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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837693/psn-pdfJanuary 01, 2023 - Medication-related medical emergency team activations: a case review study of frequency and preventability. July 20, 2022 Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case review study of frequency and preventability. BMJ Qual Saf. 2023;32(4):214-224. doi:10.1136… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840151/psn-pdfNovember 16, 2022 - Unintended consequences of patient online access to health records: a qualitative study in UK primary care. November 16, 2022 Turner A, Morris R, McDonagh L, et al. Unintended consequences of patient online access to health records: a qualitative study in UK primary care. Br J Gen Pract. 2022;73(726):e67-e74. doi:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74701/psn-pdfJanuary 26, 2022 - Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. January 26, 2022 Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association with subsequent clinical and ad… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38144/psn-pdfOctober 15, 2008 - Do faculty and resident physicians discuss their medical errors? October 15, 2008 Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713. https://psnet.ahrq.gov/issue/do-faculty-and-resident-phy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42879/psn-pdfJanuary 22, 2014 - Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multicountry cross-sectional RN4CAST study. January 22, 2014 Ausserhofer D, Zander B, Busse R, et al. Prevalence, patterns and predictors of nursing care left undone in European hospitals: results from the multi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73637/psn-pdfAugust 25, 2021 - Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021 Washington, DC: Department of Veterans Affairs, Office of Inspector General. July 29, 2021. Report No. 21-00657-197. https://psnet.ahrq.gov/issue/failures-care-coordination-and-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74264/psn-pdfJanuary 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. January 19, 2022 Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47554/psn-pdfNovember 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60898/psn-pdfSeptember 09, 2020 - Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. September 9, 2020 Vandenberg AE, Kegler M, Hastings SN, et al. Sequential implementation of the EQUIPPED geriatric medication safety program as a learning health system. Int J Qual Health Care. 2020;32(7):470-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47618/psn-pdfJanuary 30, 2019 - Making care better in the pediatric intensive care unit. January 30, 2019 Wolfe HA, Mack EH. Making care better in the pediatric intensive care unit. Transl Pediatr. 2018;7(4):267- 274. doi:10.21037/tp.2018.09.10. https://psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit Pediatric critical care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60210/psn-pdfApril 08, 2020 - Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. April 8, 2020 Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. Perspect Psychiatr Ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37226/psn-pdfDecember 15, 2011 - Adverse drug events in pediatric outpatients. December 15, 2011 Kaushal R, Goldmann DA, Keohane C, et al. Adverse drug events in pediatric outpatients. Ambul Pediatr. 2007;7(5):383-9. https://psnet.ahrq.gov/issue/adverse-drug-events-pediatric-outpatients The incidence of adverse drug events (ADEs) among children h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866808/psn-pdfSeptember 25, 2024 - What is safety leadership? A systematic review of definitions. September 25, 2024 Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. https://psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-defini… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45851/psn-pdfFebruary 22, 2017 - Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. February 22, 2017 Evans ME, Kralovic SM, Simbartl LA, et al. Eight years of decreased methicillin-resistant Staphylococcus aureus health care-associated i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47421/psn-pdfOctober 17, 2018 - The relationship between the learning and patient safety climates of clinical departments and residents' patient safety behaviors. October 17, 2018 Silkens MEWM, Arah OA, Wagner C, et al. The Relationship Between the Learning and Patient Safety Climates of Clinical Departments and Residents' Patient Safety Behavio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45920/psn-pdfMay 05, 2017 - Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. May 5, 2017 Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. International Journal for Quality in Health… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47254/psn-pdfSeptember 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47216/psn-pdfJuly 11, 2018 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. July 11, 2018 Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380. https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46728/psn-pdfMarch 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. March 27, 2018 Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process Near misses provide unique opportunities to ide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837316/psn-pdfJune 01, 2022 - 2022 Updated Results for the AHRQ Surveys on Patient Safety Culture (SOPS) Diagnostic Safety Supplemental Items. June 1, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2022. AHRQ Publication No. 22-0027. https://psnet.ahrq.gov/issue/2022-updated-results-a…
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