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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42757/psn-pdfNovember 20, 2013 - Clinical ICT Systems in the Victorian Public Health Sector. November 20, 2013 Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013. https://psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector Following the implementation of a large clinical information communicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38358/psn-pdfSeptember 12, 2016 - Failure to rescue as a process measure to evaluate fetal safety during labor. September 12, 2016 Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. https://psnet.ahrq.gov/issue/failure-resc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41543/psn-pdfJanuary 18, 2013 - Research on nursing handoffs for medical and surgical settings: an integrative review. January 18, 2013 Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. https://psnet.ahrq.gov/issue/resea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41044/psn-pdfJanuary 27, 2012 - Methods for assessing the preventability of adverse drug events: a systematic review. January 27, 2012 Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596570-000000000-00000. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50662/psn-pdfNovember 13, 2019 - Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. November 13, 2019 Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction Outpatient safety is gaining traction as a focal point of analysis and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46003/psn-pdfMay 10, 2017 - National Healthcare Safety Network. May 10, 2017 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/national-healthcare-safety-network-0 Health care–associated infection are a persistent patient safety problem. This website provides resources related to a national health care–associated infec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43089/psn-pdfApril 02, 2014 - Save a brain, make a checklist. April 2, 2014 Hamblin J. The Atlantic. March 17, 2014. https://psnet.ahrq.gov/issue/save-brain-make-checklist Reporting on the use of checklists, this magazine article describes studies that identified benefits, such as reduced complication rates, along with research that questioned… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35701/psn-pdfJuly 12, 2010 - Improving the accuracy of patient identification in the medication-use process. July 12, 2010 Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use process. Am J Health Syst Pharm. 2006;63(3):218, 220-2. https://psnet.ahrq.gov/issue/improving-accuracy-patient-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45047/psn-pdfApril 13, 2016 - Is misdiagnosis inevitable? April 13, 2016 Page L. Medscape Business of Medicine. March 28, 2016. https://psnet.ahrq.gov/issue/misdiagnosis-inevitable This news article reports on the prevalence of diagnostic error and describes characteristics that contribute to the problem, including insufficient clinician famil… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47490/psn-pdfDecember 05, 2018 - Check your medical records for dangerous errors. December 5, 2018 Graham J. Kaiser Health News. November 21, 2018. https://psnet.ahrq.gov/issue/check-your-medical-records-dangerous-errors Patients can identify errors in their medical records that health care providers may not recognize. This news article highlight… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43564/psn-pdfJanuary 15, 2019 - Are hospitals in a med safety standard slump? January 15, 2019 Wild D. Pharmacy Practice News. September 8, 2014. https://psnet.ahrq.gov/issue/are-hospitals-med-safety-standard-slump Highlighting how hospital compliance rates with Joint Commission medication–related standards have remained mostly unchanged from 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38102/psn-pdfApril 15, 2019 - Epidemiology of adverse events in air medical transport. April 15, 2019 MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. https://psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transpo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36993/psn-pdfSeptember 15, 2011 - A transdisciplinary team acting on evidence through analyses of moot malpractice cases. September 15, 2011 Constantino RE. A transdisciplinary team acting on evidence through analyses of moot malpractice cases. Dimens Crit Care Nurs. 2007;26(4):150-5. https://psnet.ahrq.gov/issue/transdisciplinary-team-acting-evid… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42145/psn-pdfMarch 27, 2013 - Trends in adverse events over time: why are we not improving? March 27, 2013 Shojania KG, Thomas EJ. Trends in adverse events over time: why are we not improving? BMJ Qual Saf. 2013;22(4):273-7. doi:10.1136/bmjqs-2013-001935. https://psnet.ahrq.gov/issue/trends-adverse-events-over-time-why-are-we-not-improving Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40312/psn-pdfJune 10, 2018 - Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. March 10, 2011;16:1-4. https://psnet.ahrq.gov/issue/oops-sorry-wrong-patient-patient-verification-process-needed-everywhere-not- just-bedside Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42691/psn-pdfOctober 23, 2013 - Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. October 23, 2013 Dublin, Ireland: Health Information and Quality Authority; October 2013. https://psnet.ahrq.gov/issue/patient-safety-investigation-report-services-uni… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39824/psn-pdfDecember 06, 2010 - Team working in intensive care: current evidence and future endeavors. December 6, 2010 Richardson J, West MA, Cuthbertson BH. Team working in intensive care: current evidence and future endeavors. Curr Opin Crit Care. 2010;16(6):643-8. doi:10.1097/MCC.0b013e32833e9731. https://psnet.ahrq.gov/issue/team-working-in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36667/psn-pdfApril 14, 2011 - Effective healthcare teams require effective team members: defining teamwork competencies. April 14, 2011 Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17. https://psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35412/psn-pdfSeptember 11, 2009 - Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. September 11, 2009 Rassin M, Kanti T, Silner D. Chronology of medication errors by nurses: accumulation of stresses and PTSD symptoms. Issues Ment Health Nurs. 2005;26(8):873-86. https://psnet.ahrq.gov/issue/chronology-medicatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42501/psn-pdfJanuary 07, 2015 - Syndromic surveillance for health information system failures: a feasibility study. January 7, 2015 Ong M-S, Magrabi F, Coiera E. Syndromic surveillance for health information system failures: a feasibility study. J Am Med Inform Assoc. 2013;20(3):506-12. doi:10.1136/amiajnl-2012-001144. https://psnet.ahrq.gov/iss…
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