-
psnet.ahrq.gov/node/853071/psn-pdf
August 30, 2023 - A natural language processing approach to categorise
contributing factors from patient safety event reports.
August 30, 2023
Tabaie A, Sengupta S, Pruitt ZM, et al. BMJ Health Care Inform. 2023;30(1):e100731.
https://psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-
…
-
psnet.ahrq.gov/node/852452/psn-pdf
August 16, 2023 - Value assessment of deprescribing interventions:
suggestions for improvement.
August 16, 2023
Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for
improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298.
https://psnet.ahrq.gov/issue/value-assessment…
-
psnet.ahrq.gov/node/43103/psn-pdf
April 02, 2014 - Ten Years After Keeping Patients Safe: Have Nurses'
Work Environments Been Transformed?
April 2, 2014
Princeton, NJ: Robert Wood Johnson Foundation. Washington, DC: George Washington University School
of Nursing. March 14, 2014;22:1-8.
https://psnet.ahrq.gov/issue/ten-years-after-keeping-patients-safe-have-nurses-…
-
psnet.ahrq.gov/node/47731/psn-pdf
April 27, 2019 - Implementing strategies to identify and mitigate adverse
safety events: a case study with unplanned extubations.
April 27, 2019
Hatch D, Rivard M, Bolton J, et al. Implementing Strategies to Identify and Mitigate Adverse Safety Events:
A Case Study with Unplanned Extubations. Jt Comm J Qual Patient Saf. 2019;45(4):…
-
psnet.ahrq.gov/node/847536/psn-pdf
April 12, 2023 - Racism and electronic health records (EHRs):
perspectives for research and practice.
April 12, 2023
Emani S, Rodriguez JA, Bates DW. Racism and electronic health records (EHRs): perspectives for
research and practice. J Am Med Inform Assoc. 2023;30(5):995-999. doi:10.1093/jamia/ocad023.
https://psnet.ahrq.gov/issu…
-
psnet.ahrq.gov/node/46058/psn-pdf
October 23, 2018 - Centers for Disease Control and Prevention Guideline for
the Prevention of Surgical Site Infection, 2017.
October 23, 2018
Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention Guideline
for the Prevention of Surgical Site Infection, 2017. JAMA Surg. 2017;152(8).
doi:10.100…
-
psnet.ahrq.gov/node/39773/psn-pdf
August 18, 2010 - Preventing potentially inappropriate medication use in
hospitalized older patients with a computerized provider
order entry warning system.
August 18, 2010
Mattison MLP, Afonso KA, Ngo LH, et al. Preventing potentially inappropriate medication use in
hospitalized older patients with a computerized provider order e…
-
psnet.ahrq.gov/node/44821/psn-pdf
December 05, 2022 - Action Planning Tool for the AHRQ Surveys on Patient
Safety Culture.
December 5, 2022
Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November
2022. AHRQ Publication No. 23-0011.
https://psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
Im…
-
psnet.ahrq.gov/node/44856/psn-pdf
September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical
Playbook.
September 29, 2017
National Quality Partners. Washington, DC: National Quality Forum; 2016.
https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook
Antimicrobial stewardship has been promoted as a strategy to improve patient safe…
-
psnet.ahrq.gov/node/72678/psn-pdf
January 27, 2021 - Health information technology-related wrong-patient
errors: context is critical.
January 27, 2021
Kim T, Howe J, Franklin E, et al.?Patient Safety. 2020;2(4):40–57.
https://psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
Patient misidentification errors…
-
psnet.ahrq.gov/node/839329/psn-pdf
November 02, 2022 - Eight human factors and ergonomics principles for
healthcare artificial intelligence.
November 2, 2022
Sujan M, Pool R, Salmon P. Eight human factors and ergonomics principles for healthcare artificial
intelligence. BMJ Health Care Inform. 2022;29(1):e100516. doi:10.1136/bmjhci-2021-100516.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/43970/psn-pdf
May 19, 2015 - Organisational reporting and learning systems:
innovating inside and outside of the box.
May 19, 2015
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the
box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
https://psnet.ahrq.gov/issue/organisational-re…
-
psnet.ahrq.gov/node/46749/psn-pdf
April 04, 2018 - Toolkit for Improving Perinatal Safety.
April 4, 2018
Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
https://psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from
comprehensive unit-based safe…
-
psnet.ahrq.gov/node/842424/psn-pdf
January 11, 2023 - Unsafe by design: infusion task reallocation and safety
perceptions in U.S. hospitals.
January 11, 2023
Pratt BR, Dunford BB, Vogus TJ, et al. Unsafe by design: infusion task reallocation and safety perceptions
in U.S. hospitals. Health Care Manage Rev. 2022;48(1):14-22. doi:10.1097/hmr.0000000000000351.
https://p…
-
psnet.ahrq.gov/node/45246/psn-pdf
August 15, 2016 - Reliability of verbal handoff assessment and handoff
quality before and after implementation of a resident
handoff bundle.
August 15, 2016
Feraco AM, Starmer AJ, Sectish TC, et al. Reliability of Verbal Handoff Assessment and Handoff Quality
Before and After Implementation of a Resident Handoff Bundle. Acad Pediat…
-
psnet.ahrq.gov/node/40962/psn-pdf
December 14, 2011 - American College of Surgeons' Committee on Trauma
performance improvement and patient safety program:
maximal impact in a mature trauma center.
December 14, 2011
Sarkar B, Brunsvold ME, Cherry-Bukoweic JR, et al. American College of Surgeons' Committee on Trauma
Performance Improvement and Patient Safety program: …
-
psnet.ahrq.gov/node/853442/psn-pdf
September 13, 2023 - Pediatric Diagnostic Safety: State of the Science and
Future Directions.
September 13, 2023
Grubenhoff JA, Cifra CL, Marshall T, et al. Rockville, MD: Agency for Healthcare Research and Quality;
September 2023. AHRQ Publication No. 23-0040-5-EF.
https://psnet.ahrq.gov/issue/pediatric-diagnostic-safety-state-scienc…
-
psnet.ahrq.gov/node/46114/psn-pdf
June 07, 2017 - Standardizing concentrations of adult drug infusions in
Indiana.
June 7, 2017
Walroth TA, Dossett HA, Doolin M, et al. Standardizing concentrations of adult drug infusions in Indiana.
Am J Health Syst Pharm. 2017;74(7):491-497. doi:10.2146/ajhp151018.
https://psnet.ahrq.gov/issue/standardizing-concentrations-adult…
-
psnet.ahrq.gov/node/44597/psn-pdf
October 28, 2015 - Smarter clinical checklists: how to minimize checklist
fatigue and maximize clinician performance.
October 28, 2015
Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician
Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/40541/psn-pdf
July 22, 2011 - Effect of a pharmacist-led multicomponent intervention
focusing on the medication monitoring phase to prevent
potential adverse drug events in nursing homes.
July 22, 2011
Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on
the medication monitoring phase to p…