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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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73600/psn-pdfAugust 18, 2021 - Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised controlled trial. August 18, 2021 Blum MR, Sallevelt B, Spinewine A, et al. Optimizing Therapy to Prevent Avoidable Hospital Admissions in Multimorbid Older Adults (OPERAM): cluster randomised contr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44037/psn-pdfMarch 14, 2018 - Pediatric medication safety in the emergency department. March 14, 2018 Benjamin L, Frush K, Shaw KN, et al. Pediatric Medication Safety in the Emergency Department. Ann Emerg Med. 2018;71(3):e17-e24. doi:10.1016/j.annemergmed.2017.12.013. https://psnet.ahrq.gov/issue/pediatric-medication-safety-emergency-departmen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73394/psn-pdfJune 16, 2021 - Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug events associated with transitions of care. June 16, 2021 Killin L, Hezam A, Anderson KK, et al. Advanced medication reconciliation: a systematic review of the impact on medication errors and adverse drug ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865706/psn-pdfMay 01, 2024 - Stigmatizing language, patient demographics, and errors in the diagnostic process. May 1, 2024 Brooks KC, Raffel KE, Chia D, et al. Stigmatizing language, patient demographics, and errors in the diagnostic process. JAMA Intern Med. 2024;184(6):704-706. doi:10.1001/jamainternmed.2024.0705. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60846/psn-pdfJanuary 01, 2021 - Safety climate associated with adverse events in nursing homes: a national VA study. August 26, 2020 Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.2020.05.028. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46190/psn-pdfAugust 17, 2017 - Preventing harm in the ICU—building a culture of safety and engaging patients and families. August 17, 2017 Thornton KC, Schwarz JJ, Gross K, et al. Preventing Harm in the ICU-Building a Culture of Safety and Engaging Patients and Families. Crit Care Med. 2017;45(9):1531-1537. doi:10.1097/CCM.0000000000002556. ht…
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