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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41849/psn-pdfDecember 05, 2012 - Improving care transitions: current practice and future opportunities for pharmacists. December 5, 2012 Pharmacy AC of C, Hume AL, Kirwin J, et al. Improving care transitions: current practice and future opportunities for pharmacists. Pharmacotherapy. 2012;32(11):e326-37. doi:10.1002/phar.1215. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50825/psn-pdfJanuary 22, 2020 - Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. January 22, 2020 Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019. https://psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following- childbirth Maternal care during a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45837/psn-pdfMarch 08, 2017 - Promoting civility in the OR: an ethical imperative. March 8, 2017 Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66. doi:10.1016/j.aorn.2016.10.019. https://psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative The operating room is a complex environment th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861295/psn-pdfJanuary 24, 2024 - Investigators find hospital error caused mother’s death in Brooklyn. January 24, 2024 Goldstein J. New York Times. January 14, 2024. https://psnet.ahrq.gov/issue/investigators-find-hospital-error-caused-mothers-death-brooklyn Maternal safety is challenged in the Unites States and particularly for minorities. This … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45756/psn-pdfDecember 21, 2016 - Accidental IV infusion of heparinized irrigation in the OR. December 21, 2016 ISMP Medication Safety Alert! Acute Care Edition. December 1, 2016;21:1-3. https://psnet.ahrq.gov/issue/accidental-iv-infusion-heparinized-irrigation-or Accidental administration of irrigation solutions are a wrong-route error that can re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46731/psn-pdfJuly 25, 2018 - When bullying affects patient safety. July 25, 2018 When Bullying Affects Patient Safety. AORN J. 2018;108(1):78-80. doi:10.1002/aorn.12294. https://psnet.ahrq.gov/issue/when-bullying-affects-patient-safety Bullying has been recognized as an important factor to consider in health care work environments. Describing… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72583/psn-pdfDecember 16, 2020 - Wear face masks with no metal during MRI exams. December 16, 2020 FDA Safety Communication. MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 7, 2020. https://psnet.ahrq.gov/issue/wear-face-masks-no-metal-during-mri-exams Magnetic resonance imaging (MRI) requires patient prep… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43458/psn-pdfAugust 27, 2014 - Validation of a teamwork perceptions measure to increase patient safety. August 27, 2014 Keebler JR, Dietz AS, Lazzara EH, et al. Validation of a teamwork perceptions measure to increase patient safety. BMJ Qual Saf. 2014;23(9):718-26. doi:10.1136/bmjqs-2013-001942. https://psnet.ahrq.gov/issue/validation-teamwork… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35724/psn-pdfMay 26, 2010 - A prospective study of patient safety in the operating room. May 26, 2010 Christian CK, Gustafson ML, Roth EM, et al. A prospective study of patient safety in the operating room. Surgery. 2006;139(2):159-173. https://psnet.ahrq.gov/issue/prospective-study-patient-safety-operating-room This study used a multidisci… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46659/psn-pdfDecember 06, 2017 - Focus On: Health Care Policy and Quality. December 6, 2017 AJR Am J Roentgenol. 2017;209(5):965-1008;w333-w334. https://psnet.ahrq.gov/issue/focus-health-care-policy-and-quality Radiologists play a critical role in safe diagnostic imaging and communication of test results. Articles in this special issue explore cl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838909/psn-pdfOctober 26, 2022 - Designing safety interventions for specific contexts: results from a literature review. October 26, 2022 Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.2022.105906. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44816/psn-pdfJune 29, 2016 - Paralyzed by errors, this Xbox designer is taking on hospital safety. June 29, 2016 Aleccia J. https://psnet.ahrq.gov/issue/paralyzed-errors-xbox-designer-taking-hospital-safety Patients who experience harm while receiving medical care can serve as powerful advocates for patient safety. This news article reports … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46301/psn-pdfOctober 11, 2017 - Care transitions know-how not just for clinicians. October 11, 2017 Ready T. HealthLeaders Media. September 26, 2017. https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians Transitions are an error-prone process. This news article reports that organizational leadership should be engaged in enha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60163/psn-pdfMarch 25, 2020 - Broken, fragmented health-care system failed daughter who died by suicide. March 25, 2020 Klowak M. CBC News. March 9, 2020. https://psnet.ahrq.gov/issue/broken-fragmented-health-care-system-failed-daughter-who-died-suicide System weaknesses are often at the root of never events. This news story discusses the suic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43000/psn-pdfMarch 05, 2014 - Elective surgical patients' narratives of hospitalization: the co-construction of safety. March 5, 2014 DOHERTY CAROLE, Saunders MNK. Elective surgical patients' narratives of hospitalization: the co- construction of safety. Soc Sci Med. 2013;98:29-36. doi:10.1016/j.socscimed.2013.08.014. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41296/psn-pdfApril 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs. April 11, 2012 Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851059/psn-pdfJune 28, 2023 - Causes for medical errors in obstetrics and gynaecology. June 28, 2023 Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. https://psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866530/psn-pdfAugust 14, 2024 - Healthcare Simulation in Nursing Practice. August 14, 2024 Watts PI. Healthcare Simulation in Nursing Practice. Nurs Clin North Am. 2024;59(3):345-510. https://psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice Simulation is an established method to examine nursing process resilience and develop non-techni… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43069/psn-pdfApril 16, 2014 - Decimal numbers and safe interpretation of clinical pathology results. April 16, 2014 Sinnott M, Eley R, Steinle V, et al. Decimal numbers and safe interpretation of clinical pathology results. J Clin Pathol. 2014;67(2):179-81. doi:10.1136/jclinpath-2013-201865. https://psnet.ahrq.gov/issue/decimal-numbers-and-saf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44998/psn-pdfApril 20, 2016 - High reliability: excellent care every time. April 20, 2016 Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. https://psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time Achieving high reliability has attracted attention as a goal in health care. This article provides an…
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