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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35540/psn-pdfAugust 05, 2009 - Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs. August 5, 2009 Solet DJ, Norvell M, Rutan GH, et al. Lost in translation: challenges and opportunities in physician-to- physician communication during patient handoffs. Acad Med. 2005;80(12):1094-9. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72677/psn-pdfJanuary 27, 2021 - An implementation science approach to promote optimal implementation, adoption, use, and spread of continuous clinical monitoring system technology. January 27, 2021 Dykes PC, Lowenthal G, Faris A, et al. An Implementation Science Approach to Promote Optimal Implementation, Adoption, Use, and Spread of Continuous … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44804/psn-pdfNovember 18, 2016 - The Safer Delivery of Surgical Services Program (S3): explaining its differential effectiveness and exploring implications for improving quality in complex systems. November 18, 2016 Flynn LC, McCulloch P, Morgan LJ, et al. The Safer Delivery of Surgical Services Program (S3): Explaining Its Differential Effective… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73534/psn-pdfJuly 28, 2021 - "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. July 28, 2021 Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60052/psn-pdfMarch 18, 2020 - Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. March 18, 2020 Geeson C, Wei L, Franklin BD. Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study. Int J Phar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73248/psn-pdfMay 12, 2021 - Universal protection: operationalizing infection prevention guidance in the COVID-19 era. May 12, 2021 Sands K, Blanchard J, Grubbs K, et al. Universal protection: operationalizing infection prevention guidance in the COVID-19 era. Jt Comm J Qual Patient Saf. 2021;47(5):327-332. doi:10.1016/j.jcjq.2021.01.007. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72771/psn-pdfFebruary 24, 2021 - What COVID-19 teaches us about implicit bias in pediatric health care. February 24, 2021 Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131. https://psnet.ahrq.gov/issue/what-covid-19-teaches-us-ab… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37448/psn-pdfJanuary 06, 2017 - Patient safety rounds in a pediatric tertiary care center. January 6, 2017 Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center Executive walk… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34656/psn-pdfMay 27, 2011 - A look into the nature and causes of human errors in the intensive care unit. May 27, 2011 Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300. https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39602/psn-pdfAugust 09, 2013 - Postoperative handover: problems, pitfalls, and prevention of error. August 9, 2013 Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. https://psnet.ahrq.gov/issue/postoperative-handover-problems-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836915/psn-pdfApril 13, 2022 - Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. April 13, 2022 Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical Electronic Health Record workaround… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863749/psn-pdfMarch 06, 2024 - Improving situation awareness to advance patient outcomes: a systematic literature review. March 6, 2024 Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288. doi:10.1097/cin.0000000000001112. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44975/psn-pdfNovember 09, 2017 - Safe injection, infusion, and medication vial practices in health care (2016). November 9, 2017 Dolan SA, Arias KM, Felizardo G, et al. APIC position paper: Safe injection, infusion, and medication vial practices in health care. American journal of infection control. 2016;44(7):750-7. doi:10.1016/j.ajic.2016.02.03… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47489/psn-pdfNovember 21, 2018 - Impact of the Care Quality Commission on Provider Performance: Room for Improvement? November 21, 2018 Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business School; September 2018. ISBN: 9781909029880. https://psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46993/psn-pdfJuly 18, 2018 - The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. July 18, 2018 Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporting compliance of device-related e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72658/psn-pdfJanuary 20, 2021 - “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. January 20, 2021 Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45230/psn-pdfJuly 20, 2016 - Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. July 20, 2016 Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.0000000000000532. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851063/psn-pdfJune 28, 2023 - Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in healthcare-evidence from seminars on peer support. June 28, 2023 Schrøder K, Assing Hvidt E. Emotional responses and support needs of healthcare professionals after adverse or traumatic experiences in health… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48089/psn-pdfJune 19, 2019 - Physician impairment and rehabilitation: reintegration into medical practice while ensuring patient safety: a position paper from the American College of Physicians. June 19, 2019 Candilis PJ, Kim DT, Sulmasy LS, et al. Physician Impairment and Rehabilitation: Reintegration Into Medical Practice While Ensuring Pat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849128/psn-pdfMay 17, 2023 - Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. May 17, 2023 Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous …
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