-
psnet.ahrq.gov/node/42748/psn-pdf
November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering
overnight inquiries.
November 20, 2013
Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering
overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090.
https://psnet.ahrq.gov/issue/effec…
-
psnet.ahrq.gov/node/40619/psn-pdf
October 06, 2016 - Sustaining and spreading the reduction of adverse drug
events in a multicenter collaborative.
October 6, 2016
Tham E, Calmes HM, Poppy A, et al. Sustaining and spreading the reduction of adverse drug events in a
multicenter collaborative. Pediatrics. 2011;128(2):e438-45. doi:10.1542/peds.2010-3772.
https://psnet.a…
-
psnet.ahrq.gov/node/44266/psn-pdf
May 19, 2019 - Exploring health care professionals' perceptions of
incidents and incident reporting in rehabilitation settings.
May 19, 2019
Espin S, Carter C, Janes N, et al. Exploring Health Care Professionals' Perceptions of Incidents and
Incident Reporting in Rehabilitation Settings. J Patient Saf. 2019;15(2):154-160.
doi:10…
-
psnet.ahrq.gov/node/45405/psn-pdf
November 18, 2016 - Relationship between operating room teamwork,
contextual factors, and safety checklist performance.
November 18, 2016
Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors,
and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2.
doi:10.1016/j.jamcollsu…
-
psnet.ahrq.gov/node/47152/psn-pdf
October 12, 2018 - A quality initiative: a system-wide reduction in serious
medication events through targeted simulation training.
October 12, 2018
Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious
Medication Events Through Targeted Simulation Training. Simul Healthc. 2018;13(5):324-330…
-
psnet.ahrq.gov/node/42900/psn-pdf
September 19, 2016 - Suicide attempts and completions on medical-surgical
and intensive care units.
September 19, 2016
Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care
units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141.
https://psnet.ahrq.gov/issue/suicide-attempts-and-compl…
-
psnet.ahrq.gov/node/847717/psn-pdf
April 19, 2023 - Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19
pandemic: a "zero harm" approach.
April 19, 2023
Redstone CS, Zadeh M, Wilson M-A, et al. Quality improvement initiative to decrease central line-
associated bloodstream infections during the COVID-19 pan…
-
psnet.ahrq.gov/node/43074/psn-pdf
December 18, 2014 - Graded autonomy in medical education—managing
things that go bump in the night.
December 18, 2014
Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night.
N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408.
https://psnet.ahrq.gov/issue/graded-autonomy-medic…
-
psnet.ahrq.gov/node/44353/psn-pdf
November 03, 2015 - Evaluation of symptom checkers for self diagnosis and
triage: audit study.
November 3, 2015
Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage:
audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h3480.
https://psnet.ahrq.gov/issue/evaluation-symptom-checkers-self…
-
psnet.ahrq.gov/node/43263/psn-pdf
July 16, 2014 - Patient complaints in healthcare systems: a systematic
review and coding taxonomy.
July 16, 2014
Reader TW, Gillespie A, Roberts J. Patient complaints in healthcare systems: a systematic review and
coding taxonomy. BMJ Qual Saf. 2014;23(8):678-689. doi:10.1136/bmjqs-2013-002437.
https://psnet.ahrq.gov/issue/patien…
-
psnet.ahrq.gov/node/44959/psn-pdf
March 09, 2016 - Patient, physician, medical assistant, and office visit
factors associated with medication list agreement.
March 9, 2016
Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors
Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24.
doi:10.1097/PTS.0…
-
psnet.ahrq.gov/node/866191/psn-pdf
June 26, 2024 - Quality improvement lessons learned from National
Implementation of the "Patient Safety Events in
Community Care: Reporting, Investigation, and
Improvement Guidebook".
June 26, 2024
Sullivan JL, Shin MH, Chan J, et al. Quality improvement lessons learned from National Implementation of
the “Patient Safety Events …
-
psnet.ahrq.gov/node/60552/psn-pdf
June 03, 2020 - Personal protective equipment for preventing highly
infectious diseases due to exposure to contaminated
body fluids in healthcare staff.
June 3, 2020
Verbeek JH, Rajamaki B, Ijaz S, et al. Personal protective equipment for preventing highly infectious
diseases due to exposure to contaminated body fluids in healthc…
-
psnet.ahrq.gov/node/45730/psn-pdf
December 14, 2016 - Identification of priorities for improvement of medication
safety in primary care: a PRIORITIZE study.
December 14, 2016
Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety
in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):160.
https://psnet.ah…
-
psnet.ahrq.gov/node/45065/psn-pdf
June 01, 2016 - Variation in quality of urgent health care provided during
commercial virtual visits.
June 1, 2016
Schoenfeld AJ, Davies JM, Marafino BJ, et al. Variation in Quality of Urgent Health Care Provided During
Commercial Virtual Visits. JAMA Intern Med. 2016;176(5):635-42. doi:10.1001/jamainternmed.2015.8248.
https://ps…
-
psnet.ahrq.gov/node/46774/psn-pdf
April 12, 2019 - Association between handover of anesthesia care and
adverse postoperative outcomes among patients
undergoing major surgery.
April 12, 2019
Jones PM, Cherry RA, Allen BN, et al. Association Between Handover of Anesthesia Care and Adverse
Postoperative Outcomes Among Patients Undergoing Major Surgery. JAMA. 2018;319…
-
psnet.ahrq.gov/node/45141/psn-pdf
August 31, 2016 - Patient safety climate strength: a concept that requires
more attention.
August 31, 2016
Ginsburg LR, Oore DG. Patient safety climate strength: a concept that requires more attention. BMJ Qual
Saf. 2016;25(9):680-7. doi:10.1136/bmjqs-2015-004150.
https://psnet.ahrq.gov/issue/patient-safety-climate-strength-concept…
-
psnet.ahrq.gov/node/39730/psn-pdf
December 21, 2014 - Surgical case listing accuracy: failure analysis at a high-
volume academic medical center.
December 21, 2014
Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume
academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archsurg.2010.112.
https://psnet.a…
-
psnet.ahrq.gov/node/43969/psn-pdf
November 17, 2017 - Transparency when things go wrong: physician attitudes
about reporting medical errors to patients, peers, and
institutions.
November 17, 2017
Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248.
doi:10.1097/pts.0000000000000153.
https://psnet.ahrq.gov/issue/transp…
-
psnet.ahrq.gov/node/41481/psn-pdf
September 26, 2012 - Impact of online education on intern behaviour around
Joint Commission national patient safety goals: a
randomised trial.
September 26, 2012
Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission
national patient safety goals: a randomised trial. BMJ Qual Saf. 201…