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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850911/psn-pdfJune 21, 2023 - International perspectives on modifications to the surgical safety checklist. June 21, 2023 Turley N, Elam M, Brindle ME. International perspectives on modifications to the surgical safety checklist. JAMA Netw Open. 2023;6(6):e2317183. doi:10.1001/jamanetworkopen.2023.17183. https://psnet.ahrq.gov/issue/internatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72850/psn-pdfMarch 17, 2021 - Nurse sensemaking for responding to patient and family safety concerns. March 17, 2021 Groves PS, Bunch JL, Cannava KE, et al. Nurse sensemaking for responding to patient and family safety concerns. Nurs Res. 2021;70(2):106-113. doi:10.1097/nnr.0000000000000487. https://psnet.ahrq.gov/issue/nurse-sensemaking-respo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45015/psn-pdfJuly 18, 2016 - Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. July 18, 2016 Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39064/psn-pdfOctober 28, 2009 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. October 28, 2009 Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of communication and handoff failur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38650/psn-pdfMay 20, 2009 - Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. May 20, 2009 Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adeq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837300/psn-pdfJune 01, 2022 - Surgery is in itself a risk factor for the patient. June 1, 2022 Aranaz-Ostáriz V, Gea-Velázquez De Castro MT, López-Rodríguez-Arias F, et al. Surgery is in itself a risk factor for the patient. Int J Environ Res Public Health. 2022;19(8):4761. doi:10.3390/ijerph19084761. https://psnet.ahrq.gov/issue/surgery-itself… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44627/psn-pdfMay 30, 2016 - Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. May 30, 2016 Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: A qualitative case … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44425/psn-pdfFebruary 24, 2016 - Dangerous doses. February 24, 2016 Roe S, King K. Chicago Tribune. February 10–13, 2016. https://psnet.ahrq.gov/issue/dangerous-doses Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age and use of medications for chronic conditions. This series of news reports d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43620/psn-pdfOctober 29, 2014 - Error in intensive care: psychological repercussions and defense mechanisms among health professionals. October 29, 2014 Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Crit Care Med. 2014;42(11):2370-8. doi:10.1097/CC… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47060/psn-pdfApril 25, 2018 - Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. April 25, 2018 Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. BMJ… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46019/psn-pdfApril 26, 2017 - Certified registered nurse anesthetist perceptions of factors impacting patient safety. April 26, 2017 McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69. https://psnet.ahrq.gov/issue/certified-registered-nu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34730/psn-pdfOctober 29, 2013 - Medication Errors. 2nd ed. October 29, 2013 Cohen MR, ed. Washington DC: American Pharmacists Association; 2007. https://psnet.ahrq.gov/issue/medication-errors-2nd-ed Cohen, executive director of the Institute for Safe Medication Practices (ISMP), combined 25 years of experience as a leader in medication safety wi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764409/psn-pdfMarch 02, 2022 - She was headed to a locked psych ward. Then an ER doctor made a startling discovery. March 2, 2022 Boodman SG. Washington Post. February 12, 2022. https://psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery Misdiagnosis over a long period of time can be exacerbated by stig… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45188/psn-pdfJune 01, 2016 - Reporting and second-order problem solving can turn short-term fixes into long-term remedies. June 1, 2016 ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4. https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long- term-remedies Workarounds are pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44802/psn-pdfApril 01, 2021 - Overall Hospital Quality Star Ratings. April 1, 2021 Centers for Medicare & Medicaid Services. https://psnet.ahrq.gov/issue/overall-hospital-quality-star-ratings-overview Hospital rating programs have received significant public attention, but concerns have been raised regarding their usefulness. This website prov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47546/psn-pdfNovember 14, 2018 - Why doctors hate their computers. November 14, 2018 Gawande A. New Yorker. November 12, 2018. https://psnet.ahrq.gov/issue/why-doctors-hate-their-computers In this magazine article, Atul Gawande describes a range of frustrations physicians experience as digitization becomes more widespread in health care. He elabo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43955/psn-pdfDecember 04, 2016 - For Colorado mom, story of daughter's hospital death is key to others' safety. December 4, 2016 Daley J. Colorado Public Radio. February 17, 2015. https://psnet.ahrq.gov/issue/colorado-mom-story-daughters-hospital-death-key-others-safety Patient and family stories of harm are increasingly promoted as a strategy to… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39275/psn-pdfFebruary 03, 2010 - Medical librarians supporting information systems project lifecycles toward improved patient safety. February 3, 2010 Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians possess expertise to navigate various s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47213/psn-pdfJune 20, 2018 - Are second victims getting the help they need? June 20, 2018 Headley M. Patient Saf Qual Healthc. May/June 2018. https://psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need Clinicians can experience emotional stress, guilt, and insecurity after making a mistake. Organizations are increasingly building p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44161/psn-pdfDecember 19, 2018 - Among the elderly, many mental illnesses go undiagnosed. December 19, 2018 Bor JS. Among the elderly, many mental illnesses go undiagnosed. Health Aff (Millwood). 2015;34(5):727- 31. doi:10.1377/hlthaff.2015.0314. https://psnet.ahrq.gov/issue/among-elderly-many-mental-illnesses-go-undiagnosed This commentary spot…
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