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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849338/psn-pdfMay 24, 2023 - The impact of language barriers on patient care: a pharmacy perspective. May 24, 2023 Patel J. PM Healthcare Journal. Spring 2023(4):5-18. https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective Language discordance is known to degrade medication safety. The article discusses an exa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47413/psn-pdfSeptember 26, 2018 - Please, write to me. Writing outpatient clinic letters to patients. Guidance. September 26, 2018 London, UK: Academy of Medical Royal Colleges; September 2018. https://psnet.ahrq.gov/issue/please-write-me-writing-outpatient-clinic-letters-patients-guidance Miscommunication due to clinician use of medical jargon an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840164/psn-pdfNovember 16, 2022 - Medical error and vulnerable communities. November 16, 2022 Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392. https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article discusses medical erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50433/psn-pdfSeptember 04, 2019 - In men, it's Parkinson's. In women, it's hysteria. September 4, 2019 Armstrong D. ProPublica. August 23, 2019. https://psnet.ahrq.gov/issue/men-its-parkinsons-women-its-hysteria Implicit biases can affect communication, diagnosis, and treatment decisions. This news article reports the experience of a neurologist a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861776/psn-pdfJanuary 31, 2024 - The Sunday story: when hospitals don't say sorry. January 31, 2024 Rascoe A, Gorenstein D. National Public Radio. January 21, 2024. https://psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry Openness about making mistakes is a challenge in health care due to fear of litigation and career damage. This … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44283/psn-pdfJuly 15, 2015 - An analysis of near misses identified by anesthesia providers in the intensive care unit. July 15, 2015 Lipshutz AKM, Caldwell JE, Robinowitz DL, et al. An analysis of near misses identified by anesthesia providers in the intensive care unit. BMC Anesthesiol. 2015;15:93. doi:10.1186/s12871-015-0075-z. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44312/psn-pdfNovember 06, 2015 - Beyond the team: understanding interprofessional work in two North American ICUs. November 6, 2015 Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.0000000000001136. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50457/psn-pdfOctober 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45229/psn-pdfJuly 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36130/psn-pdfSeptember 29, 2010 - OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. September 29, 2010 Stoop AP, Bal R, Berg M. OZIS and the politics of safety: using ICT to create a regionally accessible patient medication record. Int J Med Inform. 2007;76 Suppl 1:S229-35. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41156/psn-pdfMarch 02, 2012 - The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. March 2, 2012 Böhmer AB, Wappler F, Tinschmann T, et al. The implementation of a perioperative checklist increases patients' perioperative safety and staff satisfaction. Acta Anaesthesiol Scand. 2012;56(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46762/psn-pdfFebruary 14, 2018 - Patient Safety in Surgery. February 14, 2018 Stahel PF, ed. BioMed Central. ISSN: 1754-9493. https://psnet.ahrq.gov/issue/patient-safety-surgery-0 The specialty of surgery draws from both clinical and nontechnical skills for generalists and subspecialists to support safe care delivery. This journal covers a range … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60674/psn-pdfJuly 08, 2020 - Sway: Unravelling Unconscious Bias July 8, 2020 Agarwal P. London, UK: Bloomsbury Sigma; 2020. ISBN 9781472971357. https://psnet.ahrq.gov/issue/sway-unravelling-unconscious-bias Implicit biases influence behavior and decision making. This publication discusses how a range of implicit biases affect legal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37121/psn-pdfMarch 09, 2009 - An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. March 9, 2009 Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;27(6-7). doi:10.1016/j.technovation.2006.12.00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45049/psn-pdfApril 20, 2016 - Medical errors: disclosure styles, interpersonal forgiveness, and outcomes. April 20, 2016 Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026. https://psnet.ahrq.gov/issue/medical-errors… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47463/psn-pdfOctober 17, 2018 - My human doctor. October 17, 2018 Peskin SM. New York Times. October 4, 2018. https://psnet.ahrq.gov/issue/my-human-doctor Error disclosures are difficult but important conversations that can have negative consequences for patients, clinicians, and organizations, even when they are done appropriately. This newspap… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41032/psn-pdfDecember 30, 2014 - Factors that influence the expected length of operation: results of a prospective study. December 30, 2014 Gillespie BM, Chaboyer W, Fairweather N. Factors that influence the expected length of operation: results of a prospective study. BMJ Qual Saf. 2012;21(1):3-12. doi:10.1136/bmjqs-2011-000169. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34668/psn-pdfJune 06, 2018 - Please don't sleep through this wake-up call. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001. https://psnet.ahrq.gov/issue/please-dont-sleep-through-wake-call This is an alert from the Institute for Safe Medication Practices informing readers of a fatal medication error that occu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37441/psn-pdfNovember 01, 2012 - Saving Mothers' Lives: Reviewing Maternal Deaths to Make Motherhood Safer—2003–2005. November 1, 2012 Lewis G, ed. London, England: Confidential Enquiry into Maternal and Child Health; 2007. ISBN: 9780953353682. https://psnet.ahrq.gov/issue/saving-mothers-lives-reviewing-maternal-deaths-make-motherhood-safer- 200… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73898/psn-pdfSeptember 29, 2021 - A Thematic Analysis of HSIB's First 22 Investigations. September 29, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. https://psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations In-depth failure investigations provide improvement insights for individuals and or…
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