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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60039/psn-pdfMarch 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. March 11, 2020 Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020. https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw- delays Delays in emergency r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851456/psn-pdfJuly 19, 2023 - Nurses and nursing students as second victims: a scoping review. July 19, 2023 Sahay A, McKenna L. Nurses and nursing students as second victims: a scoping review. Nurs Outlook. 2023;71(4):101992. doi:10.1016/j.outlook.2023.101992. https://psnet.ahrq.gov/issue/nurses-and-nursing-students-second-victims-scoping-rev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48076/psn-pdfJuly 24, 2019 - Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. July 24, 2019 Lobos A-T, Ward N, Farion KJ, et al. Simulation-based event analysis improves error discovery and generates improved strategies for error prevention. Simul Healthc. 2019;14(4):209-216. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837334/psn-pdfJune 08, 2022 - Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. June 8, 2022 Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Catheter … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848816/psn-pdfMay 10, 2023 - Racial bias in cesarean decision-making. May 10, 2023 Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making Racial bias negatively impacts maternal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60874/psn-pdfSeptember 02, 2020 - A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. September 2, 2020 Engelhardt KE, Bilimoria KY, Johnson JK, et al. A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845302/psn-pdfMarch 01, 2023 - Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. March 1, 2023 Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional communication skills – results of an int… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846448/psn-pdfMarch 22, 2023 - Understanding patient and clinician reported nonroutine events in ambulatory surgery. March 22, 2023 Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.0000000000001089. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61094/psn-pdfNovember 04, 2020 - The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. November 4, 2020 Kok J, Wallenburg I, Leistikow I, et al. The doctor was rude, the toilets are dirty. Utilizing ‘soft signals’ in the regulation of patient safety. Safety Sci. 2020;131:104914. doi:10.1016/j.ssc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46273/psn-pdfAugust 30, 2017 - Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. August 30, 2017 Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communication during delivery: a call for int… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36276/psn-pdfOctober 21, 2010 - Effects of nursing rounds on patients' call light use, satisfaction, and safety. October 21, 2010 Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60334/psn-pdfMay 13, 2020 - Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. May 13, 2020 National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies Press: 2020. ISBN 9780309676250. https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837310/psn-pdfJune 01, 2022 - National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide. June 1, 2022 Shiner B, Gottlieb DJ, Levis M, et al. National cross-sectional cohort study of the relationship between quality of mental healthcare and death by suicide. BMJ Qual Saf. 2022;31(6):434-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866694/psn-pdfSeptember 11, 2024 - What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists. September 11, 2024 Pohlman KA, Funabashi M, O’Beirne M, et al. What’s the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists. PLoS ONE… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47659/psn-pdfJanuary 27, 2019 - Medical overuse as a physician cognitive error: looking under the hood. January 27, 2019 Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. https://psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-er… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38071/psn-pdfFebruary 15, 2011 - A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. February 15, 2011 Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184- 190. doi:10.1097/pts.0b013e318184a9d5. https://psnet.ahrq.gov/issue/multifaceted-appr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42989/psn-pdfMay 28, 2014 - Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. May 28, 2014 Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a transcript analysis of communication b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862131/psn-pdfFebruary 07, 2024 - Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes. February 7, 2024 Kaplan HC, Goldstein SL, Rubinson C, et al. Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved ou… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72549/psn-pdfDecember 09, 2020 - Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. December 9, 2020 Contreras J, Baus C, Brandt C, et al. Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. J Am Pharm Assoc (2003). 2021;61(2):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73139/psn-pdfApril 14, 2021 - Effect of barcode technology on medication preparation safety: a quasi-experimental study. April 14, 2021 Küng K, Aeschbacher K, Rütsche A, et al. Effect of barcode technology on medication preparation safety: a quasi-experimental study. Int J Qual Health Care. 2021;33(1). doi:10.1093/intqhc/mzab043. https://psnet…
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