-
psnet.ahrq.gov/node/73202/psn-pdf
April 28, 2021 - however, may be lower in community
practice than in the manufacturer’s testing due to viral dynamics, sampling
-
psnet.ahrq.gov/node/41562/psn-pdf
August 01, 2012 - The Final Check: Say it Out Loud.
August 1, 2012
https://psnet.ahrq.gov/issue/final-check-say-it-out-loud
This Web site provides resources to help reduce incidence of mislabeled blood specimens based on just
culture concepts.
https://psnet.ahrq.gov/issue/final-check-say-it-out-loud
https://psnet.ahrq.gov/web-mm/ri…
-
psnet.ahrq.gov/web-mm/postpartum-woman-erroneous-sars-cov-2-test
December 23, 2020 - may be lower in community practice than in the manufacturer’s testing due to viral dynamics, sampling
-
psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Triggers and Trigger Tools
March 15, 2025
Triggers and Trigger Tools. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safet…
-
psnet.ahrq.gov/node/74841/psn-pdf
February 16, 2022 - Eliciting willingness-to-pay to prevent hospital medication
administration errors in the UK: a contingent valuation
survey.
February 16, 2022
Hill SR, Bhattarai N, Tolley CL, et al. Eliciting willingness-to-pay to prevent hospital medication
administration errors in the UK: a contingent valuation survey. BMJ Open.…
-
psnet.ahrq.gov/node/849604/psn-pdf
May 31, 2023 - Reducing errors resulting from commonly missed chest
radiography findings.
May 31, 2023
Gefter WB, Hatabu H. Reducing errors resulting from commonly missed chest radiography findings. Chest.
2023;163(3):634-649. doi:10.1016/j.chest.2022.12.003.
https://psnet.ahrq.gov/issue/reducing-errors-resulting-commonly-missed…
-
psnet.ahrq.gov/node/41150/psn-pdf
February 22, 2012 - Diagnostic errors in primary care: lessons learned.
February 22, 2012
Ely JW, Kaldjian LC, D'Alessandro DM. Diagnostic errors in primary care: lessons learned. J Am Board
Fam Med. 2012;25(1):87-97. doi:10.3122/jabfm.2012.01.110174.
https://psnet.ahrq.gov/issue/diagnostic-errors-primary-care-lessons-learned
This st…
-
psnet.ahrq.gov/node/35773/psn-pdf
March 15, 2006 - The association between hospital characteristics and
rates of preventable complications and adverse events.
March 15, 2006
Thornlow DK; Stukenborg GJ.
https://psnet.ahrq.gov/issue/association-between-hospital-characteristics-and-rates-preventable-
complications-and-adverse
Using the Agency for Healthcare Research…
-
psnet.ahrq.gov/node/39418/psn-pdf
March 31, 2010 - Take Charge of Your Hospital Stay to Avoid Medical
Mistakes.
March 31, 2010
Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.
https://psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
This television interview offers recommendations for patients to keep themselves safe wh…
-
psnet.ahrq.gov/node/36950/psn-pdf
September 09, 2011 - Integrating quality and safety content into clinical
teaching in the acute care setting.
September 9, 2011
Day L, Smith EL. Integrating quality and safety content into clinical teaching in the acute care setting. Nurs
Outlook. 2007;55(3). doi:10.1016/j.outlook.2007.03.002.
https://psnet.ahrq.gov/issue/integrating-…
-
psnet.ahrq.gov/node/35294/psn-pdf
May 04, 2015 - What Every Health Care Organization Should Know about
Sentinel Events.
May 4, 2015
Oakbrook Terrace, IL: Joint Commission on Accreditation of Healthcare Organizations; 2005. ISBN
9780866889117.
https://psnet.ahrq.gov/issue/what-every-health-care-organization-should-know-about-sentinel-events
This book provides in…
-
psnet.ahrq.gov/node/41467/psn-pdf
June 20, 2012 - Errors in medication history at hospital admission:
prevalence and predicting factors.
June 20, 2012
Hellström LM, Bondesson Å, Höglund P, et al. Errors in medication history at hospital admission:
prevalence and predicting factors. BMC Clin Pharmacol. 2012;12(9):9. doi:10.1186/1472-6904-12-9.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/47903/psn-pdf
January 01, 2021 - A qualitative analysis of outpatient medication use in
community settings: observed safety vulnerabilities and
recommendations for improved patient safety.
April 17, 2019
Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community
Settings: Observed Safety Vulnerabilitie…
-
psnet.ahrq.gov/node/73487/psn-pdf
July 14, 2021 - The July Effect in podiatric medicine and surgery
residency.
July 14, 2021
Casciato DJ, Thompson J, Law R, et al. The July Effect in podiatric medicine and surgery residency. J Foot
Ankle Surg. 2021;60(6):1152-1157. doi:10.1053/j.jfas.2021.04.020.
https://psnet.ahrq.gov/issue/july-effect-podiatric-medicine-and-sur…
-
psnet.ahrq.gov/node/60919/psn-pdf
September 16, 2020 - Risk of medication errors and nurses' quality of sleep: a
national cross-sectional web survey study.
September 16, 2020
Di Simone E, Fabbian F, Giannetta N, et al. Risk of medication errors and nurses' quality of sleep: a
national cross-sectional web survey study. Eur Rev Med Pharmacol Sci. 2020;24(12):7058-7062.
…
-
psnet.ahrq.gov/node/73870/psn-pdf
September 22, 2021 - Society for Maternal-Fetal Medicine Special Statement:
Surgical safety checklists for cesarean delivery.
September 22, 2021
Combs CA, Einerson BD, Toner LE. Society for Maternal-Fetal Medicine Special Statement: Surgical safety
checklists for cesarean delivery. Am J Obstet Gynecol. 2021;225(5):b43-b49.
doi:10.1016…
-
psnet.ahrq.gov/node/837806/psn-pdf
August 10, 2022 - Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals.
August 10, 2022
Upadhyay S, Opoku-Agyeman W, Choi S, et al. Do patient engagement IT functionalities influence patient
safety outcomes? A study of US hospitals. J Public Health Manag Pract. 2022;28(5):505-512.
doi:…
-
psnet.ahrq.gov/node/867589/psn-pdf
January 22, 2025 - A machine learning-based clinical predictive tool to
identify patients at high risk of medication errors.
January 22, 2025
Abdo A, Gallay L, Vallecillo T, et al. A machine learning-based clinical predictive tool to identify patients at
high risk of medication errors. Sci Rep. 2024;14(1):32022. doi:10.1038/s41598-02…
-
psnet.ahrq.gov/node/866735/psn-pdf
September 18, 2024 - Achieving diagnostic excellence: roadmaps to develop
and use patient-reported measures with an equity lens.
September 18, 2024
McDonald KM, Gleason KT, Jajodia A, et al. Achieving diagnostic excellence: roadmaps to develop and
use patient-reported measures with an equity lens. Int J Health Policy Manag. 2024;13:804…
-
psnet.ahrq.gov/node/43880/psn-pdf
February 04, 2015 - Healthcare Safety for Nursing Personnel: An
Organizational Guide to Achieving Results.
February 4, 2015
Tweedy JT. Boca Raton, FL: CRC Press; 2014. ISBN: 9781482230277.
https://psnet.ahrq.gov/issue/healthcare-safety-nursing-personnel-organizational-guide-achieving-results
This publication provides information abou…