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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43601/psn-pdfDecember 09, 2015 - Special Focus Issue: Patient Safety. December 9, 2015 Wagner VD, ed. AORN J. 2014;100:351-456. https://psnet.ahrq.gov/issue/special-focus-issue-patient-safety Articles in this special issue explore strategies to establish a culture of safety in health care settings, including coaching to improve team briefing and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852458/psn-pdfJune 01, 2019 - The patient's role in patient safety. June 1, 2019 Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004. https://psnet.ahrq.gov/issue/patients-role-patient-safety Patients and their families can play an important role i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33944/psn-pdfJanuary 29, 2018 - National Patient Safety Foundation. January 29, 2018 National Patient Safety Foundation. https://psnet.ahrq.gov/issue/national-patient-safety-foundation Founded in 1997, the National Patient Safety Foundation supported a variety of initiatives, engaging multidisciplinary action toward improvement in patient safety… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40592/psn-pdfJuly 06, 2011 - Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. July 6, 2011 Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nursing Surveillance, Utilization of a MET an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45931/psn-pdfJuly 05, 2017 - The CARE approach to reducing diagnostic errors. July 5, 2017 Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532. https://psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors Cognitive aids such as checklists and mnemoni… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38039/psn-pdfNovember 03, 2008 - Teamwork in obstetric critical care. November 3, 2008 Guise J-M, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):937-51. doi:10.1016/j.bpobgyn.2008.06.010. https://psnet.ahrq.gov/issue/teamwork-obstetric-critical-care This article reviews the history of teamwork traini… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43607/psn-pdfOctober 15, 2014 - Dallas Ebola case shows even sound plans can fail spectacularly. October 15, 2014 Loftis RL. Dallas Morning News. October 5, 2014. https://psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly Guidelines and rules are developed to help augment safety, but they cannot guarantee it. Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50623/psn-pdfNovember 06, 2019 - Adverse Events in Anesthesia: An Integrative Review. November 6, 2019 Lemos C de S, Poveda V de B. Adverse Events in Anesthesia: An Integrative Review. J Perianesth Nurs. 2019;34(5):978-998. doi:10.1016/j.jopan.2019.02.005. https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review This integrative … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60677/psn-pdfJuly 08, 2020 - Optimizing patient safety through system strategies and patient engagement. July 8, 2020 Rooprai P, Mistry N. Patient Saf Qual Healthc. June 23, 2020. https://psnet.ahrq.gov/issue/optimizing-patient-safety-through-system-strategies-and-patient-engagement Health systems are complex environments that require integra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41396/psn-pdfMay 23, 2012 - In search of common ground in handoff documentation in an intensive care unit. May 23, 2012 Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. https://psnet.ahrq.gov/issue/search-c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45401/psn-pdfAugust 17, 2016 - A better safety net for young doctors. August 17, 2016 Landro L. Wall Street Journal. August. 8, 2016. https://psnet.ahrq.gov/issue/better-safety-net-young-doctors First-year residents may be reluctant to ask for assistance due to factors such as peer pressure to demonstrate competency. This newspaper article repo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39554/psn-pdfOctober 13, 2010 - Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. October 13, 2010 Bernstein J, MacCourt DC, Jacob DM, et al. Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions. Clin Orthop Relat Res. 2010;468(10):2627-32.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42943/psn-pdfApril 12, 2014 - Doing right by our patients when things go wrong in the ambulatory setting. April 12, 2014 Schiff G, Griswold P, Ellis BR, et al. Doing right by our patients when things go wrong in the ambulatory setting. Jt Comm J Qual Patient Saf. 2014;40(2):91-96. https://psnet.ahrq.gov/issue/doing-right-our-patients-when-thin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45998/psn-pdfApril 19, 2017 - Learning and mindfulness: improving perioperative patient safety. April 19, 2017 Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006. https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50381/psn-pdfSeptember 25, 2019 - Error disclosure and apology in radiology: the case for further dialogue. September 25, 2019 Brown SD, Bruno MA, Shyu JY, et al. Error Disclosure and Apology in Radiology: The Case for Further Dialogue. Radiology. 2019;293(1):30-35. doi:10.1148/radiol.2019190126. https://psnet.ahrq.gov/issue/error-disclosure-and-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764408/psn-pdfMarch 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices … -
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…
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