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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45678/psn-pdfOctober 11, 2017 - Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. October 11, 2017 Albutt AK, O'Hara JK, Conner MT, et al. Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review. Health Expect. 2017… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866115/psn-pdfJune 12, 2024 - Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. June 12, 2024 Tsang JY, Sperrin M, Blakeman T, et al. Defining, identifying and addressing problematic polypharmacy within multimorbidity in primary care: a scoping review. BMJ Open. 2024;14(5):e0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855432/psn-pdfNovember 15, 2023 - Alarm burden and the nursing care environment: a 213- hospital cross-sectional study. November 15, 2023 Ruppel H, Dougherty M, Bonafide CP, et al. Alarm burden and the nursing care environment: a 213- hospital cross-sectional study. BMJ Open Qual. 2023;12(4):e002342. doi:10.1136/bmjoq-2023-002342. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73581/psn-pdfJanuary 01, 2022 - Applying human factors engineering to address the telemetry alarm problem in a large medical center. August 11, 2021 Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1):126-142. doi:10.1177/001872082… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36333/psn-pdfJuly 10, 2008 - The care transitions intervention: results of a randomized controlled trial. July 10, 2008 Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8. https://psnet.ahrq.gov/issue/care-transitions-intervention-results-ra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44022/psn-pdfMay 28, 2015 - Initiatives to identify and mitigate medication errors in England. May 28, 2015 Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34649/psn-pdfJune 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43909/psn-pdfMarch 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73135/psn-pdfApril 14, 2021 - Debrief it all: a tool for inclusion of Safety-II. April 14, 2021 Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. https://psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii Debriefing is a c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46453/psn-pdfOctober 04, 2017 - Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. October 4, 2017 Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Cancer Care Delivery. Jt Comm J Qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841486/psn-pdfJanuary 26, 2018 - Do words matter? Stigmatizing language and the transmission of bias in the medical record. January 26, 2018 P. Goddu A, O’Conor KJ, Lanzkron S, et al. Do words matter? Stigmatizing language and the transmission of bias in the medical record. J Gen Intern Med. 2018;33(5):685-691. doi:10.1007/s11606-017-4289-2. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72821/psn-pdfMarch 10, 2019 - I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. March 10, 2019 O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/mep_2374- 8265.10736. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838237/psn-pdfOctober 05, 2022 - Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. October 5, 2022 Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Health Technol Assess. 2022;26(32)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34874/psn-pdfFebruary 25, 2009 - Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. February 25, 2009 Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Eff Clin Pract. 2001;4(5):199-206. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36178/psn-pdfSeptember 30, 2010 - Analysis of surgical errors in closed malpractice claims at 4 liability insurers. September 30, 2010 Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. https://psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malp… -
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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47580/psn-pdfNovember 28, 2018 - Patient engagement in health care safety: an overview of mixed-quality evidence. November 28, 2018 Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (Millwood). 2018;37(11):1813-1820. doi:10.1377/hlthaff.2018.0716. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45000/psn-pdfAugust 15, 2016 - Medicare and Medicaid Programs; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care; Proposed Rule. June 29, 2016 Centers for Medicare & Medicaid Services. Fed Regist. 2016;81:39447-39480. https://psnet.ahrq.gov/issue/medicare-and-medicaid-progra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60909/psn-pdfSeptember 16, 2020 - Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. September 16, 2020 Blazin LJ, Sitthi-Amorn J, Hoffman JM, et al. Improving patient handoffs and transitions through adaptation and implementation of I-PASS across multiple handoff settings. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855427/psn-pdfNovember 15, 2023 - Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, department-level, self- investigations: a NBSIs frontline ownership intervention. November 15, 2023 Mudrik-Zohar H, Chowers M, Temkin E, et al. Preventing nosocomial bloodstream infections (NBSIs) by implementing hospitalwide, depar…
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