/psn-pdfFebruary 26, 2025 - Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. February 26, 2025 Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient safety incidents at a tertiary ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50865/psn-pdfFebruary 05, 2020 - Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy. February 5, 2020 Battar S, Dickerson KRW, Sedgwick C, et al. Understanding principles of high reliabil… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37241/psn-pdfDecember 16, 2011 - The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. December 16, 2011 Vogus TJ, Sutcliffe K. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. Med Care. 2007;45(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73188/psn-pdfApril 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. April 28, 2021 Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):26. doi:10.1186/s12910-021-00593-8. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838138/psn-pdfSeptember 21, 2022 - Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care. September 21, 2022 Thiruchelvam K, Byles J, Hasan SS, et al. Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care. Res Soci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854987/psn-pdfJanuary 01, 2024 - Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. November 1, 2023 Cicero MX, Baird J, Brown L, et al. Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters. Prehosp Em… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866167/psn-pdfJune 19, 2024 - Risk factors associated with medication administration errors in children: a prospective direct observational study of paediatric inpatients. June 19, 2024 Westbrook JI, Li L, Woods AL, et al. Risk factors associated with medication administration errors in children: a prospective direct observational study of pae… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72527/psn-pdfJanuary 01, 2021 - Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. December 2, 2020 González-Gil MT, González-Blázquez C, Parro-Moreno AI, et al. Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency serv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861761/psn-pdfJanuary 31, 2024 - Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. January 31, 2024 Eriksson CO, Bahr N, Meckler G, et al. Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest. JAMA Netw Open. 2024;7(1):e2351535. doi:10.1001… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38282/psn-pdfDecember 17, 2008 - 2008 Update on Consumers' Views of Patient Safety and Quality Information. December 17, 2008 Kaiser Family Foundation, Agency for Healthcare Research and Quality. Menlo Park, CA: Henry J. Kaiser Family Foundation; October 2008. https://psnet.ahrq.gov/issue/2008-update-consumers-views-patient-safety-and-quality-inf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50912/psn-pdfFebruary 26, 2020 - Emotionally evocative patients in the emergency department: a mixed methods investigation of providers' reported emotions and implications for patient safety February 26, 2020 Isbell LM, Tager J, Beals K, et al. Emotionally evocative patients in the emergency department: a mixed methods investigation of providers’… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854262/psn-pdfOctober 04, 2023 - Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. October 4, 2023 Wu AW, Papieva I, Sheridan S, et al. Five strategies for how patients and families can improve patient safety: World Patient Safety Day 2023. J Patient Saf Risk Manag. 2023;28(4):147-152. doi:10…
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