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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37686/psn-pdfNovember 30, 2016 - Hospital Survey on Patient Safety Culture: 2008 Comparative Database Report. November 30, 2016 Sorra J, Famolaro T, Dyer N, Nelson D, Khanna K. Rockville, MD: Agency for Healthcare Research and Quality; March 2008. AHRQ Publication No. 08-0039. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47604/psn-pdfDecember 21, 2018 - Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. December 21, 2018 Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Ann Intern Med. 2018;169(11):796-799. doi:10.7… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47651/psn-pdfDecember 12, 2018 - Are national efforts to reduce drug name confusion paying off? December 12, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6. https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying Look-alike and sound-alike medications present a recurring threat to patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46037/psn-pdfApril 16, 2018 - 'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective. April 16, 2018 Ferguson J, Keyworth C, Tully MP. 'If no-one stops me, I'll make the mistake again': Changing prescribing behaviours through feedback; A Perceptual Control Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45283/psn-pdfJune 29, 2016 - Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology; 2016. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837514/psn-pdfJune 22, 2022 - Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022 Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45767/psn-pdfApril 17, 2017 - Medication errors attributed to health information technology. April 17, 2017 Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology The unintended consequences associated with health information technologies for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47793/psn-pdfJune 12, 2019 - Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. June 12, 2019 Braun SE, Kinser PA, Rybarczyk B. Can mindfulness in health care professionals improve patient care? An integrative review and proposed model. Transl Behav Med. 2019;9(2):187-201. doi:10.1093/t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855091/psn-pdfNovember 08, 2023 - Handoff tool improves transitions from the operating room to the neonatal intensive care unit. November 8, 2023 Gallois JB, Zagory JA, Barkemeyer B, et al. Handoff tool improves transitions from the operating room to the neonatal intensive care unit. Pediatr Qual Saf. 2023;8(5):e695. doi:10.1097/pq9.000000000000069… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853237/psn-pdfSeptember 06, 2023 - Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. September 6, 2023 Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. Jt Comm J Qual Patient Saf. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45753/psn-pdfJanuary 18, 2017 - A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. January 18, 2017 Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;26(1):e1. doi:10.1136/bmjqs-2016… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72644/psn-pdfFebruary 01, 2021 - Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 7, 2020. https://psnet.ahrq.gov/issue/best-practices-developing-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45218/psn-pdfJune 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43702/psn-pdfMay 07, 2018 - Strengthen your resolve: no unlabeled containers anywhere, ever! May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4. https://psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever Despite the designation of proper labeling as a National Patient Safety … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44218/psn-pdfJuly 01, 2016 - The Armstrong Institute: an academic institute for patient safety and quality improvement, research, training, and practice. July 1, 2016 Pronovost P, Holzmueller CG, Molello NE, et al. The Armstrong Institute: An Academic Institute for Patient Safety and Quality Improvement, Research, Training, and Practice. Acad… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47366/psn-pdfOctober 31, 2018 - Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and challenges. October 31, 2018 Kok J, Leistikow I, Bal R. Patient and family engagement in incident investigations: exploring hospital manager and incident investigators' experiences and c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851065/psn-pdfJune 28, 2023 - Patient safety of perioperative medication through the lens of digital health and artificial intelligence. June 28, 2023 Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.2196/34453. https://psnet.ahrq.gov/issue/p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74726/psn-pdfFebruary 02, 2022 - Disclosing adverse events in clinical practice: the delicate act of being open. February 2, 2022 Myren BJ, de Hullu JA, Bastiaans S, et al. Disclosing adverse events in clinical practice: the delicate act of being open. Health Commun. 2022;37(2):191-201. doi:10.1080/10410236.2020.1830550. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36476/psn-pdfDecember 14, 2009 - 10 Patient Safety Tips for Hospitals. December 14, 2009 Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10- M008. https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47426/psn-pdfOctober 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…
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