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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46475/psn-pdfApril 16, 2018 - Incident reporting behaviours following the Francis report: a cross-sectional survey. April 16, 2018 Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849. https://psnet.ahrq.gov/issue/incident-reporting-behav… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46530/psn-pdfFebruary 03, 2018 - Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. February 3, 2018 Jeon N, Staley B, Johns T, et al. Identifying and characterizing preventable adverse drug events for prioritizing pharmacist intervention in hospitals. Am J Health Syst Pharm. 2017… -
www.ahrq.gov/patient-safety/settings/esrd/resource/cultureofsafety.htmlJanuary 01, 2015 - Creating a Culture of Safety ESRD Toolkit The Creating a Culture of Safety module of the ESRD Toolkit discusses the importance of a comprehensive, unit-based approach to safety and its impact on improving patient care and reducing harm in dialysis centers. Presentation Slides ( PPTX, 20 M B) Facilitator …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45816/psn-pdfFebruary 01, 2017 - Parent preferences for medical error disclosure: a qualitative study. February 1, 2017 Coffey M, Espin S, Hahmann T, et al. Parent Preferences for Medical Error Disclosure: A Qualitative Study. Hosp Pediatr. 2017;7(1):24-30. doi:10.1542/hpeds.2016-0048. https://psnet.ahrq.gov/issue/parent-preferences-medical-error… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36005/psn-pdfMarch 28, 2011 - Active surveillance using electronic triggers to detect adverse events in hospitalized patients. March 28, 2011 Szekendi MK, Sullivan C, Bobb A, et al. Active surveillance using electronic triggers to detect adverse events in hospitalized patients. Qual Saf Health Care. 2006;15(3):184-90. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35762/psn-pdfJanuary 02, 2017 - Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. January 2, 2017 Robinson DL, Heigham M, Clark J. Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer. Jt Comm J Qual Patient Saf. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35838/psn-pdfMarch 28, 2011 - Unscheduled returns to the emergency department: an outcome of medical errors? March 28, 2011 Nuñez S, Hexdall A, Aguirre-Jaime A. Unscheduled returns to the emergency department: an outcome of medical errors? Qual Saf Health Care. 2006;15(2):102-8. https://psnet.ahrq.gov/issue/unscheduled-returns-emergency-depart… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37295/psn-pdfFebruary 24, 2011 - Limited health literacy is a barrier to medication reconciliation in ambulatory care. February 24, 2011 Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. https://psnet.ahrq.gov/issue/limited-health-li… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47161/psn-pdfJuly 25, 2018 - Quality and the health system: becoming a high reliability organization. July 25, 2018 Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. https://psnet.ahrq.gov/issue/quality-and-health-system-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46102/psn-pdfMay 31, 2017 - Improving infusion pump safety through usability testing. May 31, 2017 Miller K, Arnold R, Capan M, et al. Improving infusion pump safety through usability testing. J Nurs Care Qual. 2017;32(2):141-149. doi:10.1097/NCQ.0000000000000208. https://psnet.ahrq.gov/issue/improving-infusion-pump-safety-through-usability-t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34013/psn-pdfDecember 22, 2008 - Defining and measuring patient safety. December 22, 2008 Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin. 2005;21(1):1-19, vii. https://psnet.ahrq.gov/issue/defining-and-measuring-patient-safety This review discusses the increasing demand for improving patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44422/psn-pdfNovember 17, 2017 - Stop the noise: a quality improvement project to decrease electrocardiographic nuisance alarms. November 17, 2017 Sendelbach S, Wahl S, Anthony A, et al. Stop the Noise: A Quality Improvement Project to Decrease Electrocardiographic Nuisance Alarms. Crit Care Nurse. 2015;35(4):15-22; quiz 1p following 22. doi:10.4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50749/psn-pdfDecember 18, 2019 - Medication errors in the care transition of trauma patients December 18, 2019 Martín Mª ÁP, García MM, Silveira ED, et al. Medication errors in the care transition of trauma patients. Eur J Clin Pharmacol. 2019;75(12):1739-1746. doi:10.1007/s00228-019-02757-3. https://psnet.ahrq.gov/issue/medication-errors-care-tra… -
www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/ape.htmlAugust 01, 2022 - Event Investigation and Analysis Guide: Appendix E Confirmation and Consensus Meeting Announcement Template As you may know, a patient care incident occurred on (insert date) involving (brief description of event). On behalf of (insert executive sponsor name), we are asking you to participate in our upcoming …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41389/psn-pdfJune 27, 2012 - Can we make postoperative patient handovers safer? A systematic review of the literature. June 27, 2012 Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:10.1213/ANE.0b013e318253af4b. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73296/psn-pdfMay 19, 2021 - AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. May 19, 2021 Agency for Healthcare Research and Quality. May 3, 2021. Fed Register. 2021;86(83):23366-23369. https://psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-pre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47394/psn-pdfJanuary 27, 2019 - Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. January 27, 2019 Sullivan JL, Shin MH, Engle RL, et al. Evaluating the Implementation of Project Re-Engineered Discharge (RED) in Five Veterans Health Administration (VHA) Hospitals. Jt Co… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44859/psn-pdfApril 13, 2017 - Patient safety indicators for judging hospital performance: still not ready for prime time. April 13, 2017 Kubasiak JC, Francescatti AB, Behal R, et al. Patient Safety Indicators for Judging Hospital Performance. Am J Med Qual. 2017;32(2):129-133. doi:10.1177/1062860615618782. https://psnet.ahrq.gov/issue/patient-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44536/psn-pdfNovember 11, 2015 - Healthcare system intervention for safer use of medicines in elderly patients in primary care—a qualitative study of the participants' perceptions of self-assessment, peer review, feedback and agreement for change. November 11, 2015 Lenander C, Bondesson Å, Midlöv P, et al. Healthcare system intervention for safer… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38064/psn-pdfFebruary 23, 2009 - Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. February 23, 2009 Niazkhani Z, van der Sijs H, Pirnejad H, et al. Same system, different outcomes: comparing the transitions from two paper-based systems to the same comput…
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