AHRQ PSNet

Author's posts

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.

Agency for Healthcare Research and Quality

Hatch LD, Rivard M, Bolton J, et al. Jt Comm J Qual Patient Saf. 2018 Dec 21; [Epub ahead of print].

Improving Usability, Safety and Patient Outcomes With Health Information Technology.

Agency for Healthcare Research and Quality

Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257:1-539. ISBN: 9781614999508.

Another round of the blame game: a paralyzing criminal indictment that recklessly “overrides” just culture.

Agency for Healthcare Research and Quality

ISMP Medication Safety Alert! Acute Care Edition. February 14, 2019;24.

Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law.

Agency for Healthcare Research and Quality

Ost S. J Med Ethics. 2018 Dec 22; [Epub ahead of print].

Improving Patient Safety Through Just Culture.

Agency for Healthcare Research and Quality

Kaweah Delta. March 22, 2019; Visalia Convention Center, Visalia, CA.

Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals.

Agency for Healthcare Research and Quality

Mattsson TO, Lipczak H, Pottegård A. Qual Manag Health Care. 2019;28:33-38.

Pro/con debate: color-coded medication labels.

Agency for Healthcare Research and Quality

Janik LS, Vender JS  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75.

Transfusion safety: the nature and outcomes of errors in patient registration.

Agency for Healthcare Research and Quality

Cohen R, Ning S, Yan MTS, Callum J. Transfus Med Rev. 2018 Dec 6; [Epub ahead of print].

Adjusting to duty hour reforms: residents’ perception of the safety climate in interdisciplinary night-float rotations.

Agency for Healthcare Research and Quality

Lafleur A, Harvey A, Simard C. Can Med Educ J. 2018;9:e111-e119.

Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM).

Agency for Healthcare Research and Quality

Gupta K, Lisker S, Rivadeneira NA, et al. BMJ Qual Saf. 2019 Feb 4; [Epub ahead of print].