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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41028/psn-pdfMay 14, 2018 - Health care worker fatigue and patient safety. May 14, 2018 Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide guideli… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855086/psn-pdfNovember 08, 2023 - Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. November 8, 2023 Mohamed I, Hom GL, Jiang S, et al. Psychological safety as a new ACGME requirement: a comprehensive all-in-one guide to radiology residency programs. Acad Radiol. 2023;30(12):3137-314… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42051/psn-pdfOctober 08, 2013 - A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study. October 8, 2013 Schwendimann R, Milne J, Frush K, et al. A closer look at associations between hospital leadership walkrounds and patient safety climate and risk reduction: a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44042/psn-pdfNovember 03, 2015 - Deployment of rapid response teams by 31 hospitals in a statewide collaborative. November 3, 2015 Stolldorf DP, Jones CB. Deployment of rapid response teams by 31 hospitals in a statewide collaborative. Jt Comm J Qual Patient Saf. 2015;41(4):186-191. https://psnet.ahrq.gov/issue/deployment-rapid-response-teams-31-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/842416/psn-pdfJanuary 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023 Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38173/psn-pdfOctober 29, 2008 - The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics. October 29, 2008 Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, et al. The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational charac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44601/psn-pdfFebruary 23, 2018 - Emergency department visits for adverse events related to dietary supplements. February 23, 2018 Geller AI, Shehab N, Weidle NJ, et al. Emergency Department Visits for Adverse Events Related to Dietary Supplements. N Engl J Med. 2015;373(16):1531-40. doi:10.1056/NEJMsa1504267. https://psnet.ahrq.gov/issue/emergenc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47516/psn-pdfDecember 19, 2018 - Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. December 19, 2018 Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, understood and followed up. Diagnosis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35424/psn-pdfApril 09, 2013 - Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. April 9, 2013 Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13. https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837193/psn-pdfMay 25, 2022 - Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. May 25, 2022 Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44103/psn-pdfJuly 08, 2015 - Results of survey on pediatric medication safety—part 1 and part 2. July 8, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 4, 2015;20:1-6. July 2, 2015;20:1-5. https://psnet.ahrq.gov/issue/results-survey-pediatric-medication-safety-part-1-and-part-2 Hospitalized children are susceptible to medication … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40122/psn-pdfFebruary 01, 2011 - Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital. February 1, 2011 Azzopardi P, Kinney S, Moulden A, et al. Attitudes and barriers to a Medical Emergency Team system at a tertiary paediatric hospital. Resuscitation. 2011;82(2):167-74. doi:10.1016/j.resuscitation.2010.10.01… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48193/psn-pdfAugust 28, 2019 - Automated detection of wrong-drug prescribing errors. August 28, 2019 Lambert BL, Galanter W, Liu KL, et al. Automated detection of wrong-drug prescribing errors. BMJ Qual Saf. 2019;28(11):908-915. doi:10.1136/bmjqs-2019-009420. https://psnet.ahrq.gov/issue/automated-detection-wrong-drug-prescribing-errors Look-al… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47247/psn-pdfDecember 19, 2018 - Preventing central line–associated bloodstream infections in the intensive care unit: application of high- reliability principles. December 19, 2018 McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Application of High-Reliability Princi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43679/psn-pdfMay 22, 2015 - Patient safety goals for the proposed Federal Health Information Technology Safety Center. May 22, 2015 Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform Assoc. 2015;22(2):472-8. doi:10.1136/amiajnl-2014-002988. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61018/psn-pdfOctober 14, 2020 - Association of current opioid use with serious adverse events among older adult survivors of breast cancer. October 14, 2020 Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open. 2020;3(9):e2016858. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42789/psn-pdfDecember 04, 2013 - Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. December 4, 2013 Petschonek S, Burlison JD, Cross C, et al. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. J Patient Saf. 2013… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46547/psn-pdfApril 16, 2018 - Hidden curricula, ethics, and professionalism: clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. April 16, 2018 Lehmann LS, Sulmasy LS, Desai S, et al. Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39581/psn-pdfJanuary 03, 2017 - An implementation strategy for a multicenter pediatric rapid response system in Ontario. January 3, 2017 Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient Safety. 2016;36(6). doi:10.1016/s1553… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840170/psn-pdfNovember 16, 2022 - Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). November 16, 2022 Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672. https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-…
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