-
psnet.ahrq.gov/node/46670/psn-pdf
December 18, 2017 - A narrative review of the safety concerns of deprescribing
in older adults and strategies to mitigate potential harms.
December 18, 2017
Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older
adults and strategies to mitigate potential harms. Expert Opin Drug Saf. 2…
-
psnet.ahrq.gov/node/44465/psn-pdf
November 20, 2015 - Why even good physicians do not wash their hands.
November 20, 2015
Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf.
2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319.
https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands
Insufficient hand hygiene comp…
-
psnet.ahrq.gov/node/47697/psn-pdf
April 03, 2019 - Engineering a foundation for partnership to improve
medication safety during care transitions.
April 3, 2019
Xiao Y, Abebe E, Gurses AP. Engineering a Foundation for Partnership to Improve Medication Safety
during Care Transitions. J Patient Saf Risk Manag. 2019;24(1):30-36. doi:10.1177/2516043518821497.
https://p…
-
psnet.ahrq.gov/node/34781/psn-pdf
June 23, 2015 - Standards for patient monitoring during general
anesthesia at Harvard Medical School.
June 23, 2015
Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard
Medical School. JAMA. 1986;256(8):1017-20.
https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…
-
psnet.ahrq.gov/node/40657/psn-pdf
August 03, 2011 - Effectiveness and cost of a transitional care program for
heart failure: a prospective study with concurrent
controls.
August 3, 2011
Stauffer BD, Fullerton C, Fleming N, et al. Effectiveness and cost of a transitional care program for heart
failure: a prospective study with concurrent controls. Arch Intern Med. 2…
-
psnet.ahrq.gov/node/42996/psn-pdf
March 19, 2014 - The "physician-led chart audit": engaging providers in
fortifying a culture of safety.
March 19, 2014
Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a
culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000000000000057.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/47898/psn-pdf
January 01, 2020 - Capturing patients' perspectives on medication safety:
the development of a patient-centered medication safety
framework.
May 8, 2019
Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The
Development of a Patient-Centered Medication Safety Framework. J Patient Saf. 2020;16…
-
psnet.ahrq.gov/node/36017/psn-pdf
June 14, 2006 - Medical errors and quality of care: from control to
commitment.
June 14, 2006
Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment.
California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353.
https://psnet.ahrq.gov/issue/medical-errors-and-quality-care-control…
-
psnet.ahrq.gov/node/61063/psn-pdf
October 28, 2020 - The radiology impact of healthcare errors during shift
work.
October 28, 2020
Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography.
2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007.
https://psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
Ext…
-
psnet.ahrq.gov/node/60617/psn-pdf
June 24, 2020 - Amid the COVID-19 pandemic, meaningful communication
between family caregivers and residents of long-term care
facilities is imperative.
June 24, 2020
Hado E, Friss Feinberg L. Amid the COVID-19 pandemic, meaningful communication between family
caregivers and residents of long-term care facilities is imperative. J…
-
psnet.ahrq.gov/node/47771/psn-pdf
April 24, 2019 - The impact of errors on healthcare professionals in the
critical care setting.
April 24, 2019
Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical
care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001.
https://psnet.ahrq.gov/issue/impact-err…
-
psnet.ahrq.gov/node/45301/psn-pdf
April 22, 2017 - Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability.
April 22, 2017
Manaseki-Holland S, Lilford RJ, Bishop JRB, et al. Reviewing deaths in British and US hospitals: a study of
two scales for assessing preventability. BMJ Qual Saf. 2017;26(5):408-416. doi:10.1136/bmjqs-20…
-
psnet.ahrq.gov/node/73683/psn-pdf
September 08, 2021 - Why and how to approach user experience in safety-
critical domains: the example of health care.
September 8, 2021
Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical
domains: the example of health care. Hum Factors. 2020;63(5):821-832. doi:10.1177/0018720819887575.
htt…
-
psnet.ahrq.gov/node/43835/psn-pdf
February 11, 2015 - Doctors' experiences of adverse events in secondary
care: the professional and personal impact.
February 11, 2015
Harrison R, Lawton R, Stewart K. Doctors' experiences of adverse events in secondary care: the
professional and personal impact. Clin Med (Lond). 2014;14(6):585-90. doi:10.7861/clinmedicine.14-6-585.
h…
-
psnet.ahrq.gov/node/36558/psn-pdf
May 27, 2011 - The National Quality Forum safe practice standard for
computerized physician order entry: updating a critical
patient safety practice.
May 27, 2011
Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for
Computerized Physician Order Entry. J Patient Saf. 2008;2(4). doi:10.10…
-
psnet.ahrq.gov/node/43209/psn-pdf
December 15, 2014 - Adverse events in hospitalized paediatric patients: a
systematic review and a meta-regression analysis.
December 15, 2014
Berchialla P, Scaioli G, Passi S, et al. Adverse events in hospitalized paediatric patients: a systematic
review and a meta-regression analysis. J Eval Clin Pract. 2014;20(5):551-8. doi:10.1111/…
-
psnet.ahrq.gov/node/35736/psn-pdf
May 27, 2011 - Video capture of clinical care to enhance patient safety.
May 27, 2011
Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual
Saf Health Care. 2004;13(2):136-44.
https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
This study describes th…
-
psnet.ahrq.gov/node/35216/psn-pdf
December 22, 2009 - An educational intervention to enhance nurse leaders'
perceptions of patient safety culture.
December 22, 2009
Ginsburg LR, Norton PG, Casebeer A, et al. An educational intervention to enhance nurse leaders'
perceptions of patient safety culture. Health Serv Res. 2005;40(4):997-1020.
https://psnet.ahrq.gov/issue/e…
-
psnet.ahrq.gov/node/45416/psn-pdf
August 24, 2016 - A framework to assess patient-reported adverse
outcomes arising during hospitalization.
August 24, 2016
Okoniewska B, Santana MJ, Holroyd-Leduc J, et al. A framework to assess patient-reported adverse
outcomes arising during hospitalization. BMC Health Serv Res. 2016;16(a):357. doi:10.1186/s12913-016-
1526-z.
htt…
-
psnet.ahrq.gov/node/47355/psn-pdf
September 05, 2018 - Preventing medication errors in the information age.
September 5, 2018
Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-
58. doi:10.1097/01.NURSE.0000544230.51598.38.
https://psnet.ahrq.gov/issue/preventing-medication-errors-information-age
Failure to consider…