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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36759/psn-pdfAugust 10, 2011 - Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. August 10, 2011 Bressler B, Paszat LF, Chen Z, et al. Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis. Gastroenterology. 2007;132(1):96-10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37607/psn-pdfMay 02, 2018 - USA Today news series: clarifying the issues and embracing community pharmacy safety. May 2, 2018 ISMP Medication Safety Alert! Acute care edition. February 28, 2008. https://psnet.ahrq.gov/issue/usa-today-news-series-clarifying-issues-and-embracing-community-pharmacy- safety This article contextualizes a recent … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34991/psn-pdfJune 22, 2009 - Use of failure mode and effects analysis in improving the safety of i.v. drug administration. June 22, 2009 Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. https://psnet.ahrq.gov/issue/use-failure-mode-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35912/psn-pdfJuly 23, 2010 - Portable advanced medical simulation for new emergency department testing and orientation. July 23, 2010 Kobayashi L, Shapiro MJ, Sucov A, et al. Portable advanced medical simulation for new emergency department testing and orientation. Acad Emerg Med. 2006;13(6):691-5. https://psnet.ahrq.gov/issue/portable-advanc… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36041/psn-pdfJune 21, 2006 - Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. June 21, 2006 Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG. https://psnet.ahrq.gov/issue/intraoperative-adverse-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34992/psn-pdfSeptember 29, 2017 - Lessons from the war on cancer: the need for basic research on safety. September 29, 2017 Cook RI. J Patient Saf. 2005.1(1):7-8 https://psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety The author examines parallels between President Nixon's "War on Cancer" and the work of patient safety today, p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46117/psn-pdfMay 10, 2017 - Deep learning is a black box, but health care won't mind. May 10, 2017 Brouillette M. MIT Technol Rev. April 27, 2017. https://psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind Artificial intelligence can support diagnostic decision-making. This magazine article reports on the use of algorithms to… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41343/psn-pdfDecember 29, 2014 - Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. December 29, 2014 Kalisch LM, Caughey GE, Barratt JD, et al. Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. Int J Qual Health Care. 2012;24(3):239-4… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34783/psn-pdfMarch 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852795/psn-pdfAugust 23, 2023 - Perceptions of radiation safety culture in medical imaging by role. August 23, 2023 Moore QT, Haynes KW. Radiol Technol. 2023;94(5):337-347. https://psnet.ahrq.gov/issue/perceptions-radiation-safety-culture-medical-imaging-role Fostering a culture of safety is a core patient safety objective. This survey of 425 ra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36499/psn-pdfJanuary 07, 2011 - Retrospective analysis of medication incidents reported using an on-line reporting system. January 7, 2011 Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-9040-8. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42591/psn-pdfJuly 16, 2015 - Underreporting of robotic surgery complications. July 16, 2015 Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036. https://psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications By cross-referencing court records a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43603/psn-pdfOctober 15, 2014 - Coaching to improve the quality of communication during briefings and debriefings. October 15, 2014 Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. https://psnet.ahrq.gov/issue/coachi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41164/psn-pdfJune 10, 2018 - Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4. https://psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40292/psn-pdfMarch 16, 2011 - Patterns of unexpected in-hospital deaths: a root cause analysis. March 16, 2011 Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. https://psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis This l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43185/psn-pdfMay 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41185/psn-pdfMarch 24, 2012 - Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. March 24, 2012 Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss- cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256. https://psnet.ahrq.gov/issue/lea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39708/psn-pdfSeptember 09, 2010 - Adverse drug events in the outpatient setting: an 11-year national analysis. September 9, 2010 Bourgeois FT, Shannon MW, Valim C, et al. Adverse drug events in the outpatient setting: an 11-year national analysis. Pharmacoepidemiol Drug Saf. 2010;19(9):901-10. doi:10.1002/pds.1984. https://psnet.ahrq.gov/issue/adv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41419/psn-pdfSeptember 26, 2012 - Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. September 26, 2012 Dixon-Woods M, McNicol S, Martin G. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant li… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41346/psn-pdfMay 02, 2012 - Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. May 2, 2012 Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future research in healthcare. Safety Sci. 201…
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