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psnet.ahrq.gov/node/34005/psn-pdf
August 17, 2017 - Medically Induced Trauma Support Services (MITSS).
August 17, 2017
Tobin WN. Patient Safety Quality Healthcare. May/June 2013.
https://psnet.ahrq.gov/issue/medically-induced-trauma-support-services-mitss
Medically Induced Trauma Support Services (MITSS), Inc. was a nonprofit organization that supported,
educated, …
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psnet.ahrq.gov/node/45711/psn-pdf
March 27, 2017 - Management of a patient with a latex allergy.
March 27, 2017
Minami CA, Barnard C, Bilimoria KY. Management of a Patient With a Latex Allergy. JAMA.
2017;317(3):309-310. doi:10.1001/jama.2016.20034.
https://psnet.ahrq.gov/issue/management-patient-latex-allergy
This case analysis discusses the use of a latex cathet…
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psnet.ahrq.gov/node/74014/psn-pdf
October 27, 2021 - Adopting system models for multiple incident analysis:
utility and usability.
October 27, 2021
Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual
Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135.
https://psnet.ahrq.gov/issue/adopting-system-model…
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psnet.ahrq.gov/node/846445/psn-pdf
March 22, 2023 - Formalizing the hidden curriculum of performance
enhancing errors.
March 22, 2023
Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J
Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009.
https://psnet.ahrq.gov/issue/formalizing-hidden-curriculum-perform…
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psnet.ahrq.gov/node/43189/psn-pdf
December 15, 2014 - Twitter as a tool to enhance student engagement during
an interprofessional patient safety course.
December 15, 2014
Mckay M, Sanko JS, Shekhter I, et al. Twitter as a tool to enhance student engagement during an
interprofessional patient safety course. J Interprof Care. 2014;28(6):565-7.
doi:10.3109/13561820.2014…
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psnet.ahrq.gov/node/47048/psn-pdf
April 22, 2023 - National Prescription Drug Take Back Day.
April 16, 2023
Drug Enforcement Administration. April 22, 2023.
https://psnet.ahrq.gov/issue/national-prescription-drug-take-back-day
Removing unused medications from the home can help prevent accidental exposure to unneeded
medications and limit their availability for mis…
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psnet.ahrq.gov/node/46143/psn-pdf
June 14, 2017 - Report of the Announced Inspection of Medication Safety
at the Midland Regional Hospital Tullamore, County
Offaly.
June 14, 2017
Dublin, Ireland: Health Information and Quality Authority; May 2017.
https://psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-
tullamore-coun…
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psnet.ahrq.gov/node/43910/psn-pdf
November 23, 2016 - Error disclosure and family members' reactions: does the
type of error really matter?
November 23, 2016
Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error
really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.2014.12.011.
https://psnet.ahrq.…
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psnet.ahrq.gov/node/72687/psn-pdf
January 27, 2021 - Learning from errors with the new COVID-19 vaccines.
January 27, 2021
ISMP Medication Safety Alert! Acute Care Edition. January 14, 2021;26(1);1-5.
https://psnet.ahrq.gov/issue/learning-errors-new-covid-19-vaccines
Learning from error rests on transparency efforts buttressed by frontline reports. This a…
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psnet.ahrq.gov/node/44190/psn-pdf
June 03, 2015 - Minimizing medical mistakes: mother's mission to reduce
hospital errors.
June 3, 2015
Takahara D. KDVR. May 19, 2015.
https://psnet.ahrq.gov/issue/minimizing-medical-mistakes-mothers-mission-reduce-hospital-errors
Parents of children who experience harm in the course of medical care serve as advocates to drive saf…
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psnet.ahrq.gov/node/46681/psn-pdf
April 16, 2018 - Trainee autonomy and patient safety.
April 16, 2018
George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg.
2018;267(5):820-822. doi:10.1097/SLA.0000000000002599.
https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety
Reduced resident work hours and insufficient senior surgeon…
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psnet.ahrq.gov/node/42635/psn-pdf
December 06, 2013 - Improving disclosure and management of medical
error—an opportunity to transform the surgeons of
tomorrow.
December 6, 2013
Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to
transform the surgeons of tomorrow. Surgeon. 2013;11(6):338-43. doi:10.1016/j.surge.20…
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psnet.ahrq.gov/node/39428/psn-pdf
April 07, 2010 - Critical incidents related to cardiac arrests reported to the
Danish Patient Safety Database.
April 7, 2010
Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish
Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.1016/j.resuscitation.2009.10.018.
h…
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psnet.ahrq.gov/node/42065/psn-pdf
February 27, 2013 - The 2011 duty-hour requirements—a survey of residency
program directors.
February 27, 2013
Drolet BC, Khokhar MT, Fischer SA. The 2011 duty-hour requirements--a survey of residency program
directors. N Engl J Med. 2013;368(8):694-7. doi:10.1056/NEJMp1214483.
https://psnet.ahrq.gov/issue/2011-duty-hour-requirements…
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psnet.ahrq.gov/node/47951/psn-pdf
April 24, 2019 - Safe medication management at ambulatory surgery
centers.
April 24, 2019
Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442.
doi:10.1002/aorn.12635.
https://psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
Safe medication use can be challengin…
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psnet.ahrq.gov/node/42535/psn-pdf
October 16, 2013 - Implementing an interprofessional patient safety learning
initiative: insights from participants, project leads and
steering committee members.
October 16, 2013
Jeffs L, Abramovich IA, Hayes C, et al. Implementing an interprofessional patient safety learning initiative:
insights from participants, project leads an…
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psnet.ahrq.gov/node/43464/psn-pdf
August 27, 2014 - Using pharmacists to optimize patient outcomes and
costs in the ED.
August 27, 2014
Jacknin G, Nakamura T, Smally AJ, et al. Using pharmacists to optimize patient outcomes and costs in the
ED. Am J Emerg Med. 2014;32(6):673-7. doi:10.1016/j.ajem.2013.11.031.
https://psnet.ahrq.gov/issue/using-pharmacists-optimize-…
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psnet.ahrq.gov/node/45160/psn-pdf
May 18, 2016 - Clues to better health care from old malpractice lawsuits.
May 18, 2016
Landro L.
https://psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits
Closed claims have been considered a source for adverse event data for years, and recently such data has
been utilized to inform safety improvement work. …
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psnet.ahrq.gov/node/43126/psn-pdf
April 23, 2014 - Safe and appropriate use of insulin and other
antihyperglycemic agents in hospital.
April 23, 2014
Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Can J
Diabetes. 2014;38(2):94-100. doi:10.1016/j.jcjd.2014.01.002.
https://psnet.ahrq.gov/issue/safe-and-appropriate-use-…
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psnet.ahrq.gov/node/43166/psn-pdf
May 07, 2014 - Are med school grads prepared to practice medicine?
May 7, 2014
Angus S, Vu R, Halvorsen AJ, et al. What skills should new internal medicine interns have in july? A
national survey of internal medicine residency program directors. Academic medicine : journal of the
Association of American Medical Colleges. 2014;89(…