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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47645/psn-pdf
    April 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60766/psn-pdf
    August 05, 2020 - Dermatology faces a reckoning: lack of darker skin in textbooks and journals harms care for patients of color. August 5, 2020 McFarling UL. Stat. July 21, 2020. https://psnet.ahrq.gov/issue/dermatology-faces-reckoning-lack-darker-skin-textbooks-and-journals-harms- care-patients-color Dermatologists rely on v…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44714/psn-pdf
    November 25, 2015 - Continuous Improvement of Patient Safety: The Case for Change in the NHS. November 25, 2015 Illingworth J. London, UK: The Health Foundation; 2015. ISBN: 9781906461706. https://psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs The Francis inquiry uncovered problems in the National Health S…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47774/psn-pdf
    April 08, 2019 - Association of emotional intelligence with malpractice claims: a review. April 8, 2019 Shouhed D, Beni C, Manguso N, et al. Association of Emotional Intelligence With Malpractice Claims: A Review. JAMA Surg. 2019;154(3):250-256. doi:10.1001/jamasurg.2018.5065. https://psnet.ahrq.gov/issue/association-emotional-int…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39903/psn-pdf
    January 19, 2011 - Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. January 19, 2011 Baker DP, Amodeo AM, Krokos KJ, et al. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf Health Care. 2010;19(6):e49. doi:1…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46161/psn-pdf
    May 31, 2017 - Developing team cognition: a role for simulation. May 31, 2017 Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96- 103. doi:10.1097/sih.0000000000000200. https://psnet.ahrq.gov/issue/developing-team-cognition-role-simulation Simulation training has been advocated as a …

  7. Psn-Pdf (pdf file)

    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…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45749/psn-pdf
    January 11, 2017 - Instrument count sheets and set reviews as patient safety tools. January 11, 2017 Spear J. Instrument Count Sheets and Set Reviews as Patient Safety Tools. AORN J. 2016;104(6):588- 592. doi:10.1016/j.aorn.2016.10.007. https://psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools Inaccu…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42913/psn-pdf
    January 29, 2014 - What to do with healthcare incident reporting systems. January 29, 2014 Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems Incident reporting sy…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44670/psn-pdf
    January 23, 2017 - Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. January 23, 2017 Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. https://psnet.ahrq.gov/issue/shift-shift-hand…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865345/psn-pdf
    March 27, 2024 - The limits of clinician vigilance as an AI safety bulwark. March 27, 2024 Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620. https://psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark Human…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74848/psn-pdf
    February 16, 2022 - Patients for Patient Safety US. February 16, 2022 404.510.8787; info@pfps.us https://psnet.ahrq.gov/issue/patients-patient-safety-us Patient safety improvement has made progress but more can be done. This organization supports community efforts in the United States to engage policymakers in work toward aligning ef…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42962/psn-pdf
    September 07, 2016 - Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. September 7, 2016 Washington, DC: United States Government Accountability Office; February 10, 2014. Publication GAO-14- 194. https://psnet.ahrq.gov/issue/drug-shortages-public-health-threat-continues-despite-effor…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73639/psn-pdf
    August 25, 2021 - The Safety of Maternity Services in England. August 25, 2021 Fourth Report of Session 2021–22. House of Commons Health Committee. London, England: The Stationery Office; July 6, 2021. Publication HC 19.  https://psnet.ahrq.gov/issue/safety-maternity-services-england High-profile failures motivate examination …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764410/psn-pdf
    March 02, 2022 - Five strategies for clinicians to advance diagnostic excellence. March 2, 2022 Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ. 2022;376:e068044. doi:10.1136/bmj-2021-068044. https://psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47597/psn-pdf
    August 07, 2019 - Intentional rounding—an integrative literature review. August 7, 2019 Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review This review exam…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839824/psn-pdf
    November 09, 2022 - Improving diagnostic decision support through deliberate reflection: a proposal. November 9, 2022 Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. https://psnet.ahrq.gov/issue/improving-diagnostic-de…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42911/psn-pdf
    February 12, 2014 - Computerized physician order entry: promise, perils, and experience. February 12, 2014 Khanna R, Yen T. Computerized physician order entry: promise, perils, and experience. Neurohospitalist. 2014;4(1):26-33. doi:10.1177/1941874413495701. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-promise-peril…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864864/psn-pdf
    March 20, 2024 - Systemic failures in health care oversight. March 20, 2024 Campbell JL. Ga L Rev. 2024;58(2):737-802. https://psnet.ahrq.gov/issue/systemic-failures-health-care-oversight Questions exist as to why practitioners with known performance issues continue to practice and affect patient safety. This article suggests a sh…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42860/psn-pdf
    March 20, 2014 - Eight critical factors in creating and implementing a successful simulation program. March 20, 2014 Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. https://psnet.ahrq.gov/issue/eight-critica…
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