-
psnet.ahrq.gov/node/73564/psn-pdf
August 04, 2021 - Communication in health care: impact of language and
accent on health care safety, quality, and patient
experience.
August 4, 2021
Ellahham S. Communication in health care: impact of language and accent on health care safety, quality,
and patient experience. Am J Med Qual. 2021;36(5):355-364. doi:10.1097/01.jmq.00…
-
psnet.ahrq.gov/node/36154/psn-pdf
September 29, 2010 - Harmful medication errors in children: a 5-year analysis of
data from the USP's MEDMARX(R) program.
September 29, 2010
Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from
the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8.
https://psnet.ahrq.gov/issue/har…
-
psnet.ahrq.gov/node/40596/psn-pdf
December 31, 2014 - Errors associated with outpatient computerized
prescribing systems.
December 31, 2014
Nanji KC, Rothschild JM, Salzberg C, et al. Errors associated with outpatient computerized prescribing
systems. J Am Med Inform Assoc. 2011;18(6):767-73. doi:10.1136/amiajnl-2011-000205.
https://psnet.ahrq.gov/issue/errors-associ…
-
psnet.ahrq.gov/node/46001/psn-pdf
July 19, 2017 - Identifying hospitalized patients at risk for harm: a
comparison of nurse perceptions vs. electronic risk
assessment tool scores.
July 19, 2017
Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for
Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…
-
psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons learned.
May 16, 2018
Melnyk H, Rosenfeld P, Glassman KS. Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons Learned. J Nurs Adm. 2018;48(4):203-208.
do…
-
psnet.ahrq.gov/node/844052/psn-pdf
July 01, 2012 - Does responsibility affect the public's valuation of health
care interventions? A relative valuation approach to
health care safety.
July 1, 2012
Singh J, Lord J, Longworth L, et al. Does responsibility affect the public's valuation of health care
interventions? A relative valuation approach to health care safety.…
-
psnet.ahrq.gov/node/61092/psn-pdf
November 04, 2020 - Patient race and opioid misuse history influence provider
risk perceptions for future opioid-related problems.
November 4, 2020
Hirsh AT, Anastas TM, Miller MM, et al. Patient race and opioid misuse history influence provider risk
perceptions for future opioid-related problems. Am Psychol. 2020;75(6):784-795.
doi:…
-
psnet.ahrq.gov/node/837602/psn-pdf
January 01, 2023 - Outcome differences between surgeons performing first
and subsequent coronary artery bypass grafting
procedures in a day: a retrospective comparative cohort
study.
June 29, 2022
Zhang D, Gu D, Rao C, et al. Outcome differences between surgeons performing first and subsequent
coronary artery bypass grafting proced…
-
psnet.ahrq.gov/node/45415/psn-pdf
June 25, 2018 - Association of overlapping surgery with patient outcomes
in a large series of neurosurgical cases.
June 25, 2018
Howard BM, Holland CM, Mehta C, et al. Association of Overlapping Surgery With Patient Outcomes in a
Large Series of Neurosurgical Cases. JAMA Surg. 2018;153(4):313-321. doi:10.1001/jamasurg.2017.4502.
…
-
psnet.ahrq.gov/node/60251/psn-pdf
April 22, 2020 - Exploring the association between organizational culture
and large-scale adverse events: evidence from the
Veterans Health Administration.
April 22, 2020
George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and
Large-Scale Adverse Events: Evidence from the Veterans Health A…
-
psnet.ahrq.gov/node/42682/psn-pdf
January 01, 2015 - Review article: improving the hospital clinical handover
between paramedics and emergency department staff in
the deteriorating patient.
November 13, 2013
Dawson S, King L, Grantham H. Review article: Improving the hospital clinical handover between
paramedics and emergency department staff in the deteriorating pa…
-
psnet.ahrq.gov/node/45902/psn-pdf
October 13, 2018 - Are informed policies in place to promote safe and usable
EHRs? A cross-industry comparison.
October 13, 2018
Savage EL, Fairbanks RJ, Ratwani RM. Are informed policies in place to promote safe and usable EHRs?
A cross-industry comparison. J Am Med Inform Assoc. 2017;24(4):769-775. doi:10.1093/jamia/ocw185.
https:…
-
psnet.ahrq.gov/node/45833/psn-pdf
January 30, 2018 - The impact of electronic medical records on hospital-
acquired adverse safety events: differential effects
between single-source and multiple-source systems.
January 30, 2018
Bae J, Rask KJ, Becker ER. The Impact of Electronic Medical Records on Hospital-Acquired Adverse
Safety Events: Differential Effects Between…
-
psnet.ahrq.gov/node/73402/psn-pdf
June 16, 2021 - The role of the informal and formal organisation in voice
about concerns in healthcare: a qualitative interview
study.
June 16, 2021
Wu F, Dixon-Woods M, Aveling E-L, et al. The role of the informal and formal organisation in voice about
concerns in healthcare: a qualitative interview study. Soc Sci Med. 2021;280:…
-
psnet.ahrq.gov/node/47813/psn-pdf
March 06, 2019 - Using a spare medication vial to store multiple
medications: a potentially fatal in-home medication error.
March 6, 2019
Leonard JB, Klein-Schwartz W. Using a spare medication vial to store multiple medications: A potentially
fatal in-home medication error. Ame J Health-syst Pharm. 2019;76(5):264-265. doi:10.1093/a…
-
psnet.ahrq.gov/node/852446/psn-pdf
August 16, 2023 - Identification of the barriers and enablers for receiving a
speaking up message: a content analysis approach.
August 16, 2023
Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up
message: a content analysis approach. Adv Simul (Lond). 2023;8(1):17. doi:10.1186…
-
psnet.ahrq.gov/node/36407/psn-pdf
April 19, 2011 - Adverse events experienced while transferring the
critically ill patient from the emergency department to the
intensive care unit.
April 19, 2011
Gillman L, Leslie G, Williams T, et al. Adverse events experienced while transferring the critically ill patient
from the emergency department to the intensive care unit…
-
psnet.ahrq.gov/node/35434/psn-pdf
June 14, 2011 - Turning the medical gaze in upon itself: root cause
analysis and the investigation of clinical error.
June 14, 2011
Iedema RAM, Jorm C, Long D, et al. Turning the medical gaze in upon itself: root cause analysis and the
investigation of clinical error. Soc Sci Med. 2006;62(7):1605-15.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/850346/psn-pdf
June 14, 2023 - The good, the bad, and the ugly: operative staff
perspectives of surgeon coping with intraoperative
errors.
June 14, 2023
D’Angelo A-LD, Kapur N, Kelley SR, et al. The good, the bad, and the ugly: operative staff perspectives of
surgeon coping with intraoperative errors. Surgery. 2023;174(2):222-228. doi:10.1016/j…
-
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…