-
digital.ahrq.gov/sites/default/files/docs/resource/PCC_Schillinger_Q4_CM_postcard_to_reach_member.pdf
June 16, 2021 - Postcard to reach member
Date: __________________
Dear ____________________________,
I am a Nurse Care Manager from the PROACTIVE -Diabetes Program at San
Francisco Health Plan. My job is to help you take better care o…
-
psnet.ahrq.gov/node/41875/psn-pdf
September 19, 2016 - Medical error: the second victim.
September 19, 2016
McCay L, Wu AW. Medical error: the second victim. Br J Hosp Med (Lond). 2012;73(10):C146-148.
https://psnet.ahrq.gov/issue/medical-error-second-victim-0
Exploring how medical errors affect second victims, this commentary recommends strategies to help them
cope w…
-
www.uspreventiveservicestaskforce.org/uspstf/document/literature-surveillance-report/bladder-cancer-in-adults-screening
August 21, 2024 - Share to Facebook
Share to X
Share to WhatsApp
Share to Email
Print
Literature Surveillance Report
Bladder Cancer in Adults: Screening
August 21, 2024
Recommendations made by the USPSTF are independent of the U.S. government. They should not b…
-
psnet.ahrq.gov/node/38115/psn-pdf
October 30, 2008 - Sponges, surgical instruments miscounted in 13% of
surgeries.
October 30, 2008
O'Reilly KB. American Medical News. September 22, 2008;51:14.
https://psnet.ahrq.gov/issue/sponges-surgical-instruments-miscounted-13-surgeries
This news article describes a study on retained surgical instruments and explains how new te…
-
psnet.ahrq.gov/node/41786/psn-pdf
October 24, 2012 - Minnesota hospitals are testing ways to reduce return
trips.
October 24, 2012
Lerner M. Lerner M. Star Tribune. October 11, 2012.
https://psnet.ahrq.gov/issue/minnesota-hospitals-are-testing-ways-reduce-return-trips
This newspaper article reports on how transition coaches can help improve transfer and discharge
c…
-
psnet.ahrq.gov/node/36548/psn-pdf
March 03, 2011 - When good doctors go bad: a systems problem.
March 3, 2011
Leape L. When good doctors go bad: a systems problem. Ann Surg. 2006;244(5):649-652.
https://psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
The author discusses the responsibilities of physicians to help monitor colleagues who may be impaired…
-
psnet.ahrq.gov/node/38000/psn-pdf
August 03, 2009 - The competitive imperative of learning.
August 3, 2009
Edmondson A. The competitive imperative of learning. Harv Bus Rev. 2008;86(7-8):60-7, 160.
https://psnet.ahrq.gov/issue/competitive-imperative-learning
This article draws on experience analyzing team behavior in hospitals to discuss how learning processes
can …
-
psnet.ahrq.gov/node/38232/psn-pdf
July 03, 2013 - Rx for medication errors.
July 3, 2013
Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of
devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-
8.
https://psnet.ahrq.gov/issue/rx-medication-errors
This continuin…
-
psnet.ahrq.gov/node/41492/psn-pdf
June 27, 2018 - Alarm fatigue hazards: the sirens are calling.
June 27, 2018
Welch J.
https://psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
This article reports on alarm fatigue in clinical care, including the risks associated with it, and describes
tactics to help reduce nuisance alarms.
https://psnet.ahrq.gov/i…
-
psnet.ahrq.gov/node/42570/psn-pdf
November 05, 2014 - Your safer-surgery survival guide.
November 5, 2014
Your safer-surgery survival guide: our ratings of 2,463 U.S. hospitals can help you find the right one.
Consumer reports. 2013;78(9):31-41.
https://psnet.ahrq.gov/issue/your-safer-surgery-survival-guide
This report analyzed Medicare claims data on 27 types of pro…
-
psnet.ahrq.gov/node/35824/psn-pdf
July 24, 2008 - New standards for hospitals call for patients to get private
rooms.
