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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42025/psn-pdfFebruary 06, 2013 - Medical malpractice: why is it so hard for doctors to apologize? February 6, 2013 Sanghavi D. https://psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize Discussing barriers to physician error disclosure, this article details how an apology-and-offer approach and analyzing claims data can im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43202/psn-pdfSeptember 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care Settings. September 11, 2023 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings Experience from the sharp end helps to inform safety improvement initiatives. The… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41360/psn-pdfSeptember 30, 2012 - The simulated ward: ideal for training clinical clerks in an era of patient safety. September 30, 2012 Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050. https://psnet.ahrq.gov/issue/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42282/psn-pdfOctober 08, 2013 - Flow disruptions in trauma care handoffs. October 8, 2013 Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. https://psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs Higher acuity trauma patients were more like… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60834/psn-pdfSeptember 01, 2020 - How the pandemic defeated America. August 19, 2020 Yong E. The Atlantic. September 2020 https://psnet.ahrq.gov/issue/how-pandemic-defeated-america This article takes a holistic view of the multiple preventable failures of the U.S. in managing the COVID-19 pandemic, raising several patient safety issues from the me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46553/psn-pdfOctober 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39642/psn-pdfDecember 21, 2014 - Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. December 21, 2014 Businger A, Guller U, Oertli D. Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. Arch Surg. 2010;145(6):558-63. doi:10.1001/archsurg.2010.88. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46251/psn-pdfOctober 31, 2017 - A piece of my mind. Speak up. October 31, 2017 Merrill DG. Speak Up. JAMA. 2017;317(23). doi:10.1001/jama.2017.2022. https://psnet.ahrq.gov/issue/piece-my-mind-speak Team support and respect are key elements of a culture of safety. This commentary highlights how clinicians can experience disrespectful encounters w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43520/psn-pdfJuly 16, 2015 - Relationship of adverse events and support to RN burnout. July 16, 2015 Lewis EJ, Baernholdt MB, Yan G, et al. Relationship of adverse events and support to RN burnout. J Nurs Care Qual. 2015;30(2):144-52. doi:10.1097/NCQ.0000000000000084. https://psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-bur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36863/psn-pdfAugust 29, 2011 - Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. August 29, 2011 Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607. https://psnet.ahrq.gov/issue/embedding-qual… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36459/psn-pdfJanuary 07, 2011 - Assessment of adverse drug events among patients in a tertiary care medical center. January 7, 2011 Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. https://psnet.ahrq.gov/issue/assessment-adver… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36613/psn-pdfJanuary 14, 2011 - Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. January 14, 2011 Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22(1):26-33. https://psnet.ahrq.gov/issu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43619/psn-pdfOctober 22, 2014 - The SAGES FUSE program: bridging a patient safety gap. October 22, 2014 Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27. https://psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap Surgical fires, though rare,… -
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-3.htmlNovember 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.3. Characteristics of Heights Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Ce…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38453/psn-pdfJanuary 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851071/psn-pdfJune 28, 2023 - Inside the preventable deaths that happened within a prominent transplant center. June 28, 2023 Blau M. ProPublica. June 14, 2023. https://psnet.ahrq.gov/issue/inside-preventable-deaths-happened-within-prominent-transplant-center Medical errors during organ transplants can have catastrophic consequences. This repo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841789/psn-pdfJuly 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47475/psn-pdfJanuary 23, 2019 - Patient Safety and Quality Improvement. January 23, 2019 Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0 Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight sy… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45558/psn-pdfMay 10, 2017 - Prevention Is Better Than Cure: Learning From Adverse Events in Healthcare. May 10, 2017 Leistikow I. Boca Raton, FL: CRC Press; 2017. ISBN: 9781138197763. https://psnet.ahrq.gov/issue/prevention-better-cure-learning-adverse-events-healthcare Patients continue to experience preventable health care–associated harm.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47511/psn-pdfOctober 24, 2018 - Wiser Healthcare. October 24, 2018 Australian National Health and Medical Research Council. https://psnet.ahrq.gov/issue/wiser-healthcare Overdiagnosis and the subsequent overuse of medical care contributes to unnecessary financial, psychological, and physical risk to patients. This research collaborative draws fr…
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