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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… -
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(…
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