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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37348/psn-pdfMarch 28, 2012 - Impact of duty hours restrictions on quality of care and clinical outcomes. March 28, 2012 Bhavsar J, Montgomery D, Li J, et al. Impact of duty hours restrictions on quality of care and clinical outcomes. Am J Med. 2007;120(11):968-74. https://psnet.ahrq.gov/issue/impact-duty-hours-restrictions-quality-care-and-cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851663/psn-pdfJuly 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853236/psn-pdfSeptember 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. September 6, 2023 Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. Simul Healthc. 2023;18(4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73220/psn-pdfMay 05, 2021 - Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? May 5, 2021 Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for telehealth implementation amidst the COVID… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44688/psn-pdfFebruary 23, 2018 - Improving diagnosis in health care—the next imperative for patient safety. February 23, 2018 Singh H, Graber ML. Improving Diagnosis in Health Care--The Next Imperative for Patient Safety. New Engl J Med. 2015;373(26):2493-2495. doi:10.1056/NEJMp1512241. https://psnet.ahrq.gov/issue/improving-diagnosis-health-care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73915/psn-pdfOctober 06, 2021 - Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. October 6, 2021 Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross- sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjopen-2020-040779. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865975/psn-pdfMay 29, 2024 - A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced, and the impact on patient safety. May 29, 2024 Sattar R, Lawton R, Janes G, et al. A systematic review of workplace triggers of emotions in the healthcare environment, the emotions experienced, and the im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851362/psn-pdfJuly 12, 2023 - Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do we get there? July 12, 2023 Nicklin W, Greenfield D. Health system resilience, accreditation, high-quality care, and continuous quality improvement: what is the destination and how do … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42964/psn-pdfMay 10, 2014 - What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. May 10, 2014 Drupsteen L, Guldenmund FW. What Is Learning? A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. J Contingencies Crisis Manage. 2014;22(2):81-96. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47251/psn-pdfJuly 25, 2018 - Fail-safe patient ID matching remains just out of reach. July 25, 2018 Arndt RZ. Mod Healthc. July 14, 2018. https://psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach Similarities in patient names and clinical situations can result in medical errors. Discussing how digital technologies can … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47952/psn-pdfJanuary 01, 2020 - Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. May 15, 2019 Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Acta Clin Belg. 2020;75(3… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45445/psn-pdfSeptember 27, 2016 - Using Kotter's change model for implementing bedside handoff: a quality improvement project. September 27, 2016 Small A, Gist D, Souza D, et al. Using Kotter's Change Model for Implementing Bedside Handoff: A Quality Improvement Project. J Nurs Care Qual. 2016;31(4):304-9. doi:10.1097/NCQ.0000000000000212. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36843/psn-pdfJanuary 05, 2017 - Improving medication reconciliation in the outpatient setting. January 5, 2017 Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting The Jo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44089/psn-pdfApril 22, 2015 - Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. April 22, 2015 Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.2014.11.004. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44727/psn-pdfDecember 02, 2015 - Virginia Tech as a sentinel event: the role of psychiatry in managing emotionally troubled students on college and university campuses. December 2, 2015 Giggie MA. Virginia Tech as a Sentinel Event: The Role of Psychiatry in Managing Emotionally Troubled Students on College and University Campuses. Harv Rev Psychi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34067/psn-pdfJanuary 04, 2017 - Does full disclosure of medical errors affect malpractice liability? The jury is still out. January 4, 2017 Kachalia A, Shojania KG, Hofer TP, et al. Does full disclosure of medical errors affect malpractice liability? The jury is still out. Jt Comm J Qual Saf. 2003;29(10):503-11. https://psnet.ahrq.gov/issue/does… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44686/psn-pdfMarch 15, 2016 - Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. March 15, 2016 Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality of care. Nurse Educ Today. 2016;37:3-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867192/psn-pdfNovember 20, 2024 - 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. November 20, 2024 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. 24-0088 https://psnet.ahrq.gov/issue… -
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-2.htmlAugust 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Evidence Base Supporting Telehealth Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Evidence Base Supporting Telehealth I…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50745/psn-pdfDecember 18, 2019 - Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019 Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. BMJ Open. 2019;9(1…
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