-
psnet.ahrq.gov/node/842416/psn-pdf
January 11, 2023 - A failure in the medication delivery system-how
disclosure and systems investigation improve patient
safety.
January 11, 2023
Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems
investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…
-
psnet.ahrq.gov/node/48056/psn-pdf
June 15, 2019 - Patients' conceptualizations of responsibility for
healthcare: a typology for understanding differing
attributions in the context of patient safety.
June 15, 2019
Heavey E, Waring J, De Brún A, et al. Patients' Conceptualizations of Responsibility for Healthcare: A
Typology for Understanding Differing Attributions…
-
psnet.ahrq.gov/node/764402/psn-pdf
March 02, 2022 - A systematic review of methods for medical record
analysis to detect adverse events in hospitalized patients.
March 2, 2022
Klein DO, Rennenberg RJMW, Koopmans RP, et al. A systematic review of methods for medical record
analysis to detect adverse events in hospitalized patients. J Patient Saf. 2021;17(8):e1234-e12…
-
psnet.ahrq.gov/node/72843/psn-pdf
March 17, 2021 - COVID-19 increased the risk of ICU-acquired bloodstream
infections: a case-cohort study from the multicentric
OUTCOMEREA network.
March 17, 2021
Buetti N, Ruckly S, de Montmollin E, et al. COVID-19 increased the risk of ICU-acquired bloodstream
infections: a case–cohort study from the multicentric OUTCOMEREA netwo…
-
psnet.ahrq.gov/node/44164/psn-pdf
November 03, 2015 - Use of nondisclosure agreements in medical malpractice
settlements by a large academic health care system.
November 3, 2015
Sage WM, Jablonski JS, Thomas EJ. Use of Nondisclosure Agreements in Medical Malpractice
Settlements by a Large Academic Health Care System. JAMA Intern Med. 2015;175(7):1130-1135.
doi:10.100…
-
psnet.ahrq.gov/node/38570/psn-pdf
April 22, 2009 - Factors influencing incident reporting in surgical care.
April 22, 2009
Kreckler S, Catchpole K, McCulloch P, et al. Factors influencing incident reporting in surgical care. Qual
Saf Health Care. 2009;18(2):116-20. doi:10.1136/qshc.2008.026534.
https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-sur…
-
psnet.ahrq.gov/node/50775/psn-pdf
January 01, 2021 - Content analysis of patient safety incident reports for
older adult patient transfers, handovers, and discharges:
do they serve organizations, staff, or patients?
January 8, 2020
Scott J, Dawson P, Heavey E, et al. Content analysis of patient safety incident reports for older adult
patient transfers, handovers, an…
-
psnet.ahrq.gov/node/38047/psn-pdf
January 31, 2011 - Single-patient rooms for safe patient-centered hospitals.
January 31, 2011
Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8).
doi:10.1001/jama.300.8.954.
https://psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
Providing patient-centered care continues …
-
psnet.ahrq.gov/node/842764/psn-pdf
January 18, 2023 - Medication use evaluation of high-dose long-term opioid
de-prescribing in multiple Veterans Affairs medical
centers.
January 18, 2023
Barrett AK, Sandbrink F, Mardian A, et al. Medication use evaluation of high-dose long-term opioid de-
prescribing in multiple Veterans Affairs medical centers. J Gen Intern Med. 20…
-
psnet.ahrq.gov/node/42669/psn-pdf
September 27, 2017 - Patient-reported missed nursing care correlated with
adverse events.
September 27, 2017
Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J
Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715.
https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-car…
-
psnet.ahrq.gov/node/44494/psn-pdf
June 21, 2016 - Electronic trigger-based intervention to reduce delays in
diagnostic evaluation for cancer: a cluster randomized
controlled trial.
June 21, 2016
Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnostic
Evaluation for Cancer: A Cluster Randomized Controlled Trial. J Cl…
-
psnet.ahrq.gov/node/865309/psn-pdf
May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate
Post-Tracheostomy Care
May 29, 2024
Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-
Tracheostomy Care. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…
-
psnet.ahrq.gov/node/33833/psn-pdf
May 01, 2017 - In Conversation With… David Juurlink, MD, PhD
May 1, 2017
In Conversation With… David Juurlink, MD, PhD. PSNet [internet]. 2017.
https://psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
Editor's note: Dr. Juurlink is professor of medicine, pediatrics, and health policy at the University of
Toronto, w…
-
psnet.ahrq.gov/node/49717/psn-pdf
September 01, 2014 - A Lot of Pain (Medications)
September 1, 2014
Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014.
https://psnet.ahrq.gov/web-mm/lot-pain-medications
Case Objectives
Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids.
Describe the importance of understanding th…
-
psnet.ahrq.gov/node/33783/psn-pdf
April 01, 2015 - In Conversation With… Lucian Leape, MD
April 1, 2015
In Conversation With… Lucian Leape, MD. PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/conversation-lucian-leape-md
Editor's note: Dr. Lucian Leape is Adjunct Professor of Health Policy at the Harvard School of Public
Health, Chairman of the Lucian …
-
psnet.ahrq.gov/node/33566/psn-pdf
September 15, 2024 - Teamwork Training
September 15, 2024
Teamwork Training. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/teamwork-training
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed …
-
psnet.ahrq.gov/node/33795/psn-pdf
November 01, 2015 - Introducing the Redesigned AHRQ Patient Safety Network
November 1, 2015
Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. 2015.
https://psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
Editorial
It's hard to believe that it has been 15 years since th…
-
psnet.ahrq.gov/node/33572/psn-pdf
December 15, 2024 - Checklists
December 15, 2024
Checklists. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/checklists
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in 2024.
Background
…
-
psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
January 01, 2024 - Benign paroxysmal positional vertigo: a practical approach for emergency physicians.
-
psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - In Conversation with...Geri Amori, PhD
December 1, 2010
Also Read an Essay
Citation Text:
In Conversation with..Geri Amori, PhD. PSNet [internet]. 2010.In Conversation with...Geri Amori, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…