-
psnet.ahrq.gov/issue/identification-hospital-complications-claims-data-it-valid
June 13, 2011 - Study
Classic
Identification of in-hospital complications from claims data. Is it valid?
Citation Text:
Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95.
Copy Cit…
-
psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-reality
May 07, 2014 - Study
Hospital leadership and quality improvement: rhetoric versus reality.
Citation Text:
Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256.
Copy Citation
Format:
DOI Google Scholar…
-
psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm-canadian-hospital
June 05, 2013 - Study
Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital: an exploratory study.
Citation Text:
Shennan S, Coyle N, Lockwood B, et al. Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital…
-
psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
October 19, 2022 - Study
Accuracy of harm scores entered into an event reporting system.
Citation Text:
Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188.
Copy Citation
For…
-
psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
May 01, 2004 - Study
Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill.
Citation Text:
Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…
-
psnet.ahrq.gov/issue/closing-gap-infection-prevention-staffing-recommendations-results-beta-version-apic-staffing
December 20, 2023 - Study
Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC staffing calculator.
Citation Text:
Bartles R, Reese S, Gumbar A. Closing the gap on infection prevention staffing recommendations: results from the beta version of the APIC …
-
psnet.ahrq.gov/training-catalog/learning-errors-analysis-medication-error
Learning from Errors: Analysis of a Medication Error
Save
Save to your library
Print
Share
Facebook
Twitter
Linkedin
Copy URL
Organization:
Organization
American Association for Critical-Care Nurses (AACN)
…
-
psnet.ahrq.gov/node/73097/psn-pdf
March 31, 2011 - The Future of Nursing: Leading Change, Advancing
Health.
March 31, 2011
Institute of Medicine. Washington, DC: The National Academies Press: 2011.
https://psnet.ahrq.gov/issue/future-nursing-leading-change-advancing-health
The effective engagement of nursing is key to patient safety and care quality improvement. T…
-
psnet.ahrq.gov/node/41861/psn-pdf
September 27, 2017 - Surgeon commitment to trauma care decreases missed
injuries.
September 27, 2017
Lin Y-K, Lin C-J, Chan H-M, et al. Surgeon commitment to trauma care decreases missed injuries. Injury.
2014;45(1):83-7. doi:10.1016/j.injury.2012.10.019.
https://psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-inj…
-
psnet.ahrq.gov/node/33895/psn-pdf
April 01, 2024 - The Leapfrog Hospital Survey.
April 1, 2024
Leapfrog Group.
https://psnet.ahrq.gov/issue/leapfrog-hospital-survey
This website offers resources related to the Leapfrog Hospital Survey investigating hospitals' progress in
implementing specific patient safety practices. Updates to the survey include increased time a…
-
psnet.ahrq.gov/node/40036/psn-pdf
November 24, 2010 - Integrating CUSP and TRIP to improve patient safety.
November 24, 2010
Romig M, Goeschel CA, Pronovost P, et al. Integrating CUSP and TRIP to improve patient safety. Hosp
Pract (1995). 2010;38(4):114-21. doi:10.3810/hp.2010.11.348.
https://psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
This …
-
psnet.ahrq.gov/node/42904/psn-pdf
February 11, 2025 - Safety Assurance Factors for EHR Resilience: SAFER
Guides.
February 11, 2025
Washington, DC: Assistant Secretary for Technology Policy.
https://psnet.ahrq.gov/issue/safety-assurance-factors-ehr-resilience-safer-guides
Health information technologies are seen to both contribute to and detract from health care safet…
-
psnet.ahrq.gov/node/865489/psn-pdf
April 03, 2024 - Safety is the preservation of value.
April 3, 2024
Vandeskog B. Safety is the preservation of value. J Safety Res. 2024;89:105-115.
doi:10.1016/j.jsr.2024.02.004.
https://psnet.ahrq.gov/issue/safety-preservation-value
Safety is at the heart of safety science, and yet “safety” lacks a consensus definition among saf…
-
psnet.ahrq.gov/node/37752/psn-pdf
May 07, 2019 - Guidance for the Safe Use of Automated Dispensing
Cabinets.
May 7, 2019
Horsham, PA: Institute for Safe Medication Practices; 2019.
https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets
Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents
associ…
-
psnet.ahrq.gov/node/39491/psn-pdf
March 22, 2011 - The published literature on handoffs in hospitals:
deficiencies identified in an extensive review.
March 22, 2011
Cohen MD, Hilligoss B. The published literature on handoffs in hospitals: deficiencies identified in an
extensive review. Qual Saf Health Care. 2010;19(6):493-7. doi:10.1136/qshc.2009.033480.
https://p…
-
psnet.ahrq.gov/node/41932/psn-pdf
December 19, 2012 - Important change to heparin container labels to clearly
state the total drug strength.
December 19, 2012
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 6, 2012.
https://psnet.ahrq.gov/issue/important-change-heparin-container-labels-clearly-state-total-drug-strength
This announc…
-
psnet.ahrq.gov/node/42141/psn-pdf
April 03, 2013 - The silence of the unblown whistle: the Nevada hepatitis
C public health crisis.
April 3, 2013
Leary E, Diers D. The silence of the unblown whistle: the Nevada hepatitis C public health crisis. Yale J
Biol Med. 2013;86(1):79-87.
https://psnet.ahrq.gov/issue/silence-unblown-whistle-nevada-hepatitis-c-public-health-…
-
psnet.ahrq.gov/node/43577/psn-pdf
October 01, 2014 - The State of VA Health Care.
October 1, 2014
Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9,
2014).
https://psnet.ahrq.gov/issue/state-va-health-care
In this hearing Veterans Affairs leadership provide an update on the current investigation into data and
scheduling…
-
psnet.ahrq.gov/node/50876/psn-pdf
April 22, 2021 - Veterans Accountability Improvement Act.
April 22, 2021
SB 1307, 117th Congress: 2021.
https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act
Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system
and cultural norms. This legislation aims to strengt…
-
psnet.ahrq.gov/node/50606/psn-pdf
October 30, 2019 - One doctor. 25 deaths. How could it have happened?
October 30, 2019
Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019.
https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened
Systemic failures persistently undermine processes meant to keep patients safe. This news story discu…