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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34743/psn-pdfMarch 28, 2005 - Juran's Quality Handbook. 5th ed. March 28, 2005 Juran JM; Blanton GA. New York: McGraw Hill; 1999. ISBN: 9780071165396. https://psnet.ahrq.gov/issue/jurans-quality-handbook-5th-ed This reference on quality engineering and management practices provides a wealth of background and scholarship on the elemen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41407/psn-pdfJune 19, 2012 - Error disclosure: a new domain for safety culture assessment. June 19, 2012 Etchegaray J, Gallagher TH, Bell SK, et al. Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf. 2012;21(7):594-9. doi:10.1136/bmjqs-2011-000530. https://psnet.ahrq.gov/issue/error-disclosure-new-domain-safety-cultur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46021/psn-pdfMay 24, 2017 - Patient Safety Huddle. May 24, 2017 VA National Center for Patient Safety. https://psnet.ahrq.gov/issue/patient-safety-huddle The Department of Veterans Affairs consistently contributes to innovation and improvement efforts in patient safety. This 27-episode podcast series offers short interviews with experts in t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836791/psn-pdfAugust 21, 2024 - TeamSTEPPS for Diagnosis Improvement. August 21, 2024 TeamSTEPPS for Diagnosis Improvement. https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on the established TeamSTEPPS® principles, this new Te… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43215/psn-pdfMay 28, 2014 - When medical students make errors. May 28, 2014 https://psnet.ahrq.gov/issue/when-medical-students-make-errors This newspaper article highlights the need for medical students to be educated about how to disclose errors to patients and families when mistakes occur, even if the patient was not harmed. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40947/psn-pdfJanuary 29, 2019 - WHO Patient Safety Curriculum Guide: Multi-Professional Edition. January 29, 2019 WHO Patient Safety. Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958. https://psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-multi-professional-edition This multi-professional patient safet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61002/psn-pdfSeptember 17, 2020 - Patient Safety September 17, 2020 Organisation for Economic Co-operation and Development. https://psnet.ahrq.gov/issue/patient-safety-21 Organizations worldwide are focusing efforts on reducing the conditions that contribute to medical error. This website provides a collection of reports and other resources that c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841786/psn-pdfDecember 21, 2022 - National Patient Safety Board Act of 2022. December 21, 2022 HR 9377, 117th Cong, 2d Sess (2022). https://psnet.ahrq.gov/issue/national-patient-safety-board-act-2022 The need for a national government-led patient safety effort has long been advocated for. This legislation outlines the structure of a federal agency… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48038/psn-pdfJune 05, 2019 - Addressing Problematic Opioid Use in OECD Countries. June 5, 2019 Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2019. ISBN: 978926474260. https://psnet.ahrq.gov/issue/addressing-problematic-opioid-use-oecd-countries The overprescribing of prescription opioids heightens the… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60923/psn-pdfSeptember 16, 2020 - Considering the safety and quality of artificial intelligence in health care. September 16, 2020 Ross P, Spates K. Considering the Safety and Quality of Artificial Intelligence in Health Care. Jt Comm J Qual Patient Saf. 2020;46(10):596-599. doi:10.1016/j.jcjq.2020.08.002. https://psnet.ahrq.gov/issue/considering-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39320/psn-pdfMarch 28, 2010 - The Emergency Medical Services Safety Attitudes Questionnaire. March 28, 2010 Patterson D, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes questionnaire. Am J Med Qual. 2010;25(2):109-15. doi:10.1177/1062860609352106. https://psnet.ahrq.gov/issue/emergency-medical-services-safety-att… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72770/psn-pdfFebruary 24, 2021 - Communication about medical errors. February 24, 2021 Kaldjian LC. Communication about medical errors. Patient Educ Couns. 2021;104(5):989-993. doi:10.1016/j.pec.2020.11.035. https://psnet.ahrq.gov/issue/communication-about-medical-errors Disclosure of and communication about errors and adverse events is increasin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44109/psn-pdfNovember 06, 2015 - Safer Clinical Systems. November 6, 2015 London, UK: Health Foundation. https://psnet.ahrq.gov/issue/safer-clinical-systems This Web site highlights the work of a United Kingdom initiative launched in 2008 to apply safety improvement tactics from high-risk industries to care services. The program engages teams to … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46490/psn-pdfOctober 29, 2017 - Simulation training in obstetrics. October 29, 2017 Gavin NR, Satin AJ. Simulation Training in Obstetrics. Clin Obstet Gynecol. 2017;60(4):802-810. doi:10.1097/GRF.0000000000000322. https://psnet.ahrq.gov/issue/simulation-training-obstetrics Adverse events in obstetrics put both maternal and infant patients at ris… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39180/psn-pdfDecember 16, 2009 - Description of inpatient medication management using cognitive work analysis. December 16, 2009 Pingenot AA, Shanteau J, Sengstacke LTCDN. Description of inpatient medication management using cognitive work analysis. Comput Inform Nurs. 2009;27(6):379-92. doi:10.1097/NCN.0b013e3181bcad2f. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41487/psn-pdfJune 27, 2012 - Investigating the safety of medication administration in adult critical care settings. June 27, 2012 Mansour M, James V, Edgley A. Investigating the safety of medication administration in adult critical care settings. Nurs Crit Care. 2012;17(4):189-97. doi:10.1111/j.1478-5153.2012.00500.x. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36636/psn-pdfJanuary 14, 2011 - Nursing home administrators' opinions of the resident safety culture in nursing homes. January 14, 2011 Castle NG, Handler S, Engberg J, et al. Nursing home administrators' opinions of the resident safety culture in nursing homes. Health Care Manage Rev. 2007;32(1):66-76. https://psnet.ahrq.gov/issue/nursing-home-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50719/psn-pdfDecember 04, 2019 - A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! December 4, 2019 ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 https://psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here The reporting and analysis of incidents i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45165/psn-pdfJuly 19, 2016 - Standardize 4 Safety. July 19, 2016 American Society of Health-System Pharmacists. https://psnet.ahrq.gov/issue/standardize-4-safety Standardization has been highlighted as a way to improve safety in surgery, care transitions, and medication administration. This initiative seeks to develop consensus guidelines and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47280/psn-pdfOctober 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo…
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