July 24, 2008
Landro L.
https://psnet.ahrq.gov/issue/new-standards-hospitals-call-patients-get-private-rooms
This article reports on design guidelines that will require newly constructed hospitals to have only private
rooms. Single-patient rooms …
-
psnet.ahrq.gov/node/36592/psn-pdf
May 08, 2018 - Anticoagulant safety takes center stage in 2007.
May 8, 2018
ISMP Medication Safety Alert! Acute Care Edition. January 11, 2007;12:1-3.
https://psnet.ahrq.gov/issue/anticoagulant-safety-takes-center-stage-2007
This article, which launches a series focusing on high-alert medications, discusses issues related to
hep…
-
psnet.ahrq.gov/node/35259/psn-pdf
May 04, 2015 - The Nurse's Role in Promoting a Culture of Patient Safety.
May 4, 2015
Friesen MA, Farquhar MB, Hughes RG. Center for American Nurses.
https://psnet.ahrq.gov/issue/nurses-role-promoting-culture-patient-safety
The authors introduce readers to how organizational culture affects safety and how nurses can help their
o…
-
psnet.ahrq.gov/node/36061/psn-pdf
September 27, 2010 - Attitudes to teamwork and safety in the operating theatre.
September 27, 2010
Flin R, Yule S, McKenzie L, et al. Attitudes to teamwork and safety in the operating theatre. Surgeon.
2006;4(3):145-51.
https://psnet.ahrq.gov/issue/attitudes-teamwork-and-safety-operating-theatre
The authors analyzed results from a tea…
-
psnet.ahrq.gov/node/37287/psn-pdf
October 26, 2007 - Patients as Partners: Toolkit for Implementing National
Patient Safety Goal 13.
October 26, 2007
Pillow M. Oakbrook Terrace, IL: Joint Commission Resources; 2007. ISBN 9781599401614.
https://psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
This publication and accompanyin…
-
psnet.ahrq.gov/node/34616/psn-pdf
March 28, 2005 - Score Your Safety Culture.
March 28, 2005
Reason J. Flight Safety Australia. 2001;5(1):40-41.
https://psnet.ahrq.gov/issue/score-your-safety-culture
James Reason's checklist to help an organization determine if it has installed and sustained a safety
culture. The tool is drawn from his thinking in Managing the Ris…
-
psnet.ahrq.gov/node/35000/psn-pdf
June 22, 2009 - Medical liability and patient safety: setting the proper
course.
June 22, 2009
Pearlman MD, Gluck PA. Medical liability and patient safety: setting the proper course. Obstet Gynecol.
2005;105(5 Pt 1):941-943.
https://psnet.ahrq.gov/issue/medical-liability-and-patient-safety-setting-proper-course
The authors call …
-
psnet.ahrq.gov/node/35965/psn-pdf
August 13, 2010 - Clinical Issues Series.
August 13, 2010
J Obstet Gynecol Neonatal Nurs. 2006;35(3):408-442.
https://psnet.ahrq.gov/issue/clinical-issues-series
This series focuses on continued study of patient safety from the perinatal nursing perspective and includes
articles on helpful measurement tools and the use of technolog…
-
psnet.ahrq.gov/node/36156/psn-pdf
September 29, 2010 - Addressing medication errors - the role of undergraduate
nurse education.
September 29, 2010
Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse
Educ Today. 2007;27(3):219-24.
https://psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-educatio…
-
psnet.ahrq.gov/node/41472/psn-pdf
May 05, 2015 - Deciphering harm measurement.
May 5, 2015
Parry G, Cline A, Goldmann D. Deciphering harm measurement. JAMA. 2012;307(20):2155-6.
doi:10.1001/jama.2012.3649.
https://psnet.ahrq.gov/issue/deciphering-harm-measurement
This editorial discusses methods to measure patient harm in the United States and advocates for
con…