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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43854/psn-pdf
    February 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2015. Report No. OEI-01-13-00400. https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73086/psn-pdf
    January 01, 2022 - Barriers to incident reporting among nurses: a qualitative systematic review. March 31, 2021 Hamed MMM, Konstantinidis S. Barriers to incident reporting among nurses: a qualitative systematic review. West J Nurs Res. 2022;44(5):506-523. doi:10.1177/0193945921999449. https://psnet.ahrq.gov/issue/barriers-incident-r…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40770/psn-pdf
    September 14, 2011 - 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. September 14, 2011 Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine Au…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72486/psn-pdf
    November 18, 2020 - ISMP Survey provides insights into preparation and admixture practices OUTSIDE the pharmacy. November 18, 2020 ISMP Medication Safety Alert! Acute care edition. November 5, 2020;25(22)1-5. https://psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside- pharmacy Mistakes in …

  5. Psn-Pdf (pdf file)

    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…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42672/psn-pdf
    October 23, 2013 - SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. October 23, 2013 De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Resuscitation. 2013;84(9):1192-6. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44371/psn-pdf
    September 09, 2015 - Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. September 9, 2015 Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0000000000001830. https://psnet…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839835/psn-pdf
    November 09, 2022 - Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. November 9, 2022 Chicago, IL: The National Association for Healthcare Quality; 2022. https://psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-qua…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44647/psn-pdf
    November 18, 2015 - An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. November 18, 2015 Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60575/psn-pdf
    June 10, 2020 - Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. June 10, 2020 Imach S, Eppich W, Zech A, et al. Applying principles from aviation safety investigations to root cause analysis of a critical incident during a simulated emergency. Sim…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45378/psn-pdf
    January 23, 2017 - Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. January 23, 2017 Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43836/psn-pdf
    March 11, 2015 - Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. March 11, 2015 Zingg W, Holmes A, Dettenkofer M, et al. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic re…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45249/psn-pdf
    June 22, 2016 - PHSO Review: Quality of NHS Complaints Investigations. June 22, 2016 First Report of Session 2016–17 Report. House of Commons Public Administration and Constitutional Affairs Committee. London, England: The Stationery Office; May 24, 2016. Publication HC 94. https://psnet.ahrq.gov/issue/phso-review-quality-nhs-comp…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45941/psn-pdf
    March 08, 2017 - Medication errors associated with transition from insulin pens to insulin vials. March 8, 2017 Trimble AN, Bishop B, Rampe N. Medication errors associated with transition from insulin pens to insulin vials. Am J Health Syst Pharm. 2017;74(2):70-75. doi:10.2146/ajhp150726. https://psnet.ahrq.gov/issue/medication-er…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60628/psn-pdf
    July 14, 2020 - The Power to Predict: Leveraging Medical Malpractice Data to Reduce Patient Harm and Financial Loss. June 24, 2020 Cambridge, MA; CRICO Strategies: July 14, 2020. https://psnet.ahrq.gov/issue/power-predict-leveraging-medical-malpractice-data-reduce-patient-harm-and- financial-loss Malpractice claims can generate …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46016/psn-pdf
    May 09, 2017 - Resident duty hours and medical education policy—raising the evidence bar. May 9, 2017 Asch DA, Bilimoria KY, Desai S. Resident Duty Hours and Medical Education Policy - Raising the Evidence Bar. N Engl J Med. 2017;376(18):1704-1706. doi:10.1056/NEJMp1703690. https://psnet.ahrq.gov/issue/resident-duty-hours-and-me…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854256/psn-pdf
    October 04, 2023 - Enhancing safety of a system-wide in situ simulation program using no-go considerations. October 4, 2023 Minors AM, Yusaf TC, Bentley SK, et al. Enhancing safety of a system-wide in situ simulation program using no-go considerations. Simul Healthc. 2023;18(4):226-231. doi:10.1097/sih.0000000000000711. https://psne…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35044/psn-pdf
    September 27, 2017 - Decisions about critical events in device-related scenarios as a function of expertise. September 27, 2017 Laxmisan A, Malhotra S, Keselman A, et al. Decisions about critical events in device-related scenarios as a function of expertise. J Biomed Inform. 2005;38(3):200-12. https://psnet.ahrq.gov/issue/decisions-ab…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45331/psn-pdf
    August 03, 2016 - Health information technologies: from hazardous to the dark side. August 3, 2016 Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. https://psnet.ahrq.gov/issue/health-information-technologies-haz…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848088/psn-pdf
    April 26, 2023 - Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. April 26, 2023 Farnborough, UK: Healthcare Safety Investigation Branch. March 2023. https://psnet.ahrq.gov/issue/safety-risk-air-embolus-associated-central-venous-catheters-used- haemodialysis-treatment Patients …
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