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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36254/psn-pdfFebruary 02, 2011 - Extended work duration and the risk of self-reported percutaneous injuries in interns. February 2, 2011 Ayas N, Barger LK, Cade BE, et al. Extended work duration and the risk of self-reported percutaneous injuries in interns. JAMA. 2006;296(9):1055-62. https://psnet.ahrq.gov/issue/extended-work-duration-and-risk-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44686/psn-pdfMarch 15, 2016 - Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care. March 15, 2016 Lim F, J Y Pajarillo E. Standardized handoff report form in clinical nursing education: An educational tool for patient safety and quality of care. Nurse Educ Today. 2016;37:3-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74086/psn-pdfNovember 17, 2021 - Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. November 17, 2021 Soncrant C, Mills PD, Pendley Louis RP, et al. Review of reported adverse events occurring among the homeless veteran population in the Veterans Health Administration. J Patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866816/psn-pdfSeptember 25, 2024 - Patient harm events and associated cost outcomes reported to a patient safety organization. September 25, 2024 Miller S, Stockwell DC. Patient harm events and associated cost outcomes reported to a patient safety organization. J Patient Saf. 2024;20(7):e92-e96. doi:10.1097/pts.0000000000001254. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867047/psn-pdfOctober 30, 2024 - Therapeutic errors involving diabetes medications reported to United States poison centers. October 30, 2024 Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44005/psn-pdfApril 08, 2015 - Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. April 8, 2015 Schnoor J, Rogalski C, Frontini R, et al. Case report of a medication error by look-alike packaging: a classic surrogate marker of an unsafe system. Patient Saf Surg. 2015;9:12. doi:10.1186/s1303… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42932/psn-pdfDecember 30, 2014 - SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. December 30, 2014 Randmaa M, Mårtensson G, Swenne CL, et al. SBAR improves communication and safety climate and decreases incident reports due to com… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764407/psn-pdfMarch 02, 2022 - Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting. March 2, 2022 van der Nat DJ, Taks M, Huiskes VJB, et al. Risk factors for clinically relevant deviations in patients’ medication lists re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45576/psn-pdfJuly 02, 2017 - Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. July 2, 2017 Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report on Diagnostic Error. Radiology. 2017;283(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73074/psn-pdfMarch 24, 2021 - In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. March 24, 2021 Silver-Greenberg J, Gebeloff R. New York Times. March 13, 2021. https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and- rape-dont-dock-five… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47482/psn-pdfDecember 05, 2018 - Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018 Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. J Interprof… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45685/psn-pdfJanuary 01, 2021 - The effects of the second victim phenomenon on work- related outcomes: connecting self-reported caregiver distress to turnover intentions and absenteeism. December 21, 2016 Burlison JD, Quillivan RR, Scott SD, et al. The Effects of the Second Victim Phenomenon on Work-Related Outcomes: Connecting Self-Reported Car… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46684/psn-pdfJanuary 24, 2018 - Threats to patient safety in primary care reported by older people with multimorbidity: baseline findings from a longitudinal qualitative study and implications for intervention. January 24, 2018 Hays R, Daker-White G, Esmail A, et al. Threats to patient safety in primary care reported by older people with multim… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866351/psn-pdfJuly 24, 2024 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. July 24, 2024 Leon C, Hogan H, Jani YH. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. Int J Qual Health Care. 2024;36(3):mzae057. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867183/psn-pdfNovember 20, 2024 - Exploration of factors associated with reported medication administration errors in North Carolina public school districts. November 20, 2024 Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina public school districts. J Sch… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38266/psn-pdfJune 16, 2019 - ISMP medication error report analysis. June 16, 2019 Smetzer JL; Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31 This monthly selection of error reports includes examples of confusion regarding medication delivery instructions and sound-alike mistakes involving epinephrine and ephed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37084/psn-pdfJune 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-15 This monthly selection of medication error reports discusses product name confusion, an unsafe process for outdated drug replacement, and smart pump dose administration problems. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39158/psn-pdfJune 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR; Smetzer JL. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40 This monthly selection of error reports discusses incidents involving incomplete administration of a two-part pediatric vaccine and drug name confusion. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39591/psn-pdfMarch 21, 2016 - Annual Benchmarking Report: Malpractice Risks in Surgery. March 21, 2016 Cambridge, MA: CRICO/RMF Strategies; 2010. https://psnet.ahrq.gov/issue/annual-benchmarking-report-malpractice-risks-surgery Analyzing data from 3300 surgical malpractice cases, this report describes errors across the continuum of surgical c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35821/psn-pdfJune 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen M. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4 This monthly selection of medication error reports provides examples of oral to IV dosing conflicts, name confusion with a new sleep aid, and radiology errors. https://psnet.ahrq.gov/…
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