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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50604/psn-pdf
    October 30, 2019 - Speaking up about patient safety requires an observant questioner and a high index of suspicion. October 30, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 10, 2019;24. https://psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index- suspicion The bundling o…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43586/psn-pdf
    October 22, 2014 - Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. October 22, 2014 Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332. https://psnet.ahrq.gov/issue/e…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38013/psn-pdf
    March 09, 2009 - Agreement between patient-reported symptoms and their documentation in the medical record. March 9, 2009 Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539. https://psnet.ahrq.gov/issue/agreement-b…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38532/psn-pdf
    January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report. January 13, 2017 Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No. 090003. https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-pane…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43495/psn-pdf
    December 15, 2014 - Disruptive behaviors among physicians. December 15, 2014 Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians This commentary spotlights concerns about physicians with disruptive behaviors an…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36912/psn-pdf
    September 01, 2011 - Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. September 1, 2011 Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cognition, Technology & Work. 2006;9(…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45265/psn-pdf
    July 13, 2016 - Tackling disrespectful, unprofessional provider behaviors. July 13, 2016 Tackling Disrespectful, Unprofessional Provider Behaviors. ED Manage. 2016;28(6):S1-S4. https://psnet.ahrq.gov/issue/tackling-disrespectful-unprofessional-provider-behaviors Disrespectful conduct among health care providers can hinder safe ca…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60691/psn-pdf
    July 15, 2020 - A mixed-methods systematic review of interventions to address incivility in nursing. July 15, 2020 Olsen JM, Aschenbrenner A, Merkel R, et al. A mixed-methods systematic review of interventions to address incivility in nursing. J Nurs Educ. 2020;59(6):319-326. doi:10.3928/01484834-20200520-04. https://psnet.ahrq.g…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41666/psn-pdf
    September 12, 2012 - Medication errors, routines, and differences between perioperative and non-perioperative nurses. September 12, 2012 Treiber LA, Jones JH. Medication errors, routines, and differences between perioperative and non- perioperative nurses. AORN J. 2012;96(3):285-94. doi:10.1016/j.aorn.2012.06.013. https://psnet.ahrq.g…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40584/psn-pdf
    July 25, 2011 - Crisis checklists for the operating room: development and pilot testing. July 25, 2011 Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031. https://psnet.ahrq.gov/issue/crisi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43433/psn-pdf
    October 01, 2014 - Medical error and systems of signaling: conceptual and linguistic definition. October 1, 2014 Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-1108-1. https://psnet.ahrq.gov/issue/med…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34823/psn-pdf
    April 06, 2011 - Use of medical emergency team (MET) responses to detect medical errors. April 6, 2011 Braithwaite RS, Devita MA, Mahidhara R, et al. Use of medical emergency team (MET) responses to detect medical errors. Qual Saf Health Care. 2004;13(4):255-259. https://psnet.ahrq.gov/issue/use-medical-emergency-team-met-response…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41444/psn-pdf
    June 13, 2012 - Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. June 13, 2012 Washington, DC: VA Office of Inspector General; April 20, 2012. Report No. 12-00956-159. https://psnet.ahrq.gov/issue/evaluation-registered-nurse-competency-processes-veterans-health- administration-faci…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42304/psn-pdf
    November 21, 2016 - Strategies for improving family engagement during family-centered rounds. November 21, 2016 Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022. https://psnet.ahrq.gov/issue/strategies-improving-family-engage…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836867/psn-pdf
    April 06, 2022 - Safer Dx Checklist: 10 High-Priority Practices for Diagnostic Excellence. April 6, 2022 Houston TX;  Baylor College of Medicine: 2022. https://psnet.ahrq.gov/issue/safer-dx-checklist-10-high-priority-practices-diagnostic-excellence Assessment can identify the current state of a process or program to reveal ar…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39160/psn-pdf
    December 09, 2009 - Information-gathering patterns associated with higher rates of diagnostic error. December 9, 2009 Delzell JE, Chumley H, Webb R, et al. Information-gathering patterns associated with higher rates of diagnostic error. Adv Health Sci Educ Theory Pract. 2009;14(5):697-711. doi:10.1007/s10459-009-9152-8. https://psnet…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41537/psn-pdf
    December 30, 2014 - Deaths due to medical error: jumbo jets or just small propeller planes? December 30, 2014 Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368. https://psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-prop…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42951/psn-pdf
    September 16, 2014 - Novel approach to cardiac alarm management on telemetry units. September 16, 2014 Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. https://psnet.ahrq.gov/issue/novel-approach-cardiac-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40439/psn-pdf
    July 31, 2012 - Medication error identification rates by pharmacy, medical, and nursing students. July 31, 2012 Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. https://psnet.ahrq.gov/issue/medication-error-identification-rat…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38198/psn-pdf
    May 05, 2018 - ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. October 23, 2008;13:1-3. https://psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious- adverse-drug-events This news…
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