-
psnet.ahrq.gov/issue/beyond-data-understanding-impact-covid-19-bame-groups
January 13, 2021 - Book/Report
Classic
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups.
Citation Text:
Beyond the Data: Understanding the Impact of COVID-19 on BAME Groups. Public Health England. London, UK: Crown Copyright; 2020.
Copy Citation
…
-
psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices
December 10, 2024 - Book/Report
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices.
Citation Text:
Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025.
…
-
psnet.ahrq.gov/node/43869/psn-pdf
November 03, 2015 - Clinical safety of England's national programme for IT: a
retrospective analysis of all reported safety events 2005
to 2011.
November 3, 2015
Magrabi F, Baker M, Sinha I, et al. Clinical safety of England's national programme for IT: a retrospective
analysis of all reported safety events 2005 to 2011. Int J Med In…
-
psnet.ahrq.gov/node/46890/psn-pdf
December 21, 2018 - Physician burnout, well-being, and work unit safety
grades in relationship to reported medical errors.
December 21, 2018
Tawfik DS, Profit J, Morgenthaler TI, et al. Physician Burnout, Well-being, and Work Unit Safety Grades in
Relationship to Reported Medical Errors. Mayo Clin Proc. 2018;93(11):1571-1580.
doi:10.…
-
psnet.ahrq.gov/node/37838/psn-pdf
June 11, 2008 - Mitigation of patient harm from testing errors in family
medicine offices: a report from the American Academy of
Family Physicians National Research Network.
June 11, 2008
Graham DG, Harris DM, Elder NC, et al. Mitigation of patient harm from testing errors in family medicine
offices: a report from the American Ac…
-
psnet.ahrq.gov/node/838314/psn-pdf
October 12, 2022 - Stakeholder safety communication: patient and family
reports on safety risks in hospitals.
October 12, 2022
Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J
Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036.
https://psnet.ahrq.gov/issue/stakehold…
-
psnet.ahrq.gov/node/867642/psn-pdf
February 26, 2025 - Patient-reported harm following cancellation of planned
surgery at a Danish university hospital: a cross-sectional
study.
February 26, 2025
Viftrup A, Laustsen S, Pahle ML, et al. Patient-reported harm following cancellation of planned surgery at a
Danish university hospital: a cross-sectional study. BMJ Open. 202…
-
psnet.ahrq.gov/node/46223/psn-pdf
June 14, 2017 - Patient-reported safety incidents in older patients with
long-term conditions: a large cross-sectional study.
June 14, 2017
Panagioti M, Blakeman T, Hann M, et al. Patient-reported safety incidents in older patients with long-term
conditions: a large cross-sectional study. BMJ Open. 2017;7(5):e013524. doi:10.1136/b…
-
psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - A spike in people dying at home suggests coronavirus
deaths in Houston may be higher than reported.
July 22, 2020
Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may
be higher than reported. ProPublica and NBC News. 2020;July 8.
https://psnet.ahrq.gov/issue/spike-pe…
-
psnet.ahrq.gov/node/838325/psn-pdf
October 12, 2022 - Comprehensive Healthcare Inspection Summary Report:
Evaluation of Care Coordination in Veterans Health
Administration Facilities, Fiscal Year 2021.
October 12, 2022
Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232.
https://psnet.ahrq.gov/issue/comprehensive-healthcare…
-
psnet.ahrq.gov/node/73688/psn-pdf
September 08, 2021 - Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge.
September 8, 2021
Stuijt CCM, Bekker CL, van den Bemt BJF, et al. Effect of medication reconciliation on patient reported
potential adverse events after hospital discharge. Res Social Adm Pharm. 2021;17(8):142…
-
psnet.ahrq.gov/node/837598/psn-pdf
June 29, 2022 - Visitor behaviors can influence the risk of patient harm:
an analysis of patient safety reports from 92 hospitals.
June 29, 2022
Sanchez C, Taylor M, Jones RM. Visitor behaviors can influence the risk of patient harm: an analysis of
patient safety reports from 92 hospitals. Patient Safety. 2022;4(2):70-79. doi:10.3…
-
psnet.ahrq.gov/node/60619/psn-pdf
June 24, 2020 - Analysis of iatrogenic and in-hospital medication errors
reported to United States poison centers: a retrospective
observational study.
June 24, 2020
Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors
reported to United States poison centers: a retrospective observ…
-
psnet.ahrq.gov/node/866075/psn-pdf
June 05, 2024 - Oncology patients' willingness to report their medication
safety concerns from home: a qualitative study.
June 5, 2024
Bunni D, Walters G, Hwang M, et al. Oncology patients’ willingness to report their medication safety
concerns from home: a qualitative study. Support Care Cancer. 2024;32(6):352. doi:10.1007/s00520…
-
psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
January 07, 2022 - August 20, 2018
When safety event reporting is seen as punitive: "I've been PSN-ed!"
-
psnet.ahrq.gov/issue/deficiencies-facility-leaders-response-critical-surgical-events-michael-e-debakey-va-medical
November 29, 2023 - Book/Report
Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas.
Citation Text:
Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, …
-
psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
October 18, 2017 - Book/Report
CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas.
Citation Text:
CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative an…
-
psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - In Conversation With… Mark L. Graber, MD
January 1, 2016
In Conversation With… Mark L. Graber, MD. PSNet [internet]. 2016.
https://psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
Editor's note: Dr. Graber is a Senior Fellow at RTI International and Professor Emeritus of Medicine at
the State University o…
-
psnet.ahrq.gov/node/38042/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR. ISMP medication error report analysis. Hosp Pharm. 2010;43(8):618-620. doi:10.1310/hpj4308-
618.
https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-28
This monthly selection of medication error reports addresses examples of unclear dose…
-
psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
September 10, 2014 - Government Resource
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System.
Citation Text:
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix H…