-
psnet.ahrq.gov/node/40448/psn-pdf
September 19, 2016 - Health care workers as second victims of medical errors.
September 19, 2016
Edrees HH, Paine LA, Feroli R, et al. Health care workers as second victims of medical errors. Pol Arch
Med Wewn. 2011;121(4):101-108.
https://psnet.ahrq.gov/issue/health-care-workers-second-victims-medical-errors
Medical errors can have a…
-
psnet.ahrq.gov/node/867599/psn-pdf
January 22, 2025 - Assessing patient work system factors for medication
management during transition of care among older
adults: an observational study.
January 22, 2025
Xiao Y, Hsu Y-J, Hannum SM, et al. Assessing patient work system factors for medication management
during transition of care among older adults: an observational st…
-
psnet.ahrq.gov/node/35524/psn-pdf
October 06, 2016 - Does patient-centered design guarantee patient safety?:
Using human factors engineering to find a balance
between provider and patient needs.
October 6, 2016
France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient
Saf. 2008;1(3):145-153. doi:10.1097/01.jps.0000191550…
-
psnet.ahrq.gov/node/60933/psn-pdf
September 23, 2020 - Seroprevalence of SARS-CoV-2 among frontline health
care personnel in a multistate hospital network--13
academic medical centers, April-June 2020.
September 23, 2020
Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health
care personnel in a multistate hospital network - 1…
-
psnet.ahrq.gov/node/45710/psn-pdf
December 22, 2017 - Our current approach to root cause analysis: is it
contributing to our failure to improve patient safety?
December 22, 2017
Kellogg KM, Hettinger Z, Shah M, et al. Our current approach to root cause analysis: is it contributing to our
failure to improve patient safety? BMJ Qual Saf. 2017;26(5):381-387. doi:10.1136/…
-
psnet.ahrq.gov/node/73066/psn-pdf
March 24, 2021 - Patient harm resulting from medication reconciliation
process failures: a study of serious events reported by
Pennsylvania hospitals.
March 24, 2021
Harper A, Kukielka E, Jones RM. Patient harm resulting from medication reconciliation process failures: a
study of serious events reported by Pennsylvania hospitals. …
-
psnet.ahrq.gov/node/865522/psn-pdf
April 10, 2024 - An analysis of incident reports related to electronic
medication management: how they change over time.
April 10, 2024
Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication
management: how they change over time. J Patient Saf. 2024;20(3):202-208.
doi:10.1097/pts.00000…
-
psnet.ahrq.gov/node/46584/psn-pdf
December 06, 2017 - Alterations in Spanish language interpretation during
pediatric critical care family meetings.
December 6, 2017
Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical
Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. doi:10.1097/CCM.0000000000002650.
…
-
psnet.ahrq.gov/node/35611/psn-pdf
June 23, 2010 - Error or "act of God"? A study of patients' and operating
room team members' perceptions of error definition,
reporting, and disclosure.
June 23, 2010
Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team
members' perceptions of error definition, reporting, and d…
-
psnet.ahrq.gov/node/38986/psn-pdf
February 10, 2015 - Medicare's policy not to pay for treating hospital-acquired
conditions: the impact.
February 10, 2015
McNair PD, Luft HS, Bindman AB. Medicare's policy not to pay for treating hospital-acquired conditions: the
impact. Health Aff (Millwood). 2009;28(5):1485-1493. doi:10.1377/hlthaff.28.5.1485.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/45392/psn-pdf
August 17, 2016 - Boosting medical diagnostics by pooling independent
judgments.
August 17, 2016
Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent
judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113.
https://psnet.ahrq.gov/issue/boosting-medical-diagn…
-
psnet.ahrq.gov/node/47098/psn-pdf
August 15, 2018 - Accuracy of pediatric trauma field triage: a systematic
review.
August 15, 2018
van der Sluijs R, van Rein EAJ, Wijnand JGJ, et al. Accuracy of Pediatric Trauma Field Triage: A
Systematic Review. JAMA Surg. 2018;153(7):671-676. doi:10.1001/jamasurg.2018.1050.
https://psnet.ahrq.gov/issue/accuracy-pediatric-trauma-…
-
psnet.ahrq.gov/node/47153/psn-pdf
October 12, 2018 - Clinicians' perceptions of medication errors with opioids
in cancer and palliative care services: a priority setting
report.
October 12, 2018
Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and
palliative care services: a priority setting report. Support Care Ca…
-
psnet.ahrq.gov/node/837198/psn-pdf
May 25, 2022 - The association of acute COVID-19 infection with Patient
Safety Indicator-12 events in a multisite healthcare
system.
May 25, 2022
Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID?19 infection with Patient Safety
Indicator?12 events in a multisite healthcare system. J Hosp Med. 2022;17(5):350-…
-
psnet.ahrq.gov/node/47303/psn-pdf
March 18, 2019 - Transforming concepts in patient safety: a progress
report.
March 18, 2019
Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ
Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756.
https://psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress…
-
psnet.ahrq.gov/node/40250/psn-pdf
July 09, 2012 - Patient involvement in patient safety: how willing are
patients to participate?
July 9, 2012
Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to
participate? BMJ Qual Saf. 2011;20(1):108-114. doi:10.1136/bmjqs.2010.041871.
https://psnet.ahrq.gov/issue/patient-involvem…
-
psnet.ahrq.gov/node/45328/psn-pdf
July 27, 2018 - Vital signs are still vital: instability on discharge and the
risk of post-discharge adverse outcomes.
July 27, 2018
Nguyen OK, Makam AN, Clark C, et al. Vital Signs Are Still Vital: Instability on Discharge and the Risk of
Post-Discharge Adverse Outcomes. J Gen Intern Med. 2017;32(1):42-48. doi:10.1007/s11606-016-…
-
psnet.ahrq.gov/node/38538/psn-pdf
January 02, 2017 - Rating recommendations for consumers about patient
safety: sense, common sense, or nonsense?
January 2, 2017
Weingart SN, Morway L, Brouillard D, et al. Rating recommendations for consumers about patient safety:
sense, common sense, or nonsense? Jt Comm J Qual Patient Saf. 2009;35(4):206-15.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/45475/psn-pdf
October 11, 2017 - Perceptions of quality and safety and experience of
adverse events in 27 European Union healthcare systems,
2009–2013.
October 11, 2017
Filippidis FT, Mian SS, Millett C. Perceptions of quality and safety and experience of adverse events in 27
European Union healthcare systems, 2009-2013. Int J Qual Health Care. 2…
-
psnet.ahrq.gov/node/44601/psn-pdf
February 23, 2018 - Emergency department visits for adverse events related
to dietary supplements.
February 23, 2018
Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary
Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267.
https://psnet.ahrq.gov/issue/emergenc…