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9701. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43139/psn-pdf
      April 23, 2014 - Patient safety in obstetrics and obstetric anesthesia. April 23, 2014 Kung A, Pratt SD. Patient safety in obstetrics and obstetric anesthesia. Int Anesthesiol Clin. 2014;52(2):86- 110. doi:10.1097/AIA.0000000000000017. https://psnet.ahrq.gov/issue/patient-safety-obstetrics-and-obstetric-anesthesia Labor and delive…

9702. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43001/psn-pdf
      March 19, 2014 - Variability in the measurement of hospital-wide mortality rates. March 19, 2014 Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. https://psnet.ahrq.gov/issue/variability-measurement-hospital-wide-m…

9703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46328/psn-pdf
      August 09, 2017 - Critical incident stress debriefing after adverse patient safety events. August 9, 2017 Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events…

9704. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853062/psn-pdf
      August 30, 2023 - Quality and safety practices among academic obstetrics and gynecology departments. August 30, 2023 Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.0000000000000129. https://psnet.ahrq.…

9705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36017/psn-pdf
      June 14, 2006 - Medical errors and quality of care: from control to commitment. June 14, 2006 Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. https://psnet.ahrq.gov/issue/medical-errors-and-quality-care-control…

9706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44765/psn-pdf
      November 23, 2016 - Communication relating to family members' involvement and understandings about patients' medication management in hospital. November 23, 2016 Manias E. Communication relating to family members' involvement and understandings about patients' medication management in hospital. Health Expect. 2015;18(5):850-66. doi:1…

9707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47065/psn-pdf
      June 20, 2018 - The complexity, diversity, and science of primary care teams. June 20, 2018 Fiscella K, McDaniel SH. The complexity, diversity, and science of primary care teams. Amer Psychol. 2018;73(4):451-467. doi:10.1037/amp0000244. https://psnet.ahrq.gov/issue/complexity-diversity-and-science-primary-care-teams Teamwork is …

9708. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46403/psn-pdf
      September 06, 2017 - Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. September 6, 2017 Quality and Safety Education for Nurses. https://psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program Patient safety and quality improvement competencies are developed through interprof…

9709. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40169/psn-pdf
      January 26, 2011 - The association between night or weekend admission and hospitalization-relevant patient outcomes. January 26, 2011 Khanna R, Wachsberg K, Marouni A, et al. The association between night or weekend admission and hospitalization-relevant patient outcomes. J Hosp Med. 2011;6(1):10-4. doi:10.1002/jhm.833. https://psne…

9710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47979/psn-pdf
      May 01, 2019 - Inpatient notes: just what the doctor ordered—checklists to improve diagnosis. May 1, 2019 Gupta A, Graber ML. Web Exclusive. Annals for Hospitalists Inpatient Notes - Just What the Doctor Ordered-Checklists to Improve Diagnosis. Ann Intern Med. 2019;170(8):HO2-HO3. doi:10.7326/M19-0829. https://psnet.ahrq.gov/iss…

9711. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39707/psn-pdf
      January 07, 2015 - Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. January 7, 2015 Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anesth Analg. 2010;111(3):679-86. do…

9712. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61051/psn-pdf
      October 21, 2020 - Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). October 21, 2020 ISMP Medication Safety Alert! Acute Care Edition. October 8, 2020;25(20):1-4 https://psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safe…

9713. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860733/psn-pdf
      January 17, 2024 - Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. January 17, 2024 McGrory K, Bedi N. ProPublica, January 6, 2024. https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy Stories of mental health system failure provid…

9714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40784/psn-pdf
      September 21, 2011 - Do remote community telepharmacies have higher medication error rates than traditional community pharmacies? Evidence from the North Dakota Telepharmacy Project. September 21, 2011 Friesner DL, Scott DM, Rathke AM, et al. Do remote community telepharmacies have higher medication error rates than traditional commu…

9715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39870/psn-pdf
      September 22, 2010 - Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts. September 22, 2010 Geiger-Brown J, Trinkoff AM. Is it time to pull the plug on 12-hour shifts? Part 3. harm reduction strategies if keeping 12-hour shifts. J Nurs Adm. 2010;40(9):357-9. doi:10.1097/NNA.0b013…

9716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859353/psn-pdf
      December 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in…

9717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45151/psn-pdf
      May 18, 2016 - Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. May 18, 2016 van Rosse F, Suurmond J, Wagner C, et al. Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. BMJ Open. 2016;6(4):e009052. doi:10.1136/bmjopen-2015-0…

9718. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45009/psn-pdf
      March 30, 2016 - Fatal mistakes. March 30, 2016 Kliff S. Vox Media. March 15, 2016. https://psnet.ahrq.gov/issue/fatal-mistakes Health professionals involved in medical errors experience psychological stress, which can have serious consequences if they are unable to cope with their mistake. Reporting on the second victim phenomeno…

9719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34812/psn-pdf
      March 05, 2008 - The critical incident technique. March 5, 2008 FLANAGAN JC. The critical incident technique. Psychol Bull. 1954;51(4):327-358. https://psnet.ahrq.gov/issue/critical-incident-technique This review details the background of a methodology aimed to record specific behaviors, rather than opinions or estimates, in evalu…

9720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861291/psn-pdf
      January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. January 24, 2024 Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-…