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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43768/psn-pdf
    December 10, 2014 - Accountability in nursing practice: why it is important for patient safety. December 10, 2014 Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008. https://psnet.ahrq.gov/issue/accountability-nursing-practice-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866326/psn-pdf
    July 17, 2024 - Telehealth safety framework: addressing a new frontier in patient safety. July 17, 2024 Gomes KM, Apathy N, Krevat SA, et al. Telehealth safety framework: addressing a new frontier in patient safety. J Patient Saf. 2024;20(5):358-359. doi:10.1097/pts.0000000000001243. https://psnet.ahrq.gov/issue/telehealth-safety…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48132/psn-pdf
    March 18, 2025 - World Patient Safety Day. March 18, 2025 World Health Organization. September 17, 2025. https://psnet.ahrq.gov/issue/world-patient-safety-day Patients, families, and providers around the world are affected by medical error. This annual event and its associated materials seek to raise awareness, motivate collaborat…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46244/psn-pdf
    June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36992/psn-pdf
    September 14, 2011 - Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. September 14, 2011 Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. J Nurs Care Qual. 2007;22…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35286/psn-pdf
    February 24, 2011 - Outpatient prescribing errors and the impact of computerized prescribing. February 24, 2011 Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x. https://psnet.ahrq.gov/issue/outp…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39407/psn-pdf
    March 31, 2010 - What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. March 31, 2010 Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. Am J Surg. 2010;199(3):…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39832/psn-pdf
    September 08, 2010 - Unintended transplantation of three organs from an HIV- positive donor: report of the analysis of an adverse event in a regional health care service in Italy. September 8, 2010 Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41516/psn-pdf
    December 29, 2014 - Investigating patient safety culture across a health system: multilevel modelling of differences associated with service types and staff demographics. December 29, 2014 Gallego B, Westbrook MT, Dunn AG, et al. Investigating patient safety culture across a health system: multilevel modelling of differences associat…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46790/psn-pdf
    March 14, 2018 - When clinicians drop out and start over after adverse events. March 14, 2018 Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008. https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-afte…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838194/psn-pdf
    September 28, 2022 - Measure Dx: implementing pathways to discover and learn from diagnostic errors. September 28, 2022 Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068. https://psnet.ahrq.gov/issue/meas…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839828/psn-pdf
    October 14, 2016 - STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. October 14, 2016 Cohen JF, Korevaar DA, Altman DG, et al. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. BMJ Open. 2016;6(11):e012799. doi:10.1136/bmjopen-2016-012799. https:…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45525/psn-pdf
    November 18, 2016 - In support of the medical apology: the nonlegal arguments. November 18, 2016 Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048. https://psnet.ahrq.gov/issue/support-medical-apology-nonlegal-argu…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46231/psn-pdf
    December 20, 2017 - Patient preferences for participation in patient care and safety activities in hospitals. December 20, 2017 Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266-7. https://psnet.ahrq.gov/iss…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42353/psn-pdf
    September 19, 2016 - Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. September 19, 2016 Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych. 2013;35(5):528-536. doi:10.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39047/psn-pdf
    October 28, 2009 - ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. October 28, 2009 Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. doi:10.1136/qshc.2007.025056. htt…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43455/psn-pdf
    December 15, 2014 - What about doctors? The impact of medical errors. December 15, 2014 Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors Patients are the first victims when medica…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45011/psn-pdf
    May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. May 25, 2016 Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940446387. https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality This publicati…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40396/psn-pdf
    May 18, 2016 - 2010 John M. Eisenberg Patient Safety and Quality Awards. May 18, 2016 Jt Comm J Qual Patient Saf. 2011;37(5):194-239. https://psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-awards This special issue highlights the efforts of the 2010 Eisenberg Award recipients and their impact on improving…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847053/psn-pdf
    April 05, 2023 - Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. April 5, 2023 Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public Health. 2023;11:1087268. doi:10.3389/fp…
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