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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41437/psn-pdfJanuary 03, 2017 - Making the transition to nursing bedside shift reports. January 3, 2017 Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports Efforts to improve comm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42721/psn-pdfDecember 12, 2014 - Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. December 12, 2014 Dhamija M, Kapoor G, Juneja A. Infusional chemotherapy and medication errors in a tertiary care pediatric cancer unit in a resource-limited setting. J Pediatr Hematol Oncol. 2014;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38142/psn-pdfApril 30, 2014 - Medical error disclosure among pediatricians: choosing carefully what we might say to parents. April 30, 2014 Loren DJ, Klein EJ, Garbutt J, et al. Medical Error Disclosure Among Pediatricians. Arch Pediatr Adolesc Med. 2008;162(10):922-927. doi:10.1001/archpedi.162.10.922. https://psnet.ahrq.gov/issue/medical-err… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44114/psn-pdfSeptember 27, 2016 - Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. September 27, 2016 James TA, Goedde M, Bertsch T, et al. Advancing the Future of Patient Safety in Oncology: Implications of Patient Safety Education on Cancer Care Delivery. J Cancer Educ. 2016;31… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50863/psn-pdfFebruary 05, 2020 - Patient safety in inpatient mental health settings: a systematic review. February 5, 2020 Thibaut BI, Dewa LH, Ramtale SC, et al. Patient safety in inpatient mental health settings: a systematic review. BMJ Open. 2019;9(12):e030230. doi:10.1136/bmjopen-2019-030230. https://psnet.ahrq.gov/issue/patient-safety-inpat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38692/psn-pdfMarch 04, 2015 - Errare humanum est: frequency of laterality errors in radiology reports. March 4, 2015 Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. https://psnet.ahrq.gov/issue/errare-humanum-est-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50886/psn-pdfFebruary 12, 2020 - Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. February 12, 2020 Härkänen M, Paananen J, Murrells T, et al. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39314/psn-pdfDecember 21, 2014 - Patient characteristics and the occurrence of never events. December 21, 2014 Fry DE, Pine M, Jones BL, et al. Patient characteristics and the occurrence of never events. Arch Surg. 2010;145(2):148-51. doi:10.1001/archsurg.2009.277. https://psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48173/psn-pdfAugust 28, 2019 - Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. August 28, 2019 Koo A,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37478/psn-pdfFebruary 22, 2011 - Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. February 22, 2011 Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007- 0414-y. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50370/psn-pdfJanuary 01, 2020 - Debunking the myth that the majority of medical errors are attributed to communication. September 25, 2019 Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. https://psnet.ahrq.gov/issue/debunking-myth-maj… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37803/psn-pdfJanuary 06, 2017 - Paying the piper: investing in infrastructure for patient safety. January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46547/psn-pdfApril 16, 2018 - Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. April 16, 2018 Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/858163/psn-pdfDecember 13, 2023 - Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. December 13, 2023 Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. BMC Prim … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46827/psn-pdfMarch 14, 2018 - Prevalence and Economic Burden of Medication Errors in the NHS England. March 14, 2018 Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Interventions. Sheffield, United Kingdom: University of Sheffield and University of York; 2018. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43007/psn-pdfDecember 12, 2014 - 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. December 12, 2014 Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient Safety Walkrounds: Table 1. B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36150/psn-pdfSeptember 29, 2010 - Nurse-physician communication during labor and birth: implications for patient safety. September 29, 2010 Simpson KR, James DC, Knox E. Nurse-physician communication during labor and birth: implications for patient safety. J Obstet Gynecol Neonatal Nurs. 2006;35(4):547-56. https://psnet.ahrq.gov/issue/nurse-physic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38454/psn-pdfJanuary 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. January 2, 2017 Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf. 2009;35(3):139-45. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61062/psn-pdfJanuary 01, 2022 - Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. October 28, 2020 Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42123/psn-pdfJune 18, 2013 - On higher ground: ethical reasoning and its relationship with error disclosure. June 18, 2013 Cole AP, Block L, Wu AW. On higher ground: ethical reasoning and its relationship with error disclosure. BMJ Qual Saf. 2013;22(7):580-585. doi:10.1136/bmjqs-2012-001496. https://psnet.ahrq.gov/issue/higher-ground-ethical-…
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