-
psnet.ahrq.gov/node/37837/psn-pdf
June 11, 2008 - Testing process errors and their harms and
consequences reported from family medicine practices: a
study of the American Academy of Family Physicians
National Research Network.
June 11, 2008
Hickner J, Graham DG, Elder NC, et al. Testing process errors and their harms and consequences
reported from family medicin…
-
psnet.ahrq.gov/node/836924/psn-pdf
April 13, 2022 - The analysis of hospital readmission rates after the
implementation of Hospital Readmissions Reduction
Program.
April 13, 2022
Muchiri S, Azadeh-Fard N, Pakdil F. The analysis of hospital readmission rates after the implementation of
hospital readmissions reduction program. J Patient Saf. 2022;18(3):237-244.
doi:…
-
psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems.
November 4, 2020
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795.
doi:…
-
psnet.ahrq.gov/node/37745/psn-pdf
May 07, 2008 - Clinical outcomes of a home-based medication
reconciliation program after discharge from a skilled
nursing facility.
May 7, 2008
Delate T, Chester EA, Stubbings TW, et al. Clinical outcomes of a home-based medication reconciliation
program after discharge from a skilled nursing facility. Pharmacotherapy. 2008;28(4…
-
psnet.ahrq.gov/node/46678/psn-pdf
January 03, 2018 - Measuring patient safety in real time: an essential method
for effectively improving the safety of care.
January 3, 2018
Classen DC, Griffin FA, Berwick DM. Measuring Patient Safety in Real Time: An Essential Method for
Effectively Improving the Safety of Care. Ann Intern Med. 2017;167(12). doi:10.7326/m17-2202.
h…
-
psnet.ahrq.gov/node/45355/psn-pdf
September 28, 2016 - Getting it right for patient safety: specimen collection
process improvement from operating room to pathology.
September 28, 2016
D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From
Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…
-
psnet.ahrq.gov/node/60524/psn-pdf
May 27, 2020 - Varying rates of patient identity verification when using
computerized provider order entry.
May 27, 2020
Fortman E, Hettinger AZ, Howe JL, et al. Varying rates of patient identity verification when using
computerized provider order entry. J Am Med Info Assoc. 2020;27(6):924-928. doi:10.1093/jamia/ocaa047.
https:/…
-
psnet.ahrq.gov/node/866276/psn-pdf
July 10, 2024 - Quality and patient safety metrics: developing a
structured program for improving patient care in the
Department of Medicine at The Ottawa Hospital.
July 10, 2024
Hasimja-Saraqini D, McNeill K, Kuk H, et al. Quality and patient safety metrics: developing a structured
program for improving patient care in the Depar…
-
psnet.ahrq.gov/node/60180/psn-pdf
April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year
period in a single national health service board.
April 1, 2020
Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period
in a single national health service board. J Patient Saf. 2020;16(1):79-83.
doi:10.109…
-
psnet.ahrq.gov/node/39753/psn-pdf
September 28, 2016 - Nursing care quality and adverse events in US hospitals.
September 28, 2016
Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. J Clin Nurs.
2010;19(15-16):2185-95. doi:10.1111/j.1365-2702.2010.03250.x.
https://psnet.ahrq.gov/issue/nursing-care-quality-and-adverse-events-us-hospit…
-
psnet.ahrq.gov/node/72792/psn-pdf
March 03, 2021 - Avoiding a Med-Wreck: a structured medication
reconciliation framework and standardized auditing tool
utilized to optimize patient safety and reallocate hospital
resources.
March 3, 2021
Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication
reconciliation framework and stan…
-
psnet.ahrq.gov/node/843055/psn-pdf
January 25, 2023 - Assessing experiences of racism among Black and White
patients in the emergency department.
January 25, 2023
Agarwal AK, Sagan C, Gonzales R, et al. Assessing experiences of racism among Black and White
patients in the emergency department. J Am Coll Emerg Physicians Open. 2022;3(6):e12870.
doi:10.1002/emp2.12870.…
-
psnet.ahrq.gov/node/836954/psn-pdf
April 20, 2022 - Effects of tall man lettering on the visual behaviour of
critical care nurses while identifying syringe drug labels:
a randomised in situ simulation.
April 20, 2022
Lohmeyer Q, Schiess C, Wendel Garcia PD, et al. Effects of tall man lettering on the visual behaviour of
critical care nurses while identifying syring…
-
psnet.ahrq.gov/node/42542/psn-pdf
March 17, 2014 - Surgical checklists: a systematic review of impacts and
implementation.
March 17, 2014
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation.
BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797.
https://psnet.ahrq.gov/issue/surgical-checklists-systematic…
-
psnet.ahrq.gov/node/60048/psn-pdf
March 18, 2020 - 'Immunising' physicians against availability bias in
diagnostic reasoning: a randomised controlled
experiment.
March 18, 2020
Mamede S, de Carvalho-Filho MA, de Faria RMD, et al. ‘Immunising’ physicians against availability bias in
diagnostic reasoning: a randomised controlled experiment. BMJ Qual Saf. 2020;29(7):…
-
psnet.ahrq.gov/node/862992/psn-pdf
February 21, 2024 - Evaluating independent double checks in the pediatric
intensive care unit: a human factors engineering
approach.
February 21, 2024
Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive
care unit: a human factors engineering approach. J Patient Saf. 2024;20(3):20…
-
psnet.ahrq.gov/node/38749/psn-pdf
April 08, 2011 - Parental misinterpretations of over-the-counter pediatric
cough and cold medication labels.
April 8, 2011
Lokker N, Sanders LM, Perrin EM, et al. Parental misinterpretations of over-the-counter pediatric cough
and cold medication labels. Pediatrics. 2009;123(6):1464-1471. doi:10.1542/peds.2008-0854.
https://psnet.…
-
psnet.ahrq.gov/node/60326/psn-pdf
May 13, 2020 - Preventing diagnostic errors in ambulatory care: an
electronic notification tool for incomplete radiology tests.
May 13, 2020
Weingart SN, Yaghi O, Barnhart L, et al. Preventing diagnostic errors in ambulatory care: an electronic
notification tool for incomplete radiology tests. Appl Clin Inform. 2020;11(02). doi:1…
-
psnet.ahrq.gov/node/853616/psn-pdf
September 20, 2023 - Wake-up call: night shifts adversely affect nurse health
and retention, patient and public safety, and costs.
September 20, 2023
Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and
retention, patient and public safety, and costs. Nurs Adm Q. 2023;47(4):E38-E53.
doi:…
-
psnet.ahrq.gov/node/39512/psn-pdf
June 11, 2010 - An intervention to decrease patient identification band
errors in a children's hospital.
June 11, 2010
Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a
children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qshc.2008.030288.
https://psnet.ahrq.g…