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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48109/psn-pdfJanuary 01, 2020 - Dosing errors made by paramedics during pediatric patient simulations after implementation of a state-wide pediatric drug dosing reference. July 24, 2019 Hoyle JD, Ekblad G, Hover T, et al. Dosing Errors Made by Paramedics During Pediatric Patient Simulations After Implementation of a State-Wide Pediatric Drug Dos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841762/psn-pdfDecember 21, 2022 - Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. December 21, 2022 Almqvist D, Norberg D, Larsson F, et al. Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is need… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50596/psn-pdfOctober 30, 2019 - Encouraging resident adverse event reporting: a qualitative study of suggestions from the front lines. October 30, 2019 Szymusiak J, Walk TJ, Benson M, et al. Encouraging Resident Adverse Event Reporting: A Qualitative Study of Suggestions from the Front Lines. Ped Qual Saf. 2019;4(3):e167. doi:10.1097/pq9.0000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44228/psn-pdfSeptember 04, 2016 - Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. September 4, 2016 Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Safety Mission of Teaching Hospitals a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866351/psn-pdfJuly 24, 2024 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. July 24, 2024 Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health Care. 2024;36(3):mzae057. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72658/psn-pdfJanuary 20, 2021 - “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. January 20, 2021 Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47240/psn-pdfMarch 06, 2019 - Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. March 6, 2019 Chen Q, Rosen AK, Amirfarzan H, et al. Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43488/psn-pdfSeptember 10, 2014 - The relationship between hospital systems load and patient harm. September 10, 2014 Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. https://psnet.ahrq.gov/issue/relationship-between-hospi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50881/psn-pdfFebruary 12, 2020 - Adverse events during intrahospital transport of critically ill children: a systematic review. February 12, 2020 Haydar B, Baetzel A, Elliott A, et al. Adverse Events During Intrahospital Transport of Critically Ill Children: A Systematic Review. Anesth Analg. 2020;131(4):1135-1145. doi:10.1213/ane.0000000000004585… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45805/psn-pdfApril 12, 2017 - 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. April 12, 2017 Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract. 2017;64(6):e26484. doi:10.1002/pbc.2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861289/psn-pdfJanuary 01, 2025 - Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. January 24, 2024 Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848820/psn-pdfMay 10, 2023 - Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. May 10, 2023 Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. doi:10.1136/bmjqs-2022-015247. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47536/psn-pdfMarch 09, 2019 - Evaluation of wound photography for remote postoperative assessment of surgical site infections. March 9, 2019 Broman KK, Gaskill CE, Faqih A, et al. Evaluation of Wound Photography for Remote Postoperative Assessment of Surgical Site Infections. JAMA Surg. 2019;154(2):117-124. doi:10.1001/jamasurg.2018.3861. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44563/psn-pdfOctober 21, 2015 - The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses. October 21, 2015 Samra HA, Smith BA. The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurses' Health: From the National Association of Neonatal Nurs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43893/psn-pdfMarch 04, 2015 - Impact of incorporating pharmacy claims data into electronic medication reconciliation. March 4, 2015 Phansalkar S, Her QL, Tucker AD, et al. Impact of incorporating pharmacy claims data into electronic medication reconciliation. Am J Health Syst Pharm. 2015;72(3):212-7. doi:10.2146/ajhp140082. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47655/psn-pdfMarch 27, 2019 - Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. March 27, 2019 Nguyen S, Corrington A, Hebl MR, et al. Endorsements of Surgeon Punishment and Patient Compensation in Rested and Sleep-Restricted Individuals. JAMA Surg. 2019;154(6):555-557. doi:10.1001/jamasurg… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47567/psn-pdfJune 26, 2019 - A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions." June 26, 2019 Sendlhofer G, Pregartner G, Gombotz V, et al. A new approach of assessing patient safety aspects in routine practice using the example of "doctors handwritten prescriptions… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43878/psn-pdfFebruary 04, 2015 - Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. February 4, 2015 Bismark MM, Morris JM, Clarke C. Mandatory reporting of impaired medical practitioners: protecting patients, supporting practitioners. Intern Med J. 2014;44(12a):1165-9. doi:10.1111/imj.12613. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37448/psn-pdfJanuary 06, 2017 - Patient safety rounds in a pediatric tertiary care center. January 6, 2017 Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center Executive walk… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856588/psn-pdfNovember 29, 2023 - It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. November 29, 2023 Hald EJ, Gillespie A, Reader TW. It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. J Contingencies Cr…
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