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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37556/psn-pdfNovember 21, 2016 - Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. November 21, 2016 Taylor D, Hassan MA, Luterman A, et al. Unexpected intraoperative patient death: the imperatives of family- and surgeon-centered care. Arch Surg. 2008;143(1):87-92. doi:10.1001/archsurg.2007.27. https:/… -
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 … -
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/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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43033/psn-pdfMarch 12, 2014 - Current challenges and future perspectives for patient safety in surgery. March 12, 2014 Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9. https://psnet.ahrq.gov/issue/current-challenges-and-future-pe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46508/psn-pdfNovember 22, 2017 - The checklist: recognize limits, but harness its power. November 22, 2017 Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603. https://psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power Checklists are used in various health c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/856640/psn-pdfNovember 29, 2023 - Research from webAIRS incident reporting system. November 29, 2023 Anaesth Intensive Care. 2023;51(6):372-421. https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system Centralized de-identified reports of patient safety events serve a core purpose for learning and improvement. This article collectio…
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