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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45651/psn-pdfNovember 16, 2016 - Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. November 16, 2016 Wright J, Lawton R, O’Hara J, et al. Improving Patient Safety Through The Involve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846161/psn-pdfMarch 15, 2023 - Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. March 15, 2023 Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 2023;31(1):9. doi:10.1186/s12998-023-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46672/psn-pdfJanuary 30, 2018 - Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. January 30, 2018 Meacock R, Sutton M. Elevated mortality among weekend hospital admissions is not associated with adoption of seven day clinical standards. Emerg Med J. 2018;35(2):108-113. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45662/psn-pdfJanuary 23, 2017 - National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. January 23, 2017 Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;170(12):1195-1201. doi:10.1001/j… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47454/psn-pdfMay 29, 2019 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors. May 29, 2019 MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38515/psn-pdfMarch 03, 2011 - Errors in administration of parenteral drugs in intensive care units: multinational prospective study. March 3, 2011 Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814. doi:10.1136/bmj.b814. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836959/psn-pdfApril 20, 2022 - Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. April 20, 2022 El Abd A, Schwab C, Clementz A, et al. Safety of elderly fallers: identifying associated risk factors for 30- day unplanned readmissions using a clinical data warehouse. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61108/psn-pdfNovember 11, 2020 - Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020 Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45532/psn-pdfSeptember 28, 2016 - Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. September 28, 2016 Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis Clin North Am. 2016;30(3):713-2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43292/psn-pdfJanuary 07, 2015 - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. January 7, 2015 Woods AD, Mulherin DP, Flynn AJ, et al. Clinical decision support for atypical orders: detection and warning of atypical medication orders subm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42283/psn-pdfFebruary 27, 2014 - Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? February 27, 2014 Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ Theory Pract. 2014;19(1):43-51. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38731/psn-pdfApril 30, 2014 - Preventable morbidity at a mature trauma center. April 30, 2014 Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. https://psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center Patient safety in trauma poses unique challenges given the acuity of the patients and the need for rapid ass… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73315/psn-pdfMay 26, 2021 - What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. May 26, 2021 Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. J Pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842761/psn-pdfJanuary 18, 2023 - Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. January 18, 2023 Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptions of health care quality among… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36814/psn-pdfMarch 28, 2011 - Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy recommendations. March 28, 2011 Miller MR, Robinson K, Lubomski LH, et al. Medication errors in paediatric care: a systematic review of epidemiology and an evaluation of evidence su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848318/psn-pdfMay 03, 2023 - Teamwork, clinical leadership skills and environmental factors that influence missed nursing care - a qualitative study on hospital wards. May 3, 2023 Beiboer C, Andela R, Hafsteinsdóttir TB, et al. Teamwork, clinical leadership skills and environmental factors that influence missed nursing care – a qualitative st… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45900/psn-pdfJune 07, 2017 - Blood bank specimen mislabeling: a College of American Pathologists Q-Probes study of 41,333 blood bank specimens in 30 institutions. June 7, 2017 Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American Pathologists Q-Probes Study of 41 333 Blood Bank Specimens in 30 Institut… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47445/psn-pdfOctober 24, 2018 - Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. October 24, 2018 Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44580/psn-pdfJanuary 13, 2016 - Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. January 13, 2016 Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US Food and Drug Administration; December 15, 2015. https://psnet.ahrq.gov/issue/computeriz… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858164/psn-pdfDecember 13, 2023 - Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. December 13, 2023 Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673. htt…
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