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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45378/psn-pdfJanuary 23, 2017 - Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. January 23, 2017 Goldberg SA, Porat A, Strother CG, et al. Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergency Department. Prehosp Emerg Ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47064/psn-pdfAugust 22, 2018 - Lax oversight leaves surgery center regulators and patients in the dark. August 22, 2018 Jewett C, Alesia M. Kaiser Health News. August 9, 2018. https://psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark High-profile failures during office-based procedures have raised awareness o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46786/psn-pdfMay 30, 2018 - Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals across the UK. May 30, 2018 Papoutsi C, Poots A, Clements J, et al. Improving patient safety for older people in acute admissions: implementation of the Frailsafe checklist in 12 hospitals acros… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44836/psn-pdfJanuary 27, 2016 - Advancing the next generation of handover research and practice with cognitive load theory. January 27, 2016 Young JQ, Wachter R, Cate OT, et al. Advancing the next generation of handover research and practice with cognitive load theory. BMJ Qual Saf. 2016;25(2):66-70. doi:10.1136/bmjqs-2015-004181. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44676/psn-pdfJanuary 22, 2016 - Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. January 22, 2016 Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nurs. 2016;25(1-2):278-81. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42598/psn-pdfSeptember 18, 2013 - Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? September 18, 2013 Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52. doi:10.1097/MCC.0b013e328364d53… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45271/psn-pdfAugust 10, 2016 - Patient identification and tube labelling—a call for harmonisation. August 10, 2016 van Dongen-Lases EC, Cornes MP, Grankvist K, et al. Patient identification and tube labelling – a call for harmonisation. Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015- 1089. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846761/psn-pdfSeptember 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866809/psn-pdfSeptember 25, 2024 - Stop the line: interventions to prevent retained surgical items. September 25, 2024 Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items Retained surgica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45716/psn-pdfSeptember 29, 2017 - Microanalysis of video from the operating room: an underused approach to patient safety research. September 29, 2017 Bezemer J, Cope A, Korkiakangas T, et al. Microanalysis of video from the operating room: an underused approach to patient safety research. BMJ Qual Saf. 2017;26(7):583-587. doi:10.1136/bmjqs-2016-00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44735/psn-pdfJanuary 06, 2016 - Quality and patient safety teams in the perioperative setting. January 6, 2016 Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006. https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting Team effectivenes… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44439/psn-pdfSeptember 16, 2015 - Color-coded prefilled medication syringes decrease time to delivery and dosing errors in simulated prehospital pediatric resuscitations: a randomized crossover trial. September 16, 2015 Stevens AD, Hernandez C, Jones S, et al. Color-coded prefilled medication syringes decrease time to delivery and dosing errors in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47205/psn-pdfJuly 25, 2018 - Teamwork and Teamwork Training in Healthcare. July 25, 2018 Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M, Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527. doi:10.1177/1059601118774669. https://psnet.ahrq.gov/issue/teamwork-and-teamwor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46131/psn-pdfDecember 19, 2017 - Characteristics associated with requests by pathologists for second opinions on breast biopsies. December 19, 2017 Geller BM, Nelson HD, Weaver DL, et al. Characteristics associated with requests by pathologists for second opinions on breast biopsies. J Clin Pathol. 2017;70(11):947-953. doi:10.1136/jclinpath-2016- … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73575/psn-pdfAugust 04, 2021 - Unlocking Solutions in Imaging: Working Together to Learn from Failings in the NHS. August 4, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; 2021. ISBN 9781528627016. https://psnet.ahrq.gov/issue/unlocking-solutions-imaging-working-together-learn-failings-nhs Lack of appropriate follow up o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46934/psn-pdfMarch 14, 2018 - Engaging the front line: tapping into hospital-wide quality and safety initiatives. March 14, 2018 Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840167/psn-pdfNovember 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022. ISBN: 9781528636759. https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42002/psn-pdfMay 10, 2013 - National efforts to improve health information system safety in Canada, the United States of America and England. May 10, 2013 Kushniruk AW, Bates DW, Bainbridge M, et al. National efforts to improve health information system safety in Canada, the United States of America and England. Int J Med Inform. 2013;82(5):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44738/psn-pdfMay 21, 2016 - The Habits of an Improver. Thinking About Learning for Improvement in Health Care. May 21, 2016 Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676. https://psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care Committed leadership is essential to enhan… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46952/psn-pdfJanuary 01, 2019 - Perspectives on patient and family engagement with reduction in harm: the forgotten voice. December 21, 2018 Schenk EC, Bryant RA, Van Son CR, et al. Perspectives on Patient and Family Engagement With Reduction in Harm: The Forgotten Voice. J Nurs Care Qual. 2019;34(1):73-79. doi:10.1097/NCQ.0000000000000333. htt…
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