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  1. HealthGrades Eighth Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-eighth-annual-patient-safety-american-hospitals-study
    January 04, 2017 - Book/Report HealthGrades Eighth Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Eighth Annual Patient Safety in American Hospitals Study. Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011. Copy Citation Save Save to your …

  2. NHS Improvement. | PSNet

    psnet.ahrq.gov/issue/nhs-improvement
    April 15, 2020 - Government Resource NHS Improvement. Citation Text: NHS Improvement. NHS England. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 18, 2019 NHS Engla…

  3. HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-quality-study-second-annual-patient-safety-american-hospitals-study
    October 25, 2013 - Book/Report HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Second Annual Patient Safety in American Hospitals Study. Health Grades, Inc; 2005. Copy Citation Save Save to your l…

  4. Quick Safety. | PSNet

    psnet.ahrq.gov/issue/quick-safety
    May 30, 2012 - Newsletter/Journal Quick Safety. Citation Text: Quick Safety. Oakbrook Terrace, IL: The Joint Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Ma…

  5. Fatal drug mix-up exposes hospital flaws. | PSNet

    psnet.ahrq.gov/issue/fatal-drug-mix-exposes-hospital-flaws
    March 02, 2016 - Newspaper/Magazine Article Fatal drug mix-up exposes hospital flaws. Citation Text: Fatal drug mix-up exposes hospital flaws. Davies T. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

  6. Implementing a Program of Patient Safety in Small Rural Hospitals. | PSNet

    psnet.ahrq.gov/issue/implementing-program-patient-safety-small-rural-hospitals
    December 24, 2008 - Book/Report Implementing a Program of Patient Safety in Small Rural Hospitals. Citation Text: Implementing a Program of Patient Safety in Small Rural Hospitals. Rockville, MD: Agency for Healthcare Research and Quality; October 2004. Copy Citation Save Save to yo…

  7. Is surgery safer at a teaching hospital? | PSNet

    psnet.ahrq.gov/issue/surgery-safer-teaching-hospital
    September 28, 2016 - Newspaper/Magazine Article Is surgery safer at a teaching hospital? Citation Text: Is surgery safer at a teaching hospital? Webster H. US News & World Report. October 27, 2014. Copy Citation Save Save to your library Print Download PDF Share …

  8. Ongoing, preventable fatal events with fentanyl transdermal patches are alarming! | PSNet

    psnet.ahrq.gov/issue/ongoing-preventable-fatal-events-fentanyl-transdermal-patches-are-alarming
    May 07, 2018 - Newspaper/Magazine Article Ongoing, preventable fatal events with fentanyl transdermal patches are alarming! Citation Text: Ongoing, preventable fatal events with fentanyl transdermal patches are alarming! ISMP Medication Safety Alert! Acute Care Edition. June 28, 2007;12:1-3. Copy Cit…

  9. ADC survey shows some improvements, but unnecessary risks still exist. | PSNet

    psnet.ahrq.gov/issue/adc-survey-shows-some-improvements-unnecessary-risks-still-exist
    January 23, 2019 - Newspaper/Magazine Article ADC survey shows some improvements, but unnecessary risks still exist. Citation Text: ADC survey shows some improvements, but unnecessary risks still exist. ISMP Medication Safety Alert! Acute care edition. January 17, 2008. Copy Citation Save…

  10. Hidden mistakes in hospitals. | PSNet

    psnet.ahrq.gov/issue/hidden-mistakes-hospitals
    December 02, 2009 - Newspaper/Magazine Article Hidden mistakes in hospitals. Citation Text: Hidden mistakes in hospitals. Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1. Copy Citation Save Save to your library Print Download PDF Share F…

  11. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet

    psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
    November 25, 2015 - Book/Report The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Citation Text: The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676. Copy Cita…

  12. Classifying laboratory incident reports to identify problems that jeopardize patient safety. | PSNet

    psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
    May 13, 2020 - Study Classifying laboratory incident reports to identify problems that jeopardize patient safety. Citation Text: Classifying laboratory incident reports to identify problems that jeopardize patient safety. Astion ML; Shojania KG; Hamill TR; Kim S; Ng VL. Copy Citation …

  13. Sway: Unravelling Unconscious Bias | PSNet

    psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias
    August 02, 2016 - Book/Report Sway: Unravelling Unconscious Bias Citation Text: Sway: Unravelling Unconscious Bias Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357.  Copy Citation Save Save to your library Print Download PDF Share …

  14. Misprogramming PCA concentration leads to dosing errors. | PSNet

    psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors
    May 02, 2018 - Newspaper/Magazine Article Misprogramming PCA concentration leads to dosing errors. Citation Text: Misprogramming PCA concentration leads to dosing errors. ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3. Copy Citation Save Save t…

  15. JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. | PSNet

    psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare-settings
    September 03, 2008 - Commentary JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. Citation Text: JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. ECRI. Risk Management Reporter. June 2005. Copy Citation S…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837637/psn-pdf
    July 06, 2022 - Variation in the reporting of elective surgeries and its influence on patient safety indicators. July 6, 2022 Locey KJ, Webb TA, Stein BD, et al. Variation in the reporting of elective surgeries and its influence on patient safety indicators. Jt Comm J Qual Patient Saf. 2022;48(8):403-410. doi:10.1016/j.jcjq.2022.0…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73678/psn-pdf
    September 08, 2021 - A report of information technology and health deficiencies in U.S. nursing homes. September 8, 2021 Alexander GL, Madsen RW. A report of information technology and health deficiencies in U.S. nursing homes. J Patient Saf. 2021;17(6):e483-e489. doi:10.1097/pts.0000000000000390. https://psnet.ahrq.gov/issue/report-i…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45560/psn-pdf
    October 19, 2016 - Learning from excellence in healthcare: a new approach to incident reporting. October 19, 2016 Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting. Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021. https://psnet.ahrq.gov/issue/learning…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72711/psn-pdf
    February 03, 2021 - Never Events Analysis of HSIB's National Investigations Report. February 3, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; January 2021.   https://psnet.ahrq.gov/issue/never-events-analysis-hsibs-national-investigations-report Never events provide organizations with motivation to  analyze …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42468/psn-pdf
    August 07, 2013 - A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. August 7, 2013 Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of volunt…
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