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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839313/psn-pdfNovember 02, 2022 - The impact of meaningful use and electronic health records on hospital patient safety. November 2, 2022 Trout KE, Chen L-W, Wilson FA, et al. The impact of meaningful use and electronic health records on hospital patient safety. Int J Environ Res Public Health. 2022;19(19):12525. doi:10.3390/ijerph191912525. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60582/psn-pdfJune 10, 2020 - Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. June 10, 2020 Vaismoradi M, Vizcaya-Moreno F, Jordan S, et al. Disclosing and reporting practice errors by nurses in residential long-term care settings: a systematic review. Sustainability. 2020;12(7):26… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44948/psn-pdfFebruary 14, 2017 - Safer Healthcare: Strategies for the Real World. February 14, 2017 Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 https://psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world Written by two leaders in the patient safety field, Charles Vincent and Rene Amalberti, this book is available for free dow… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44350/psn-pdfJuly 29, 2015 - Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. July 29, 2015 Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841150/psn-pdfDecember 07, 2022 - Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? December 7, 2022 Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. doi:10.1136/bmjqs-2021-014447. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72684/psn-pdfJanuary 27, 2021 - National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. January 27, 2021 Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event. J Obstet Gynecol Neonatal Nurs. 2021;50(1):88-101. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860388/psn-pdfJanuary 10, 2024 - Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. January 10, 2024 Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Med Decis Making. 2024;44(1):102-111. doi:10.1177/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866521/psn-pdfAugust 14, 2024 - High reliability in a safety net hospital leading to operational excellence. August 14, 2024 Didion L, Whitfield C, Bishop P, et al. High reliability in a safety net hospital leading to operational excellence. J Patient Saf. 2024;20(5):375-380. doi:10.1097/pts.0000000000001236. https://psnet.ahrq.gov/issue/high-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851189/psn-pdfJuly 05, 2023 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. July 5, 2023 Conn Busch J, Wu J, Anglade E, et al. So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. Jt Comm J Qual Patient Saf. 2023;49(8)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47590/psn-pdfFebruary 20, 2019 - Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. February 20, 2019 Jones L, Pomeroy L, Robert G, et al. Explaining organisational responses to a board-level quality improvement intervention: … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851923/psn-pdfAugust 02, 2023 - Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. August 2, 2023 Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation following a life?changing event: sys… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73184/psn-pdfApril 28, 2021 - Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. April 28, 2021 Massa S, Wu J, Wang C, et al. Interprofessional training and communication practices among clinicians in the postoperative ICU handoff. Jt Comm J Qual Patient Saf. 2021;47(4):242-249. doi:10.101… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73281/psn-pdfMay 19, 2021 - Measuring safety in older adult care homes: a scoping review of the international literature. May 19, 2021 Rand S, Smith N, Jones K, et al. Measuring safety in older adult care homes: a scoping review of the international literature. BMJ Open. 2021;11(3):e043206. doi:10.1136/bmjopen-2020-043206. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47486/psn-pdfJanuary 27, 2019 - Direct oral anticoagulants: a review of common medication errors. January 27, 2019 Barr D, Epps QJ. Direct oral anticoagulants: a review of common medication errors. J Thromb Thrombolysis. 2019;47(1):146-154. doi:10.1007/s11239-018-1752-9. https://psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74151/psn-pdfJanuary 01, 2022 - Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta- analysis. December 8, 2021 Marufu TC, Bower R, Hendron E, et al. Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis. J Pediatr Nurs. 2022;62:e13… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72475/psn-pdfNovember 18, 2020 - Omissions of care in nursing homes: a uniform definition for research and quality improvement. November 18, 2020 Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11):1587-1591.e2. doi:10.1016/j.jamda… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34735/psn-pdfJune 16, 2014 - An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. June 16, 2014 Donaldson L. London, UK: The Stationery Office, 2000. https://psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs- chaired-ch… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34888/psn-pdfMarch 11, 2019 - "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. March 11, 2019 Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary care. Arch Intern Med. 2004;164(20):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36434/psn-pdfFebruary 18, 2011 - Protocol-based computer reminders, the quality of care and the non-perfectability of man. February 18, 2011 McDonald CJ. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976;295(24):1351-5. https://psnet.ahrq.gov/issue/protocol-based-computer-reminders-qualit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38100/psn-pdfJuly 02, 2009 - Surgical team behaviors and patient outcomes. July 2, 2009 Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi:10.1016/j.amjsurg.2008.03.002. https://psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes Direct observation of teamwork…
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