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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838031/psn-pdf
    September 13, 2022 - Addressing the Loss of Trust in Safety Culture. September 7, 2022 Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022.  https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture Trust in patient safety processes encourages reporting of concerns, learning from error, and develop…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46736/psn-pdf
    December 17, 2018 - Back to basics: the Universal Protocol. December 17, 2018 Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. https://psnet.ahrq.gov/issue/back-basics-universal-protocol Wrong-site, wrong-procedure, and wrong-patient errors are…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47997/psn-pdf
    May 08, 2019 - Blind spots in the science of safety. May 8, 2019 Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6. https://psnet.ahrq.gov/issue/blind-spots-science-safety Safety sciences offer methods to enhance processes and develop organizational cul…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45986/psn-pdf
    March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45364/psn-pdf
    September 04, 2016 - A piece of my mind. Changing the narrative. September 4, 2016 Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative Storytelling can share knowledge and build community among physicians. However, if clinicians communicat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46244/psn-pdf
    June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46253/psn-pdf
    August 28, 2017 - Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. August 28, 2017 Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531. https://psnet.ahrq.gov/issue/diagnostic-stewardship-l…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48185/psn-pdf
    August 28, 2019 - Addressing the elephant in the room: a shame resilience seminar for medical students. August 28, 2019 Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000000000002646. https://psnet.ahrq.gov/…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45011/psn-pdf
    May 25, 2016 - High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. May 25, 2016 Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940446387. https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality This publicati…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851196/psn-pdf
    July 05, 2023 - Patient falls while under supervision: trends from incident reporting. July 5, 2023 Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508. https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47310/psn-pdf
    September 19, 2018 - Use of simulation to test systems and prepare staff for a new hospital transition. September 19, 2018 Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.0000000000000184. https://psnet.ahrq.gov/…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44087/psn-pdf
    November 16, 2015 - Teaching a 'good' ward round. November 16, 2015 Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. https://psnet.ahrq.gov/issue/teaching-good-ward-round Ward rounds, while an important educational activity, may not receive the attent…

  13. 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…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46945/psn-pdf
    August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review. August 29, 2018 Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review Variou…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73691/psn-pdf
    September 08, 2021 - Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021 ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5.  https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm Error reporting is an essen…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42337/psn-pdf
    December 30, 2014 - In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. December 30, 2014 Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf. 2013;22(6):468-77. doi:10.113…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47233/psn-pdf
    November 02, 2018 - The STEP-up programme: engaging all staff in patient safety. November 2, 2018 Hamblin-Brown DJ; Ingram J. https://psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety A transparent and respectful hospital culture is the foundation for improving working conditions to reduce preventable harm. This …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46029/psn-pdf
    October 11, 2017 - Closing the gap and raising the bar: assessing board competency in quality and safety. October 11, 2017 McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.1016/j.jcjq.2017.03.003. https:/…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44863/psn-pdf
    July 01, 2016 - Rating the raters: the inconsistent quality of health care performance measurement. July 1, 2016 Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631. https://psnet.ahrq.gov/is…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47684/psn-pdf
    March 20, 2019 - The impact of mobile technology on teamwork and communication in hospitals: a systematic review. March 20, 2019 Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic review. J Am Med Inform Assoc. 2019;26(4):339-355. doi:10.1093/jamia/ocy175. …
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