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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866316/psn-pdfJuly 17, 2024 - From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. July 17, 2024 Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. J Cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73286/psn-pdfMay 19, 2021 - Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. May 19, 2021 Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Appl Er… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45441/psn-pdfSeptember 21, 2016 - Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. September 21, 2016 Van Gerven E, Bruyneel L, Panella M, et al. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. BMJ oOen. 2016;6(8):e011403. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73315/psn-pdfMay 26, 2021 - What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. May 26, 2021 Barwise A, Leppin A, Dong Y, et al. What contributes to diagnostic error or delay? A qualitative exploration across diverse acute care settings in the United States. J Pati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851886/psn-pdfAugust 02, 2023 - Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. August 2, 2023 Walsh DJ, Sahm LJ, O'Driscoll M, et al. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. J Geriatr Oncol. 2023;14(6):101540. doi:10.1016/j.jgo.2023.101540… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845637/psn-pdfMarch 08, 2023 - Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process. March 8, 2023 Buja A, De Luca G, Ottolitri K, et al. Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72820/psn-pdfMarch 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. March 10, 2021 Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how they change over time: A narrative re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74175/psn-pdfDecember 15, 2021 - The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimental setting. December 15, 2021 Centola D, Guilbeault D, Sarkar U, et al. The reduction of race and gender bias in clinical treatment recommendations using clinician peer networks in an experimen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74728/psn-pdfFebruary 02, 2022 - Technology-based closed-loop tracking for improving communication and follow-up of pathology results. February 2, 2022 Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18(1):e262-e266. doi:10.1097/pts.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47198/psn-pdfAugust 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72521/psn-pdfDecember 02, 2020 - I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. December 2, 2020 Shah C, Sanber K, Jacobson R, et al. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. J Grad Med Educ. 2020;12(5):578-582. doi:10.4300/jgme-d-19-00755.1. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842761/psn-pdfJanuary 18, 2023 - Implicit racial bias, health care provider attitudes, and perceptions of health care quality among African American college students in Georgia, USA. January 18, 2023 Armstrong-Mensah E, Rasheed N, Williams D, et al. Implicit racial bias, health care provider attitudes, and perceptions of health care quality among… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862992/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836954/psn-pdfApril 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73859/psn-pdfSeptember 22, 2021 - Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. September 22, 2021 Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview stu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73881/psn-pdfSeptember 29, 2021 - Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program. September 29, 2021 Arntson E, Dimick JB, Nuliyalu U, et al. Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program. Ann Surg. 202… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40364/psn-pdfJuly 01, 2011 - Utilising improvement science methods to optimise medication reconciliation. April 13, 2011 White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. https://psnet.ahrq.gov/issue/utilising-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47834/psn-pdfFebruary 27, 2019 - Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. February 27, 2019 Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis- Associated Mortality in US Acute Care Hospitals. JAMA Netw Open. 2019;2(2):e187571. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41494/psn-pdfJune 27, 2012 - National Voluntary Consensus Standards for Patient Safety Measures: A Consensus Report. June 27, 2012 Washington, DC: National Quality Forum; June 2012. https://psnet.ahrq.gov/issue/national-voluntary-consensus-standards-patient-safety-measures-consensus- report Progress in improving patient safety has been hampe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46678/psn-pdfJanuary 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…
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