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psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance
August 25, 2011 - Study
Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance.
Citation Text:
Gallagher AG, Boyle E, Toner P, et al. Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. Arch Surg. 2011;146(4):419-26.…
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psnet.ahrq.gov/node/35088/psn-pdf
January 01, 2025 - National Patient Safety Goals.
November 26, 2024
The Joint Commission.
https://psnet.ahrq.gov/issue/national-patient-safety-goals
The National Patient Safety Goals (NPSGs) are one of the major methods by which The Joint Commission
establishes standards for ensuring patient safety in all health care settings. In or…
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psnet.ahrq.gov/node/45550/psn-pdf
August 01, 2023 - Leape Ahead Award.
August 1, 2023
American Association for Physician Leadership.
https://psnet.ahrq.gov/issue/leape-ahead-award
Efforts to incorporate respect and patient safety concepts into medical training have been inspired by the
work and leadership of Dr. Lucian Leape, founding chairman of the Lucian Leape I…
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psnet.ahrq.gov/node/74167/psn-pdf
December 08, 2021 - National Patient Safety Board Advocacy Coalition.
December 8, 2021
EQT Plaza, 625 Liberty Ave, Ste. 2500, Pittsburgh, PA 15222.
https://psnet.ahrq.gov/issue/national-patient-safety-board-advocacy-coalition
Centralized reporting and analysis of adverse events in health care is a safety improvement model from the
av…
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psnet.ahrq.gov/node/72685/psn-pdf
January 27, 2021 - Human Factors and Ergonomics in Healthcare.
January 27, 2021
Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.
https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare
Human factors approaches have been identified as one of the primary vehicles to create las…
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psnet.ahrq.gov/node/60885/psn-pdf
September 02, 2020 - Becoming a High Reliability Organization.
September 2, 2020
VHA Forum. Summer 2020;1-12.
https://psnet.ahrq.gov/issue/becoming-high-reliability-organization
High reliability attainment is a stated goal for health care organizations. This special issue covers
established initiatives at the United States Veterans He…
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psnet.ahrq.gov/node/73994/psn-pdf
October 20, 2021 - A culture of safety in EMS systems.
October 20, 2021
American College of Emergency Physicians, National Association of Emergency Medical Services.
Ann Emerg Med. 2021;78(3):e37-e57.
https://psnet.ahrq.gov/issue/culture-safety-ems-systems-0
Emergency medical services (EMS) are often provided in stressfu…
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psnet.ahrq.gov/node/838258/psn-pdf
October 05, 2022 - Solutions from Professional Regulation and Beyond.
October 5, 2022
Safer Care for All. London, England: Professional Standards Authority for Health and Social Care;
2022.
https://psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
Dedicated leadership is an important component to examine and ad…
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psnet.ahrq.gov/node/845079/psn-pdf
February 22, 2023 - Pump up the volume: how to prioritize events and analyze
error data.
February 22, 2023
ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4.
https://psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data
Patient safety event reporting is an established component of a …
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psnet.ahrq.gov/node/836870/psn-pdf
April 26, 2022 - A Conversation Among Stakeholders on Medical
Malpractice.
April 6, 2022
Collaborative for Accountability and Improvement. April 26, 2022.
https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
Communication and resolution programs (CRP) can improve response to patients and families a…
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psnet.ahrq.gov/node/50747/psn-pdf
December 18, 2019 - Fatigue and safety in paramedicine.
December 18, 2019
Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765.
doi:10.1017/cem.2019.380.
https://psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
While fatigue has been linked to safety-related outcomes in many health…
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psnet.ahrq.gov/node/837746/psn-pdf
July 27, 2022 - Oxford Professional Practice: Handbook of Patient Safety.
July 27, 2022
Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN:
9780192846877.
https://psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
Patient safety needs to routinely involve new …
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psnet.ahrq.gov/node/50643/psn-pdf
November 06, 2019 - Same Day Surgery in the US; Findings of Two Inaugural
Leapfrog Surveys 2019.
November 6, 2019
Washington DC: Leapfrog Group; 2019.
https://psnet.ahrq.gov/issue/same-day-surgery-us-findings-two-inaugural-leapfrog-surveys-2019
Ambulatory surgery centers (ASC) are established venues for surgical care despite lack of …
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psnet.ahrq.gov/node/39167/psn-pdf
February 16, 2011 - Quality and Safety in Medicine.
February 16, 2011
Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.
https://psnet.ahrq.gov/issue/quality-and-safety-medicine
This collection of articles highlights efforts to improve quality and safety in academic health centers by
establishing teamwork initiat…
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psnet.ahrq.gov/node/36918/psn-pdf
September 01, 2011 - Developing a culture of safety in ambulatory care
settings.
September 1, 2011
Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage.
2007;30(2):105-13.
https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings
The author discusses the issues involved in e…
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psnet.ahrq.gov/node/33945/psn-pdf
March 17, 2011 - Massachusetts Coalition for the Prevention of Medical
Errors.
March 17, 2011
Massachusetts Coalition for the Prevention of Medical Errors
https://psnet.ahrq.gov/issue/massachusetts-coalition-prevention-medical-errors
The Massachusetts Coalition for the Prevention of Medical Errors was established to improve patien…
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psnet.ahrq.gov/node/35170/psn-pdf
October 07, 2016 - Center for Patient Safety.
October 7, 2016
Missouri State Medical Association; Missouri Hospital Association; Primaris
https://psnet.ahrq.gov/issue/center-patient-safety
The Missouri Center for Patient Safety is dedicated to improving patient safety in Missouri by applying
evidence-based methods and best practices…
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psnet.ahrq.gov/node/38086/psn-pdf
May 05, 2018 - Don't underestimate the impact of change on risk
potential.
May 5, 2018
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
https://psnet.ahrq.gov/issue/dont-underestimate-impact-change-risk-potential
This article discusses a medication error associated with a new smart pump system and des…
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psnet.ahrq.gov/node/848044/psn-pdf
April 26, 2023 - Effect of a hospital command centre on patient safety: an
interrupted time series study.
April 26, 2023
Mebrahtu TF, McInerney CD, Benn J, et al. BMJ Health Care Inform. 2023;30(1):e100653.
https://psnet.ahrq.gov/issue/effect-hospital-command-centre-patient-safety-interrupted-time-series-study
Command centers…
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psnet.ahrq.gov/node/845080/psn-pdf
February 22, 2023 - A high-reliability organization mindset.
February 22, 2023
Merchant NB, O’Neal J, Dealino-Perez C, et al. A high-reliability organization mindset. Am J Med Qual.
2022;37(6):504-510. doi:10.1097/jmq.0000000000000086.
https://psnet.ahrq.gov/issue/high-reliability-organization-mindset
The goal for health care organiz…