-
psnet.ahrq.gov/node/45232/psn-pdf
August 10, 2016 - Promoting patient safety with perioperative hand-off
communication.
August 10, 2016
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs.
2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…
-
psnet.ahrq.gov/node/46936/psn-pdf
April 11, 2018 - You've detailed your last wishes, but doctors may not see
them.
April 11, 2018
Lamas D.
https://psnet.ahrq.gov/issue/youve-detailed-your-last-wishes-doctors-may-not-see-them
Advance care planning can affect patient safety if the information is unheeded, unavailable, or unread.
Reporting on a physician's experienc…
-
psnet.ahrq.gov/web-mm/wrong-channel
February 01, 2003 - Document shelf number 1497. 7. Graham MJ, Kubose TK, Jordan D, Zhang J, Johnson TR, Patel VL. … Technical Document: Universal Usability Requirements for Infusion Pumps. … Engineering Can Teach You How to Be Surprised Again
November 1, 2006
ACR guidance document
-
psnet.ahrq.gov/node/38797/psn-pdf
July 22, 2009 - Failure to recognize newly identified aortic dilations in a
health care system with an advanced electronic medical
record.
July 22, 2009
Gordon JRS, Wahls TL, Carlos RC, et al. Failure to recognize newly identified aortic dilations in a health
care system with an advanced electronic medical record. Ann Intern Med.…
-
psnet.ahrq.gov/node/38679/psn-pdf
March 01, 2011 - Improving alarm performance in the medical intensive
care unit using delays and clinical context.
March 1, 2011
Görges M, Markewitz BA, Westenskow DR. Improving alarm performance in the medical intensive care unit
using delays and clinical context. Anesth Analg. 2009;108(5):1546-52.
doi:10.1213/ane.0b013e31819bdfb…
-
psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis
Citation Text:
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
-
psnet.ahrq.gov/node/44517/psn-pdf
October 21, 2015 - Electronic health record challenges, workarounds, and
solutions observed in practices integrating behavioral
health and primary care.
October 21, 2015
Cifuentes M, Davis M, Fernald D, et al. Electronic Health Record Challenges, Workarounds, and Solutions
Observed in Practices Integrating Behavioral Health and Prim…
-
psnet.ahrq.gov/node/45848/psn-pdf
November 19, 2018 - New Horizons in Patient Safety: Understanding
Communication: Case Studies for Physicians.
November 19, 2018
Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 9783110455014.
https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-
physicians
Poor c…
-
psnet.ahrq.gov/node/45811/psn-pdf
May 08, 2017 - A National Web Conference on Improving Health IT Safety
Through the Use of Natural Language Processing to
Improve Accuracy of EHR Documentation.
May 8, 2017
Agency for Healthcare Research and Quality. February 7, 2017.
https://psnet.ahrq.gov/issue/national-web-conference-improving-health-it-safety-through-use-natu…
-
psnet.ahrq.gov/node/46566/psn-pdf
June 25, 2018 - A systematic review of interventions to follow-up test
results pending at discharge.
June 25, 2018
Darragh PJ, Bodley T, Orchanian-Cheff A, et al. A Systematic Review of Interventions to Follow-Up Test
Results Pending at Discharge. J Gen Intern Med. 2018;33(5):750-758. doi:10.1007/s11606-017-4290-9.
https://psnet.…
-
psnet.ahrq.gov/node/43124/psn-pdf
August 02, 2015 - Practice gaps in patient safety among dermatology
residents and their teachers: a survey study of
dermatology residents.
August 2, 2015
Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a
survey study of dermatology residents. JAMA Dermatol. 2014;150(7):738-42.
…
-
psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
November 16, 2015 - February 3, 2021
NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document
-
psnet.ahrq.gov/issue/opioids-and-dentistry
November 12, 2014 - November 4, 2020
Finding the right balance: an evidence-informed guidance document to
-
psnet.ahrq.gov/issue/northeastern-university-hospital-surge-capacity-planning-model-bed-ventilator-and-ppe-1-30
December 24, 2008 - November 25, 2020
Finding the right balance: an evidence-informed guidance document to
-
psnet.ahrq.gov/issue/older-adults-perceptions-feeling-safe-urban-and-rural-acute-care
October 17, 2018 - reporting safety concerns
October 2, 2019
Intersystem medical error discovery: a document
-
psnet.ahrq.gov/issue/implementing-patient-safety-practices-small-ambulatory-care-settings
April 19, 2013 - Download Citation
Related Resources From the Same Author(s)
ACR guidance document
-
psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities
November 08, 2017 - December 9, 2020
Finding the right balance: an evidence-informed guidance document to
-
psnet.ahrq.gov/issue/do-professional-interpreters-improve-clinical-care-patients-limited-english-proficiency
November 30, 2016 - A position statement and resource document from NAEMSP.
-
psnet.ahrq.gov/issue/opioids-chronic-noncancer-pain-position-paper-american-academy-neurology
November 19, 2018 - March 25, 2020
ACR guidance document on MR safe practices: updates and critical information
-
psnet.ahrq.gov/issue/successful-anesthesia-patient-safety-officer
December 22, 2018 - July 21, 2021
A retrospective analysis demonstrates that a failure to document key comorbid