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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45965/psn-pdfApril 19, 2017 - Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. April 19, 2017 Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIH… -
www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/exh4.htmlAugust 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events Exhibit 4. Consumer reporting systems-Organizational structure and characteristics Previous Page Next Page Table of Contents Designing Consumer Reporting Systems for Patient Safety Events Executive Summary Chapter 1. Background Cha…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35028/psn-pdfMay 27, 2011 - Medication errors and adverse drug events in pediatric inpatients. May 27, 2011 Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20. https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients This p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73624/psn-pdfAugust 25, 2021 - System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. August 25, 2021 Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):114-119. doi:10.1097/sla.00000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43703/psn-pdfDecember 19, 2014 - Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? December 19, 2014 Shin MH, Sullivan JL, Rosen AK, et al. Examining the validity of AHRQ's patient safety indicators (PSIs): is variation in PSI composite score related … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50833/psn-pdfJanuary 29, 2020 - Linking transformational leadership, patient safety culture and work engagement in home care services. January 29, 2020 Ree E, Wiig S. Linking transformational leadership, patient safety culture and work engagement in home care services. Nurs Open. 2020;7(1):256-264. doi:10.1002/nop2.386. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46260/psn-pdfJuly 26, 2017 - ACOG Committee opinion #680: the use and development of checklists in obstetrics and gynecology. July 26, 2017 American College of Obstetricians and Gynecologists’ Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2016;128:e237-e240. https://psnet.ahrq.gov/issue/acog-committee-opinion-680-use-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45044/psn-pdfMay 11, 2016 - Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. May 11, 2016 Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Interventional Approach. J Nurses Prof Dev.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46761/psn-pdfFebruary 14, 2018 - Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. February 14, 2018 Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the lite… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43828/psn-pdfJanuary 14, 2015 - Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. January 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4. https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all- hospitals This newsletter article … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863208/psn-pdfFebruary 28, 2024 - Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. February 28, 2024 Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):1386-1392. doi:10.1007/s11606-0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851916/psn-pdfAugust 02, 2023 - Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. August 2, 2023 Goldman J, Rotteau L, Flintoft V, et al. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44308/psn-pdfJuly 22, 2015 - Primary care medication safety surveillance with integrated primary and secondary care electronic health records: a cross-sectional study. July 22, 2015 Akbarov A, Kontopantelis E, Sperrin M, et al. Primary Care Medication Safety Surveillance with Integrated Primary and Secondary Care Electronic Health Records: A … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36068/psn-pdfSeptember 28, 2010 - Getting doctors to report medical errors: project DISCLOSE. September 28, 2010 King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt Comm J Qual Patient Saf. 2006;32(7):382-392. https://psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose This … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47756/psn-pdfFebruary 06, 2019 - Meltdown: Why Our Systems Fail and What We Can Do About It. February 6, 2019 Clearfield C, Tilcsik A. New York, NY: Penguin Press; 2018. ISBN: 978-0735222632. https://psnet.ahrq.gov/issue/meltdown-why-our-systems-fail-and-what-we-can-do-about-it Complex systems are prone to failure. This book provides a multi-indu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73565/psn-pdfAugust 04, 2021 - Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021 Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60235/psn-pdfApril 15, 2020 - Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. April 15, 2020 NHS Improvement. Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust. NHS England. March 2020. https://psnet.ahrq.gov/issue/independent-morta… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43631/psn-pdfDecember 19, 2014 - An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. December 19, 2014 McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. J Ped… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60336/psn-pdfMay 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. May 13, 2020 Buckinghamshire, UK. Clinical Human Factors Group. April 2020. https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors- specification-and Poor eq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73165/psn-pdfApril 21, 2021 - Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. April 21, 2021 Petersen C, Smith J, Freimuth RR, et al. Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper. J Amer Med Inform Assoc. 2020;28(…
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