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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36668/psn-pdfJune 29, 2011 - Language proficiency and adverse events in US hospitals: a pilot study. June 29, 2011 Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069. https://psnet.ahrq.gov/issue/language-proficiency-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73187/psn-pdfApril 28, 2021 - Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. April 28, 2021 van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt Comm J Qual Patient Saf. 2020;47(4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46690/psn-pdfDecember 20, 2017 - Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. December 20, 2017 Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bja/aex346. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60209/psn-pdfApril 08, 2020 - The views and experiences of patients and health-care professionals on the disclosure of adverse events: a systematic review and qualitative meta-ethnographic synthesis. April 8, 2020 Sattar R, Johnson J, Lawton R. The views and experiences of patients and health?care professionals on the disclosure of adverse ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836960/psn-pdfApril 20, 2022 - Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. April 20, 2022 Fitzgerald KM, Banerjee TR, Starmer AJ, et al. Effect of a multispecialty faculty handoff initiative on safety culture and handoff quality. Pediatr Qual Saf. 2022;7(2):e539. doi:10.1097/pq9.0000000000000539. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851663/psn-pdfJuly 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851353/psn-pdfJuly 12, 2023 - Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. July 12, 2023 Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:10.1542/hpeds.2022-006937. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855092/psn-pdfNovember 08, 2023 - Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. November 8, 2023 Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi:10.1097/sih.0000000000000748. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72633/psn-pdfJanuary 13, 2021 - Speaking up about patient-perceived serious visit note errors: patient and family experiences and recommendations. January 13, 2021 Lam BD, Bourgeois FC, Dong ZJ, et al. Speaking up about patient-perceived serious visit note errors: Patient and family experiences and recommendations. J Am Med Inform Assoc. 2021;28… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46878/psn-pdfJune 25, 2018 - Patient perceptions of deterioration and patient and family activated escalation systems—a qualitative study. June 25, 2018 Guinane J, Hutchinson AM, Bucknall T. Patient perceptions of deterioration and patient and family activated escalation systems-A qualitative study. J Clin Nurs. 2018;27(7-8):1621-1631. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60849/psn-pdfJanuary 01, 2021 - Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. August 26, 2020 Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. BM… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839317/psn-pdfNovember 02, 2022 - Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post- resuscitation debriefing frameworks. November 2, 2022 Kam AJ, Gonsalves CL, Nordlund SV, et al. Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837036/psn-pdfMay 04, 2022 - Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. May 4, 2022 Schnock KO, Roulier S, Butler J, et al. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. J Patient Saf. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836966/psn-pdfApril 20, 2022 - Performance variability in perioperative sentinel events: report on a nationwide data set. April 20, 2022 Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50745/psn-pdfDecember 18, 2019 - Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019 Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. BMJ Open. 2019;9(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74158/psn-pdfDecember 08, 2021 - An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. December 8, 2021 Kuznetsova M, Frits ML, Dulgarian S, et al. An analysis of the structure and content of dashboards used to monitor patient safety in the inpatient setting. JAMIA Open. 2021;4(4):ooab096. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864370/psn-pdfMarch 13, 2024 - How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? March 13, 2024 DeGennaro AP, Gonzalez N, Peterson SM, et al. How do patients and care partners describe diagnostic uncertainty in an emergency department or urgent care setting? Diagnosis (Berl). 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72575/psn-pdfJanuary 01, 2021 - Missing the near miss: recognizing valuable learning opportunities in radiation oncology. December 16, 2020 Kundu P, Jung OS, Valle LF, et al. Missing the near miss: recognizing valuable learning opportunities in radiation oncology. Pract Radiat Oncol. 2021;11(3):e256-e262. doi:10.1016/j.prro.2020.09.007. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847541/psn-pdfApril 12, 2023 - Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023 Liang MQ, Thibault M, Jouvet P, et al. BMJ Health Care Inform. 2023;30(1):e100622. https://psnet.ahrq.gov/issue/improving-medication-safety-paediatric-hos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73583/psn-pdfAugust 11, 2021 - Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. August 11, 2021 Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. Jt Comm J Qual Patient Saf. 2021;47(8)…
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