-
psnet.ahrq.gov/node/44493/psn-pdf
September 19, 2016 - Interventions in health organisations to reduce the impact
of adverse events in second and third victims.
September 19, 2016
Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse
events in second and third victims. BMC Health Serv Res. 2015;15:341. doi:10.1186/…
-
psnet.ahrq.gov/node/848082/psn-pdf
April 26, 2023 - Adopting high reliability organization principles to lead a
large scale clinical transformation.
April 26, 2023
Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large
scale clinical transformation. Healthc Manage Forum. 2023;36(4):241-245.
doi:10.1177/08404704231…
-
psnet.ahrq.gov/node/60261/psn-pdf
April 22, 2020 - Hospital Experiences Responding to the COVID-19
Pandemic: Results of a National Pulse Survey March 23-
27, 2020.
April 22, 2020
Washington DC: Office of the Inspector General; April 3, 2020. Report no. OEI-06-20-00300.
https://psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-…
-
psnet.ahrq.gov/node/35251/psn-pdf
April 06, 2011 - Promoting health care safety through training high
reliability teams.
April 6, 2011
Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health
Care. 2005;14(4). doi:10.1136/qshc.2004.010090.
https://psnet.ahrq.gov/issue/promoting-health-care-safety-through-trainin…
-
psnet.ahrq.gov/node/837893/psn-pdf
August 24, 2022 - Exploring nurses' attitudes, skills, and beliefs of
medication safety practices.
August 24, 2022
Arkin L, Schuermann A, Penoyer D, et al. Exploring nurses' attitudes, skills, and beliefs of medication
safety practices. J Nurs Care Qual. 2022;37(4):319-326. doi:10.1097/ncq.0000000000000635.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/843321/psn-pdf
February 01, 2023 - Latent and active failures perfectly align to allow a
preventable adverse event to reach a patient.
February 1, 2023
ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4.
https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event-
reach-patient
…
-
psnet.ahrq.gov/node/44903/psn-pdf
September 27, 2016 - What would you ideally do if there were no targets? An
ethnographic study of the unintended consequences of
top-down governance in two clinical settings.
September 27, 2016
Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the
unintended consequences of top-down gov…
-
psnet.ahrq.gov/node/845656/psn-pdf
March 08, 2023 - Improving clinician well-being and patient safety through
human-centered design.
March 8, 2023
Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through
human-centered design. JAMA. 2023;329(14):1149-1150. doi:10.1001/jama.2023.2157.
https://psnet.ahrq.gov/issue/impro…
-
psnet.ahrq.gov/node/38009/psn-pdf
August 27, 2008 - Analysis of 23,364 patient-generated, physician-reviewed
malpractice claims from a non-tort, blame-free, national
patient insurance system: lessons learned from Sweden.
August 27, 2008
Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-reviewed
malpractice claims from a non…
-
psnet.ahrq.gov/node/46086/psn-pdf
August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to
Improving Outcomes, Second Edition.
August 30, 2017
Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678.
https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-
edition
The Cr…
-
psnet.ahrq.gov/node/43093/psn-pdf
August 12, 2014 - Identifying systems failures in the pathway to a
catastrophic event: an analysis of national incident report
data relating to vinca alkaloids.
August 12, 2014
Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic
event: an analysis of national incident report data…
-
psnet.ahrq.gov/node/73092/psn-pdf
March 31, 2021 - SAFER Care: improving caregiver comprehension of
discharge instructions.
March 31, 2021
Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge
instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031.
https://psnet.ahrq.gov/issue/safer-care-improving-careg…
-
psnet.ahrq.gov/node/44466/psn-pdf
September 16, 2015 - Is researching adverse events in hospital deaths a good
way to describe patient safety in hospitals: a
retrospective patient record review study.
September 16, 2015
Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way
to describe patient safety in hospitals: a re…
-
psnet.ahrq.gov/node/43715/psn-pdf
November 26, 2014 - An intervention to improve transitions from NICU to
ambulatory care: quasi-experimental study.
November 26, 2014
Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory
care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3.
https://psnet.ahrq.gov/issue/inter…
-
psnet.ahrq.gov/node/47975/psn-pdf
May 29, 2019 - Surgical Innovation, New Techniques and Technologies:
A Guide to Good Practice.
May 29, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
Introducing innovations in practice involves taking calculated ri…
-
psnet.ahrq.gov/node/72602/psn-pdf
December 23, 2020 - Patient safety in chiropractic teaching programs: a mixed
methods study.
December 23, 2020
Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed
methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0.
https://psnet.ahrq.gov/issue/patient-sa…
-
psnet.ahrq.gov/node/45745/psn-pdf
August 02, 2017 - Emergency diagnosis of cancer and previous general
practice consultations: insights from linked patient
survey data.
August 2, 2017
Abel GA, Mendonca SC, McPhail S, et al. Emergency diagnosis of cancer and previous general practice
consultations: insights from linked patient survey data. Br J Gen Pract. 2017;67(65…
-
psnet.ahrq.gov/node/43175/psn-pdf
December 12, 2014 - Interventions to improve safe and effective medicines use
by consumers: an overview of systematic reviews.
December 12, 2014
Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by
consumers: an overview of systematic reviews. Cochrane Database Syst Rev. 2014;(4):CD007768.
d…
-
psnet.ahrq.gov/node/34807/psn-pdf
January 01, 2019 - The Quality in Australian Health Care Study.
November 18, 2015
Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust.
2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x.
https://psnet.ahrq.gov/issue/quality-australian-health-care-study
In order to estimate pa…
-
psnet.ahrq.gov/node/844774/psn-pdf
September 11, 2019 - Advances in Human Factors and Ergonomics in
Healthcare and Medical Devices.
September 11, 2019
Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501.
https://psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices
Human-centered processes, techno…