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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46367/psn-pdfAugust 30, 2017 - Why are so many women being misdiagnosed? August 30, 2017 Mickle K. Glamour. August 11, 2017. https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed Implicit bias and differences in communication style can affect patient care. This magazine article reports on factors that contribute to misdiagnosis … -
www.ahrq.gov/talkingquality/distribute/media/index.htmlFebruary 01, 2016 - Media Options for a Health Care Quality Report What medium will you use to convey information about quality to your audience? The most common media are print and Web. Mass media such as radio or television are also options, but only for certain sponsors and certain kinds of information. Each of these media has …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36225/psn-pdfJuly 10, 2008 - Transfers of patient care between house staff on internal medicine wards: a national survey. July 10, 2008 Horwitz LI, Krumholz HM, Green M, et al. Transfers of patient care between house staff on internal medicine wards: a national survey. Arch Intern Med. 2006;166(11):1173-7. https://psnet.ahrq.gov/issue/transfe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44274/psn-pdfFebruary 18, 2019 - Concepts for the development of a customizable checklist for use by patients. February 18, 2019 Fernando RJ, Shapiro FE, Rosenberg NM, et al. Concepts for the Development of a Customizable Checklist for Use by Patients. J Patient Saf. 2019;15(1):18-23. doi:10.1097/PTS.0000000000000203. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46746/psn-pdfMarch 07, 2018 - Safety with nebulized medications requires an interdisciplinary team approach. March 7, 2018 ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach Myriad system and clinician failures can con… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38385/psn-pdfFebruary 04, 2009 - Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. February 4, 2009 Pirnejad H, Niazkhani Z, van der Sijs H, et al. Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process. Int J Med Inform. 2008… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43316/psn-pdfJuly 02, 2014 - Optimizing transitions of care to reduce rehospitalizations. July 2, 2014 Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. https://psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations Care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73996/psn-pdfOctober 29, 2021 - Patient, Medical, and Legal Perspectives of Unsafe Care. October 20, 2021 Patient Safety Movement. October 29, 2021. https://psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care Effective response to medical harm involves a variety of perspectives that are aligned in purpose. This webinar … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859352/psn-pdfDecember 20, 2023 - More hospitals move to confront medical errors head on. December 20, 2023 Gorenstein D. Tradeoffs. November 16, 2023. https://psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head Amid governmental guidance to improve safety, front-line perspectives remain an important source for insight to make im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44090/psn-pdfNovember 21, 2016 - Insensible losses: when the medical community forgets the family. November 21, 2016 Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. https://psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-fami… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838084/psn-pdfSeptember 14, 2022 - Sixty seconds on . . . medical gaslighting. September 14, 2022 Wise J. Sixty seconds on . . . medical gaslighting. BMJ. 2022;378:o1974. doi:10.1136/bmj.o1974. https://psnet.ahrq.gov/issue/sixty-seconds-medical-gaslighting Patients can be vulnerable to having concerns dismissed or being gaslighted as to their legiti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35339/psn-pdfApril 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37512/psn-pdfFebruary 06, 2008 - Risk factors in preventable adverse drug events in pediatric outpatients. February 6, 2008 Zandieh SO, Goldmann DA, Keohane C, et al. Risk factors in preventable adverse drug events in pediatric outpatients. J Pediatr. 2008;152(2):225-31. doi:10.1016/j.jpeds.2007.09.054. https://psnet.ahrq.gov/issue/risk-factors-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73223/psn-pdfMay 05, 2021 - Pandemic imperiled non-English speakers more than others. May 5, 2021 Bebinger M. WBUR and Kaiser Health News. April 27, 2021. https://psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others Non-English-speaking patients experience barriers to safely navigating the American healthcare system.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73861/psn-pdfSeptember 22, 2021 - Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021 Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36198/psn-pdfMarch 28, 2011 - Using human error theory to explore the supply of non- prescription medicines from community pharmacies. March 28, 2011 Watson MC, Bond CM, Johnston M, et al. Using human error theory to explore the supply of non- prescription medicines from community pharmacies. Qual Saf Health Care. 2006;15(4):244-50. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50568/psn-pdfOctober 23, 2019 - Automation of the I-PASS tool to improve transitions of care. October 23, 2019 Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174. https://psnet.ahrq.gov/issue/automation-i-pass-tool-improve-trans… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43566/psn-pdfDecember 19, 2014 - Bedside shift reports: what does the evidence say? December 19, 2014 Gregory S, Tan D, Tilrico M, et al. Bedside shift reports: what does the evidence say? J Nurs Adm. 2014;44(10):541-5. doi:10.1097/NNA.0000000000000115. https://psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say Bedside shift report… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45999/psn-pdfMarch 29, 2017 - Two words can soothe patients who have been harmed: we're sorry. March 29, 2017 Boodman SG. Kaiser Health News. March 15, 2017. https://psnet.ahrq.gov/issue/two-words-can-soothe-patients-who-have-been-harmed-were-sorry This news article reports on two incidents involving medical errors—one demonstrating the tradit… -
www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/guide-conclusion.htmlMay 01, 2017 - Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Conclusion Previous Page Table of Contents Creating a Culture of Safety in the Ambulatory Surgery Environment: Implementation Guide Overview The Comprehensive Unit-based Safety Program (CUSP) Measurement…
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