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381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39670/psn-pdf
     July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46827/psn-pdf
     March 14, 2018 - Prevalence and Economic Burden of Medication Errors in the NHS England. March 14, 2018 Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Interventions. Sheffield, United Kingdom: University of Sheffield and University of York; 2018. https://psnet.ahrq.gov/issu…

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40539/psn-pdf
     June 22, 2011 - Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. June 22, 2011 Zimmerman S, Love K, Sloane PD, et al. Medication administration errors in assisted living: scope, characteristics, and the importance of staff training. J Am Geriatr Soc. 2011;59(6):1060…

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49621/psn-pdf
     March 01, 2011 - Volume Too Low: In and Out March 1, 2011 Miller MR. Volume Too Low: In and Out . PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/volume-too-low-and-out Case Objectives Appreciate that because of multiple factors, children are at high risk for medical errors. Describe the importance of weight-based dosing of…

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845360/psn-pdf
     March 29, 2023 - Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. March 29, 2023 Hayes M, Wheeling D, Kaul-Connolly S. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. J Nurs Car…

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47948/psn-pdf
     May 29, 2019 - Potential consequences of patient complications for surgeon well-being: a systematic review. May 29, 2019 Srinivasa S, Gurney J, Koea J. Potential Consequences of Patient Complications for Surgeon Well-being: A Systematic Review. JAMA Surg. 2019;154(5):451-457. doi:10.1001/jamasurg.2018.5640. https://psnet.ahrq.go…

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44315/psn-pdf
     November 20, 2015 - Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. November 20, 2015 Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A p…

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37019/psn-pdf
     September 15, 2011 - Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors. September 15, 2011 Shamliyan TA, Duval S, Du J, et al. Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication …

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46111/psn-pdf
     May 17, 2017 - Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study. May 17, 2017 Mitchell SE, Weigel GM, Laurens V, et al. Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study. BMC He…

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37890/psn-pdf
     February 18, 2011 - Are Patient Safety Indicators related to widely used measures of hospital quality? February 18, 2011 Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen Intern Med. 2008;23(9):1373-8. doi:10.1007/s11606-008-0665-2. https://psnet.ahrq.gov/issue/are-patient-safet…

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38524/psn-pdf
     July 13, 2009 - How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? July 13, 2009 Kaafarani HMA, Itani KMF, Rosen AK, et al. How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital? Am J Surg. 2009;…

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45541/psn-pdf
     September 28, 2016 - Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. September 28, 2016 Ruetters D, Keinki C, Schroth S, et al. Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. J Cancer Res Clin Oncol. 2016;142(7):1521…

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42740/psn-pdf
     December 31, 2014 - ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. December 31, 2014 Hohl CM, Karpov A, Reddekopp L, et al. ICD-10 codes used to identify adverse drug events in administrative data: a systematic review. J Am Med Inform Assoc. 2014;21(3):547-57. doi:10.1136/amiajnl- 2013-…

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45207/psn-pdf
     August 17, 2016 - Unit-based incident reporting and root cause analysis: variation at three hospital unit types. August 17, 2016 Wagner C, Merten H, Zwaan L, et al. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. BMJ Open. 2016;6(6):e011277. doi:10.1136/bmjopen-2016-011277. https://psn…

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44353/psn-pdf
     November 03, 2015 - Evaluation of symptom checkers for self diagnosis and triage: audit study. November 3, 2015 Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h3480. https://psnet.ahrq.gov/issue/evaluation-symptom-checkers-self…

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41812/psn-pdf
     November 07, 2012 - Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. November 7, 2012 Bradley EH, Curry LA, Horwitz LI, et al. Contemporary evidence about hospital strategies for reducing 30- day readmissions: a national study. J Am Coll Cardiol. 2012;60(7):607-14. doi:10.1016/j.jacc.…

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42548/psn-pdf
     December 29, 2014 - What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. December 29, 2014 Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J Health Care Qual. 2013;25(5):542-5…

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45190/psn-pdf
     February 15, 2017 - Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. February 15, 2017 Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. BMJ. 2016;353:…

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43969/psn-pdf
     November 17, 2017 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers, and institutions. November 17, 2017 Bell SK, White AA, Yi JC, et al. Transparency When Things Go Wrong. J Patient Saf. 2015;13(4):243-248. doi:10.1097/pts.0000000000000153. https://psnet.ahrq.gov/issue/transp…

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867849/psn-pdf
     February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety In To Err I…