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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46448/psn-pdfSeptember 27, 2017 - Simulation in Otolaryngology. September 27, 2017 Malekzadeh S, ed. Otolaryngol Clin North Am. 2017;50(5):xv-xviii, 875-1036. https://psnet.ahrq.gov/issue/simulation-otolaryngology This special issue highlights areas in otolaryngology where simulation is being used to develop multidisciplinary team-based approaches… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39028/psn-pdfOctober 21, 2009 - The content and context of change of shift report on medical and surgical units. October 21, 2009 Staggers N, Jennings BM. The content and context of change of shift report on medical and surgical units. J Nurs Adm. 2009;39(9):393-8. doi:10.1097/NNA.0b013e3181b3b63a. https://psnet.ahrq.gov/issue/content-and-contex… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46500/psn-pdfJune 27, 2018 - Ariadne Labs. June 27, 2018 Brigham & Women's Hospital; Harvard T.H. Chan School of Public Health. https://psnet.ahrq.gov/issue/ariadne-labs Checklists can help catch gaps in communication and process. This website provides resources related to the use of checklists in surgical, obstetric, and other care environme… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36914/psn-pdfMarch 21, 2017 - Reasons for after-hours calls by hospital floor nurses to on-call physicians. March 21, 2017 Bernstam E, Pancheri KK, Johnson CM, et al. Reasons for after-hours calls by hospital floor nurses to on- call physicians. Jt Comm J Qual Patient Saf. 2007;33(6):342-9. https://psnet.ahrq.gov/issue/reasons-after-hours-call… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41769/psn-pdfOctober 17, 2012 - The MacArthur Fellows Program: Eric Coleman. October 17, 2012 MacArthur Foundation. https://psnet.ahrq.gov/issue/macarthur-fellows-program-eric-coleman Dr. Eric Coleman has enhanced care transitions by developing tools and processes to improve communication and reduce readmissions. The MacArthur Foundation has sel… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45735/psn-pdfJuly 17, 2017 - CMPA Good Practices Guide. July 17, 2017 Ottawa, Ontario: Canadian Medical Protective Association; 2016. https://psnet.ahrq.gov/issue/cmpa-good-practices-guide Key patient safety topics include human factors, teamwork, adverse events, communication, professionalism, and risk management. This website provides resou… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42584/psn-pdfSeptember 11, 2013 - Cardiac surgical ICU care: eliminating "preventable" complications. September 11, 2013 Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124. https://psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41543/psn-pdfJanuary 18, 2013 - Research on nursing handoffs for medical and surgical settings: an integrative review. January 18, 2013 Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. https://psnet.ahrq.gov/issue/resea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42601/psn-pdfSeptember 18, 2013 - 'You talking to me?' Docs and feedback. September 18, 2013 Diamond F. 'You talking to me?' Docs and feedback. Managed care (Langhorne, Pa.). 2013;22(7):30-2. https://psnet.ahrq.gov/issue/you-talking-me-docs-and-feedback Reporting on barriers to teamwork, this magazine article relates how hierarchy influences speaki… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40838/psn-pdfSeptember 27, 2016 - Cognitive Factors in Health Care. September 27, 2016 Rogers WA, ed. J Exp Psychol Appl. 2011;17(3):191-302. https://psnet.ahrq.gov/issue/cognitive-factors-health-care Articles in this special issue explore the impact of cognition on health care activities such as patient identification, interruptions, and team com… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60191/psn-pdfApril 01, 2020 - Unprofessional Behavior Leads to Complications. April 1, 2020 Unprofessional Behavior Leads to Complications. JN Learning. 2020. https://psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications Disruptive behavior is a recognized deterrent to safe communication, sharing of concerns and teamwork. This educa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39094/psn-pdfJune 09, 2011 - Human factors in surgery: from Three Mile Island to the operating room. June 9, 2011 D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662. https://psnet.ahrq.gov/issue/human-factors-surgery-three-mile-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43113/psn-pdfApril 09, 2014 - Transforming the health care environment collaborative. April 9, 2014 Burgess C, Curry MP. Transforming the health care environment collaborative. AORN J. 2014;99(4):529- 39. doi:10.1016/j.aorn.2014.01.012. https://psnet.ahrq.gov/issue/transforming-health-care-environment-collaborative This commentary examines the… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38287/psn-pdfFebruary 06, 2009 - Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. February 6, 2009 Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.01717.x. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36180/psn-pdfSeptember 29, 2010 - Why nurses make medication errors: a simulation study. September 29, 2010 Kazaoka T, Ohtsuka K, Ueno K, et al. Why nurses make medication errors: a simulation study. Nurse Educ Today. 2007;27(4):312-7. https://psnet.ahrq.gov/issue/why-nurses-make-medication-errors-simulation-study The investigators used a simulate… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41476/psn-pdfJune 20, 2012 - Interdisciplinary team training: five lessons learned. June 20, 2012 Contratti F, Ng G, Deeb J. Interdisciplinary team training: five lessons learned. Am J Nurs. 2012;112(6):47- 52. doi:10.1097/01.NAJ.0000415127.84605.1f. https://psnet.ahrq.gov/issue/interdisciplinary-team-training-five-lessons-learned This commen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42185/psn-pdfApril 10, 2013 - Improving patient safety in medicine: is the model of anaesthesia care enough? April 10, 2013 Haller G. Improving patient safety in medicine: is the model of anaesthesia care enough? Swiss Med Wkly. 2013;143:w13770. doi:10.4414/smw.2013.13770. https://psnet.ahrq.gov/issue/improving-patient-safety-medicine-model-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844558/psn-pdfJanuary 13, 2024 - On Patient Safety. January 13, 2024 Tingle J. Br J Nurs. 2001-2024. https://psnet.ahrq.gov/issue/patient-safety-19 This series of commentaries discusses a wide range of policy, legal, and operational topics related to patient safety in the British health system, such as artificial intelligence, patient communicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46151/psn-pdfMay 24, 2017 - The last person you'd expect to die in childbirth. May 24, 2017 Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017. https://psnet.ahrq.gov/issue/last-person-youd-expect-die-childbirth Maternal mortality is increasing in the United States. This news article reports on this critical safety probl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42757/psn-pdfNovember 20, 2013 - Clinical ICT Systems in the Victorian Public Health Sector. November 20, 2013 Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013. https://psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector Following the implementation of a large clinical information communicati…
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