-
psnet.ahrq.gov/node/44842/psn-pdf
March 02, 2016 - Organizational ambidexterity and the hybrid middle
manager: the case of patient safety in UK hospitals.
March 2, 2016
Burgess N, Strauss K, Currie G, et al. Organizational Ambidexterity and the Hybrid Middle Manager: The
Case of Patient Safety in UK Hospitals. Hum Resour Manage. 2015;54(S1). doi:10.1002/hrm.21725.
…
-
psnet.ahrq.gov/node/42784/psn-pdf
January 15, 2014 - A multi-disciplinary approach to medication safety and
the implication for nursing education and practice.
January 15, 2014
Adhikari R, Tocher J, Smith P, et al. A multi-disciplinary approach to medication safety and the implication
for nursing education and practice. Nurse Educ Today. 2014;34(2):185-90. doi:10.101…
-
psnet.ahrq.gov/node/44083/psn-pdf
April 24, 2018 - How prevalent are hazardous attitudes among
orthopaedic surgeons?
April 24, 2018
Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic
surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2.
https://psnet.ahrq.gov/issue/how-prevalent-are-haz…
-
psnet.ahrq.gov/node/46497/psn-pdf
January 01, 2021 - Identifying risks and opportunities in outpatient surgical
patient safety: a qualitative analysis of Veterans Health
Administration staff perceptions.
January 31, 2018
Mull HJ, Rosen AK, Charns MP, et al. Identifying Risks and Opportunities in Outpatient Surgical Patient
Safety: A Qualitative Analysis of Veterans …
-
psnet.ahrq.gov/node/35112/psn-pdf
June 22, 2009 - Medication safety in older adults: home-based practice
patterns.
June 22, 2009
Metlay JP, Cohen A, Polsky D, et al. Medication safety in older adults: home-based practice patterns. J Am
Geriatr Soc. 2005;53(6):976-982.
https://psnet.ahrq.gov/issue/medication-safety-older-adults-home-based-practice-patterns
This s…
-
psnet.ahrq.gov/node/34779/psn-pdf
December 21, 2014 - Measuring and managing quality of surgery. Statistical vs
incidental approaches.
December 21, 2014
McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs
incidental approaches. Arch Surg. 1992;127(6):733-7; discussion 738.
https://psnet.ahrq.gov/issue/measuring-and-mana…
-
psnet.ahrq.gov/node/843325/psn-pdf
February 01, 2023 - Untenable expectations: nurses' work in the context of
medication administration, error, and the organization.
February 1, 2023
Hawkins SF, Morse JM. Untenable expectations: nurses' work in the context of medication administration,
error, and the organization. Glob Qual Nurs Res. 2022;9:233339362211317.
doi:10.117…
-
psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - Sitters as a patient safety strategy to reduce hospital
falls: a systematic review.
February 26, 2020
Greeley AM, Tanner EP, Mak S, et al. Sitters as a Patient Safety Strategy to Reduce Hospital Falls. Ann
Intern Med. 2020;172(5):317-324. doi:10.7326/m19-2628.
https://psnet.ahrq.gov/issue/sitters-patient-safety-st…
-
psnet.ahrq.gov/node/50552/psn-pdf
October 16, 2019 - Moral distress in intensive care unit personnel is not
consistently associated with adverse medication events
and other adverse events
October 16, 2019
Dodek P, Norena M, Ayas N, et al. Moral distress in intensive care unit personnel is not consistently
associated with adverse medication events and other adverse e…
-
psnet.ahrq.gov/node/47931/psn-pdf
January 01, 2020 - Managing risk in hazardous conditions: improvisation is
not enough.
July 24, 2019
Amalberti R, Vincent CA. Managing risk in hazardous conditions: improvisation is not enough. BMJ Qual
Saf. 2020;29(1):60-63. doi:10.1136/bmjqs-2019-009443.
https://psnet.ahrq.gov/issue/managing-risk-hazardous-conditions-improvisation…
-
psnet.ahrq.gov/node/43326/psn-pdf
August 13, 2014 - Identifying high-risk medication: a systematic literature
review.
August 13, 2014
Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur
J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z.
https://psnet.ahrq.gov/issue/identifying-high-risk-medi…
-
psnet.ahrq.gov/node/45050/psn-pdf
May 03, 2016 - Digital health and patient safety.
May 3, 2016
Agboola SO, Bates DW, Kvedar JC. Digital Health and Patient Safety. JAMA. 2016;315(16):1697-1698.
doi:10.1001/jama.2016.2402.
https://psnet.ahrq.gov/issue/digital-health-and-patient-safety
Patients, clinicians, and health care systems are increasingly adopting digital…
-
psnet.ahrq.gov/node/47950/psn-pdf
August 21, 2019 - Safety of care by caregivers of cancer patients.
August 21, 2019
Given BA. Safety of Care by Caregivers of Cancer Patients. Semin Oncol Nurs. 2019;35(4):374-379.
doi:10.1016/j.soncn.2019.06.011.
https://psnet.ahrq.gov/issue/safety-care-caregivers-cancer-patients
Cancer patients often rely on family members or paid…
-
psnet.ahrq.gov/node/50829/psn-pdf
January 22, 2020 - How one medical checkup can snowball into a ‘cascade’
of tests, causing more harm than good.
January 22, 2020
Ganguli I. Washington Post. January 5, 2020.
https://psnet.ahrq.gov/issue/how-one-medical-checkup-can-snowball-cascade-tests-causing-more-harm-
good
Overdiagnosis and uncertainty can result in a range of …
-
psnet.ahrq.gov/node/34998/psn-pdf
June 22, 2009 - Cause and effect analysis of closed claims in obstetrics
and gynecology.
June 22, 2009
White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and
gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038.
https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o…
-
psnet.ahrq.gov/node/44252/psn-pdf
January 01, 2016 - Associations between safety culture and employee
engagement over time: a retrospective analysis.
December 16, 2015
Biddison ELD, Paine LA, Murakami P, et al. Associations between safety culture and employee
engagement over time: a retrospective analysis. BMJ Qual Saf. 2016;25(1):31-7. doi:10.1136/bmjqs-2014-
00391…
-
psnet.ahrq.gov/node/46717/psn-pdf
April 16, 2018 - Reduction in opioid prescribing through evidence-based
prescribing guidelines.
April 16, 2018
Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based
Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436.
https://psnet.ahrq.gov/issue/reductio…
-
psnet.ahrq.gov/node/39331/psn-pdf
March 03, 2010 - Meta-analysis: effect of interactive communication
between collaborating primary care physicians and
specialists.
March 3, 2010
Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between
collaborating primary care physicians and specialists. Ann Intern Med. 2010;152(4):247-58.…
-
psnet.ahrq.gov/node/42894/psn-pdf
January 29, 2014 - An exploratory study of knowledge brokering in hospital
settings: facilitating knowledge sharing and learning for
patient safety?
January 29, 2014
Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings:
facilitating knowledge sharing and learning for patient safety?…
-
psnet.ahrq.gov/node/46888/psn-pdf
June 20, 2018 - Patient-centered prescription opioid tapering in
community outpatients with chronic pain.
June 20, 2018
Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community
Outpatients With Chronic Pain. JAMA Intern Med. 2018;178(5):707-708.
doi:10.1001/jamainternmed.2017.8709.
https…