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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45434/psn-pdfSeptember 22, 2017 - Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. September 22, 2017 Soban LM, Kim L, Yuan AH, et al. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. J Nurs Manag. 2017;25(6):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60030/psn-pdfMarch 11, 2020 - Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. March 11, 2020 Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47059/psn-pdfMay 16, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned. May 16, 2018 Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45922/psn-pdfApril 19, 2017 - Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. April 19, 2017 McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. Appl Ergon. 2017;58:102-109. doi:10.1016/j.apergo.2016.05.012.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74201/psn-pdfDecember 22, 2021 - Next of kin involvement in regulatory investigations of adverse events that caused patient death: a process evaluation. December 22, 2021 Wiig S, Haraldseid-Driftland C, Tvete Zachrisen R, et al. J Patient Saf. 2021;17(8):e1707- e1718. https://psnet.ahrq.gov/issue/next-kin-involvement-regulatory-inves… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843414/psn-pdfFebruary 01, 2023 - Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. February 1, 2023 Tawfik DS, Adair KC, Palassof S, et al. Leadership behavior associations with domains of safety culture, engagement, and healthcare worker well-being. Jt Comm J Qual Patient Saf. 2023;49(3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73402/psn-pdfJune 16, 2021 - The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study. June 16, 2021 Wu F, Dixon-Woods M, Aveling E-L, et al. The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study. Soc Sci Med. 2021;280:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44577/psn-pdfOctober 21, 2015 - Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. October 21, 2015 Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1001/jamaoncol.2015.0891. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35434/psn-pdfJune 14, 2011 - Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. June 14, 2011 Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the investigation of clinical error. Soc Sci Med. 2006;62(7):1605-15. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867038/psn-pdfOctober 30, 2024 - From reporting to improving: how root cause analysis in teams shape patient safety culture. October 30, 2024 Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866079/psn-pdfJune 05, 2024 - Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. June 5, 2024 Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855433/psn-pdfNovember 15, 2023 - Room for resilience: a qualitative study about accountability mechanisms in the relation between work- as-done (WAD) and work-as-imagined (WAI) in hospitals. November 15, 2023 Weenink J-W, Tresfon J, van de Voort I, et al. Room for resilience: a qualitative study about accountability mechanisms in the relation bet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73662/psn-pdfSeptember 01, 2021 - Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. September 1, 2021 Petrosoniak A, Fan M, Hicks CM, et al. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation u… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843054/psn-pdfJanuary 25, 2023 - Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. January 25, 2023 Nilsson L, Lindblad M, Johansson N, et al. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. Int J Nurs Stud. 2022;138:1044… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855089/psn-pdfJanuary 01, 2024 - React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. November 8, 2023 Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):992-1008. doi:10.1108/jhom-06-20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854631/psn-pdfOctober 18, 2023 - Patient safety culture: effects on errors, incident reporting, and patient safety grade. October 18, 2023 Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/pts.0000000000001152. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47942/psn-pdfJuly 01, 2019 - Responding to health information technology reported safety events: insights from patient safety event reports. July 1, 2019 Adams KT, Kim TC, Fong A, et al. J Patient Saf Risk Manag. 2019;24:118–124. https://psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights- patient-saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35907/psn-pdfOctober 03, 2017 - Transparent and open discussion of errors does not increase malpractice risk in trauma patients. October 3, 2017 Stewart RM, Corneille MG, Johnston J, et al. Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann Surg. 2006;243(5):645-9; discussion 649-51. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46981/psn-pdfMay 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. May 4, 2019 Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 2018;24(2):83-89. doi:10.1177/25160435188138… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60520/psn-pdfMay 27, 2020 - Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. May 27, 2020 Chou R, Dana T, Buckley DI, et al. Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. Ann Intern Med. 2020;173(2):120-136. doi:10.7326/m20-163…
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