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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45225/psn-pdfJune 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47247/psn-pdfDecember 19, 2018 - Preventing central line–associated bloodstream infections in the intensive care unit: application of high- reliability principles. December 19, 2018 McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Application of High-Reliability Princi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73698/psn-pdfSeptember 15, 2021 - Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical trial. September 15, 2021 Siebert JN, Bloudeau L, Combescure C, et al. Effect of a mobile app on prehospital medication errors during simulated pediatric resuscitation: a randomized clinical tria… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74864/psn-pdfFebruary 23, 2022 - Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. February 23, 2022 Lombardi J, Strobel S, Pullar V, et al. Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40026/psn-pdfSeptember 20, 2011 - Effect of a comprehensive surgical safety system on patient outcomes. September 20, 2011 de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-37. doi:10.1056/NEJMsa0911535. https://psnet.ahrq.gov/issue/effect-comprehensive-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50871/psn-pdfFebruary 05, 2020 - Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma. February 5, 2020 Stengel D, Mutze S, Güthoff C, et al. Association of Low-Dose Whole-Body Computed Tomography With Missed Injury Diagnoses and Radiation Exposure in Pat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38949/psn-pdfJanuary 28, 2010 - Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. January 28, 2010 Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta Anaesthesiol Scand. 2010;54(2):17… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37803/psn-pdfJanuary 06, 2017 - Paying the piper: investing in infrastructure for patient safety. January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848819/psn-pdfMay 10, 2023 - Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. May 10, 2023 Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46696/psn-pdfJanuary 10, 2018 - Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department. January 10, 2018 Waszak DL, Fennimore LA. Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42789/psn-pdfDecember 04, 2013 - Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013 Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. J Patient Saf. 2013… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60812/psn-pdfJanuary 01, 2021 - A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. August 19, 2020 Aghili M, Neelathahalli Kasturirangan M. A clinical pharmacist-led integrated approach for evaluation of medication errors among medical intensive care unit patients. JBI Ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60200/psn-pdfApril 08, 2020 - Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. April 8, 2020 Kiang MV, Humphreys K, Cullen MR, et al. Opioid prescribing patterns among medical providers in the United States, 2003-17: retrospective, observational study. BMJ. 2020;368. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72649/psn-pdfJanuary 20, 2021 - Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. January 20, 2021 Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. Patient Safety. 2020;2(4):24-39. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74029/psn-pdfJanuary 01, 2022 - Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. November 3, 2021 Svensson J. Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review. J Patient Saf. 2022;18(3):245-252. doi:10.1097/pts.000000000… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47496/psn-pdfJune 15, 2019 - Fatal flaws in clinical decision making. June 15, 2019 Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. https://psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making Clinical decision-making is a complex process affected… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43402/psn-pdfOctober 20, 2014 - The WHO surgical safety checklist: survey of patients' views. October 20, 2014 Russ SJ, Rout S, Caris J, et al. The WHO surgical safety checklist: survey of patients’ views. BMJ Qual Saf. 2014;23(11). doi:10.1136/bmjqs-2013-002772. https://psnet.ahrq.gov/issue/who-surgical-safety-checklist-survey-patients-views T… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50704/psn-pdfDecember 04, 2019 - Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement. December 4, 2019 Sheetz KH, Dimick JB, Englesbe MJ, et al. Hospital-Acquired Condition Reduction Program Is Not Associated With Additional Patient Safety Improvement. Health Aff (Millwood). 2019;38(11):1858-1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60933/psn-pdfSeptember 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020 Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network - 1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840139/psn-pdfNovember 16, 2022 - CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. November 16, 2022 Dowell D, Ragan KR, Jones CM, et al. CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep. 2022;71(3):1-95. doi:10.15585/mmwr.rr7103a1. https://psnet.ahrq.gov…
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