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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34995/psn-pdf
    February 03, 2011 - The Research on Adverse Drug Events and Reports (RADAR) project. February 3, 2011 Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40. https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project This article su…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47789/psn-pdf
    March 06, 2019 - Is it rational to pursue zero suicides among patients in health care? March 6, 2019 Mokkenstorm JK, Kerkhof AJFM, Smit JH, et al. Is It Rational to Pursue Zero Suicides Among Patients in Health Care? Suicide Life Threat Behav. 2018;48(6):745-754. doi:10.1111/sltb.12396. https://psnet.ahrq.gov/issue/it-rational-pur…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72678/psn-pdf
    January 27, 2021 - Health information technology-related wrong-patient errors: context is critical. January 27, 2021 Kim T, Howe J, Franklin E, et al.?Patient Safety. 2020;2(4):40–57.    https://psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical Patient misidentification errors…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47731/psn-pdf
    April 27, 2019 - Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations. April 27, 2019 Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events: A Case Study with Unplanned Extubations. Jt Comm J Qual Patient Saf. 2019;45(4):…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73988/psn-pdf
    October 20, 2021 - The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for Patient Safety Collaborative. October 20, 2021 Randall KH, Slovensky D, Weech-Maldonado R, et al. The relationship between high-reliability practice and hospital-acquired conditions among the Solutions for P…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847548/psn-pdf
    April 12, 2023 - Minnesota lets nurses practice while disciplinary investigations drag on. Patients keep getting hurt. April 12, 2023 Hopkins E, Kohler J. ProPublica. April 3, 2023. https://psnet.ahrq.gov/issue/minnesota-lets-nurses-practice-while-disciplinary-investigations-drag-patients- keep-getting Systemic bureaucracy can co…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866967/psn-pdf
    October 16, 2024 - Placing patient safety at the heart of value-based healthcare. October 16, 2024 La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087. https://psnet.ahrq.gov/issue/placing-patient-safety-heart-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46328/psn-pdf
    August 09, 2017 - Critical incident stress debriefing after adverse patient safety events. August 9, 2017 Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42908/psn-pdf
    December 29, 2014 - ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. December 29, 2014 Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):621-625. doi:10.1093/intqhc/mzt074. h…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44821/psn-pdf
    December 05, 2022 - Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. December 5, 2022 Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication No. 23-0011. https://psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture Im…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39859/psn-pdf
    November 21, 2016 - Experience with family activation of rapid response teams. November 21, 2016 Bogert S, Ferrell C, Rutledge DN. Experience with family activation of rapid response teams. Medsurg Nurs. 2010;19(4):215-22; quiz 223. https://psnet.ahrq.gov/issue/experience-family-activation-rapid-response-teams The central tenet behi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44106/psn-pdf
    September 12, 2016 - Planning an MR suite: what can be done to enhance safety? September 12, 2016 Gilk TB, Kanal E. Planning an MR suite: What can be done to enhance safety? J Magn Reson Imaging. 2015;42(3):566-71. doi:10.1002/jmri.24794. https://psnet.ahrq.gov/issue/planning-mr-suite-what-can-be-done-enhance-safety Although rare, ad…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45016/psn-pdf
    April 27, 2016 - Medication safety systems and the important role of pharmacists. April 27, 2016 Mansur JM. Medication Safety Systems and the Important Role of Pharmacists. Drugs Aging. 2016;33(3):213-21. doi:10.1007/s40266-016-0358-1. https://psnet.ahrq.gov/issue/medication-safety-systems-and-important-role-pharmacists Preventin…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866399/psn-pdf
    July 31, 2024 - Typology of solutions addressing diagnostic disparities: gaps and opportunities. July 31, 2024 Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. https://psnet.ahrq.gov/issue/typol…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44725/psn-pdf
    February 24, 2016 - Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen—part 1 and part 2. February 24, 2016 ISMP Medication Safety Alert! Acute care edition. January 28, 2016;21:1-4; February 11, 2016;21:1-5. https://psnet.ahrq.gov/issue/selected-medication-safety-risks-manage-2016-might…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40508/psn-pdf
    June 08, 2011 - Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions. June 8, 2011 Sujan M-A, Ingram C, McConkey T, et al. Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narrat…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47274/psn-pdf
    November 21, 2018 - Developing a hospital-wide quality and safety dashboard: a qualitative research study. November 21, 2018 Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. doi:10.1136/bmjqs-2018- 007784. …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37924/psn-pdf
    December 23, 2016 - Behaviors that undermine a culture of safety. December 23, 2016 Behaviors that undermine a culture of safety. Sentinel event alert. 2008;(40):1-3. https://psnet.ahrq.gov/issue/behaviors-undermine-culture-safety The Joint Commission issues sentinel event alerts one to two times yearly to highlight areas of high risk…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838255/psn-pdf
    October 05, 2022 - Opportunities to Improve Patient Safety, Advancing U.S. Innovation, and Innovation Hubs. October 5, 2022 President’s Council of Advisors on Science and Technology. Washington, DC: White House; September 21, 2022. https://psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovati…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844059/psn-pdf
    February 08, 2023 - Misdiagnosis in the emergency department: time for a system solution. February 8, 2023 Edlow JA, Pronovost PJ. Misdiagnosis in the emergency department: time for a system solution. JAMA. 2023;329(8):631-632. doi:10.1001/jama.2023.0577. https://psnet.ahrq.gov/issue/misdiagnosis-emergency-department-time-system-solu…
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