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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863212/psn-pdfFebruary 28, 2024 - unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study. February 28, 2024 Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35032/psn-pdfFebruary 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the patient safety movement, Lucian … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842763/psn-pdfJanuary 18, 2023 - Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. January 18, 2023 Baldwin CA, Hanrahan K, Edmonds SW, et al. Implementation of peer messengers to deliver feedback: an observational study to promote professionalism in nursing. Jt Comm J Qual Patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36889/psn-pdfMay 28, 2024 - Surveys on Patient Safety Culture. May 28, 2024 Rockville MD: Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/surveys-patient-safety-culture Safety culture has been described as a key to establishing high reliability organizations. The National Quality Forum's Safe Practices for Healthcare … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867752/psn-pdfMarch 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. March 12, 2025 Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47035/psn-pdfApril 18, 2018 - General internists in pursuit of diagnostic excellence in primary care: a #ProudtobeGIM thread that unites us all. April 18, 2018 Kwan JL, Singh H. General Internists in Pursuit of Diagnostic Excellence in Primary Care: a #ProudtobeGIM Thread That Unites Us All. J Gen Intern Med. 2018;33(4):395-396. doi:10.1007/s11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44513/psn-pdfSeptember 23, 2015 - Improving Diagnosis in Health Care. September 23, 2015 Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309377690. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care The National Academy of Me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44321/psn-pdfJuly 08, 2015 - Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. July 8, 2015 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. June 30, 2015. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838247/psn-pdfOctober 05, 2022 - Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. October 5, 2022 Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. BMJ Open. 202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854990/psn-pdfNovember 01, 2023 - Identifying contributing factors associated with dental adverse events through a pragmatic electronic health record-based root cause analysis. November 1, 2023 Kalenderian E, Bangar S, Yansane A, et al. Identifying contributing factors associated with dental adverse events through a pragmatic electronic health rec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73682/psn-pdfSeptember 08, 2021 - Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study. September 8, 2021 Gleason KT, Commodore-Mensah Y, Wu AW, et al. Massive open online course (MOOC) learning builds capacity and improves competence for patient saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72568/psn-pdfJanuary 01, 2021 - Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020 Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptio… -
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/865585/psn-pdfApril 17, 2024 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72544/psn-pdfDecember 09, 2020 - Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020 Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46391/psn-pdfFebruary 08, 2018 - Nature of blame in patient safety incident reports: mixed methods analysis of a national database. February 8, 2018 Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-461. doi:10.1370/afm.2123. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61121/psn-pdfNovember 11, 2020 - Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. November 11, 2020 Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865678/psn-pdfApril 24, 2024 - Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024 Franco Vega MC, Ait Aiss M, George M, et al. Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. Jt Comm J Q… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72671/psn-pdfJanuary 27, 2021 - Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. January 27, 2021 Toccafondi G, Di Marzo F, Sartelli M, et al. Int J Qual Health Care. 2021;33(Supp 1):51-55. https://psnet.ahrq.gov/issue/will-covid-19-pandemic-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60361/psn-pdfMay 20, 2020 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). May 20, 2020 Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020. https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare- professional-respo…
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