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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837061/psn-pdf
    May 11, 2022 - Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. May 11, 2022 Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. 2022;31(10):716-724. doi:10.1136/bm…

  2. About the Toolkit Development | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/about.html
    July 01, 2023 - About the Toolkit Development Toolkit for Improving Perinatal Safety Background Of the 3.9 million births in the United States each year, 2 percent are estimated to involve an adverse event; at least half are potentially preventable. A review by the Joint Commission found that between 2004 and 2014, poor co…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40994/psn-pdf
    December 18, 2014 - Implementing medication reconciliation in outpatient pediatrics. December 18, 2014 Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. https://psnet.ahrq.gov/issue/implementing-medication-reconciliat…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48191/psn-pdf
    August 28, 2019 - To catch a killer: electronic sepsis alert tools reaching a fever pitch? August 28, 2019 Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. https://psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36237/psn-pdf
    September 12, 2011 - An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors. September 12, 2011 Kaldjian LC, Jones EW, Rosenthal GE, et al. An empirically derived taxonomy of factors affecting physicians’ willingness to disclose medical errors. J Gen Intern Med. 2007;21(9). doi:10.1007/b…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72682/psn-pdf
    January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. January 27, 2021 Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60645/psn-pdf
    July 01, 2020 - How health care systems let our patients down: a systematic review into suicide deaths. July 1, 2020 Wyder M, Ray MK, Roennfeldt H, et al. How health care systems let our patients down: a systematic review into suicide deaths. Int J Qual Health Care. 2020;32(5):285-291. doi:10.1093/intqhc/mzaa011. https://psnet.ah…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60055/psn-pdf
    March 18, 2020 - A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach. March 18, 2020 Russ S, Latif Z, Hazell AL, et al. A Smartphone App Designed to Empower Patients to Contribute Toward Safer Surgical Care: Community-Based Evaluation Usi…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863212/psn-pdf
    February 28, 2024 - unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in community caRe (DISCOVER): a qualitative study. February 28, 2024 Ayre MJ, Lewis PJ, Phipps DL, et al. unDerstandIng the cauSes of mediCation errOrs and adVerse drug evEnts for patients with mental illness in …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844991/psn-pdf
    February 22, 2023 - Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020. February 22, 2023 Brummell Z, Braun D, Hussein Z, et al. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thematic analysis of national statu…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34792/psn-pdf
    January 01, 2011 - Physician knowledge, attitudes, and behavior related to reporting adverse drug events. July 10, 2008 Rogers AS, Israel E, Smith CR, et al. Physician Knowledge, Attitudes, and Behavior Related to Reporting Adverse Drug Events. Arch Intern Med. 2011;148(7):1596-1600. doi:10.1001/archinte.1988.00380070090021. https:…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867038/psn-pdf
    October 30, 2024 - From reporting to improving: how root cause analysis in teams shape patient safety culture. October 30, 2024 Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-1858. doi:10.2147/rmhp.s466852. h…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855089/psn-pdf
    January 01, 2024 - React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. November 8, 2023 Barlow M, Watson B, Morse K, et al. React, reframe and engage. Establishing a receiver mindset for more effective safety negotiations. J Health Organ Manag. 2024;38(7):992-1008. doi:10.1108/jhom-06-20…

  14. Table 4.17. Comparison of Clinician Responses to the Pre- and Postintervention Survey Indicating That They Recommend Various CRC Screening Modalities or Believe They Are Effec | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreentab4-17.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests Table 4.17. Comparison of Clinician Responses to the Pre- and Postintervention Survey Indicating That They Recommend Various CRC Screening Modalities or Believe They Are Effec Previous Page Next Page Table of Contents Health Care Sys…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60195/psn-pdf
    April 01, 2020 - What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. April 1, 2020 Hanzal M. What every health lawyer should know about the Patient Safety and Quality Improvement Act of 2005. J Health Life Sci Law. 2020;13(2):71-88. https://psnet.ahrq.gov/issue/what-every-health-lawye…

  16. Antibiotic Stewardship: Case Study Worksheet | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/urine-culturing/antibiotic-stewardship/case-study.html
    March 01, 2017 - Antibiotic Stewardship: Case Study Worksheet AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Instructions: Divide into small groups of two to three people. Ask each group to work through each part of the case scenario, pausing for discussion before moving to the next section. Useful R…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46981/psn-pdf
    May 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. May 4, 2019 Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 2018;24(2):83-89. doi:10.1177/25160435188138…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47069/psn-pdf
    June 18, 2021 - Physical and verbal violence against health care workers. June 18, 2021 Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers The Joint Commission issues sentinel eve…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42419/psn-pdf
    July 17, 2013 - Health IT Patient Safety Action and Surveillance Plan. July 17, 2013 Washington, DC: Office of the National Coordinator for Health Information Technology; July 2, 2013. https://psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan This report from the Department of Health and Human Services (HH…

  20. Appendix B12: Fall Interventions Monitor | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6txt.html
    February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B12: Fall Interventions Monitor Previous Page Next Page Table of Contents The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Chapter 1. Introduction and Program Overvie…
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