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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43750/psn-pdfJune 21, 2015 - Using a quantitative risk register to promote learning from a patient safety reporting system. June 21, 2015 Mansfield JG, Caplan RA, Campos JS, et al. Using a quantitative risk register to promote learning from a patient safety reporting system. Jt Comm J Qual Patient Saf. 2015;41(2):76-86. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/849126/psn-pdfMay 17, 2023 - The family's contribution to patient safety. May 17, 2023 Correia T, Martins MM, Barroso F, et al. The family's contribution to patient safety. Nurs Rep. 2023;13(2):634-643. doi:10.3390/nursrep13020056. https://psnet.ahrq.gov/issue/familys-contribution-patient-safety Family involvement in care can have mixed resul… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862158/psn-pdfFebruary 07, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy. February 7, 2024 Khan S, Cholankeril R, Sloane J, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2024. Publication no. 24-0010-1-EF. https://psnet.ahrq.gov/issue/current-state-diagnostic-safety-implicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44062/psn-pdfSeptember 09, 2015 - How to make medication error reporting systems work—factors associated with their successful development and implementation. September 9, 2015 Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work-- Factors associated with their successful development and implementation. Hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837701/psn-pdfJuly 20, 2022 - Pediatric surgical errors: a systematic scoping review. July 20, 2022 Marsh KM, Fleming MA, Turrentine FE, et al. Pediatric surgical errors: a systematic scoping review. J Pediatr Surg. 2022;57(4):616-621. doi:10.1016/j.jpedsurg.2021.07.019. https://psnet.ahrq.gov/issue/pediatric-surgical-errors-systematic-scoping-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34755/psn-pdfSeptember 06, 2011 - Safe Practices for Better Healthcare: 2006 Update. September 6, 2011 Washington DC: National Quality Forum; 2007. https://psnet.ahrq.gov/issue/safe-practices-better-healthcare-2006-update The National Quality Forum used expert consensus and evidence review to identify 30 health care “safe practices” that should be… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73922/psn-pdfOctober 06, 2021 - Leading causes of anesthesia-related liability claims in ambulatory surgery centers. October 6, 2021 Ranum D, Beverly A, Shapiro FE, et al. Leading causes of anesthesia-related liability claims in ambulatory surgery centers. J Patient Saf. 2021;17(7):513-521. doi:10.1097/pts.0000000000000431. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41117/psn-pdfMarch 04, 2015 - The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials. March 4, 2015 McKibbon A, Lokker C, Handler S, et al. The effectiveness of integrated health information technologies across the phases of medication man… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853058/psn-pdfAugust 30, 2023 - Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. August 30, 2023 Bourkas AN, Barone N, Bourkas MEC, et al. Diagnostic reliability in teledermatology: a systematic review and a meta-analysis. BMJ Open. 2023;13(8):e068207. doi:10.1136/bmjopen-2022-068207. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45188/psn-pdfJune 01, 2016 - Reporting and second-order problem solving can turn short-term fixes into long-term remedies. June 1, 2016 ISMP Medication Safety Alert! Acute Care Edition. May 19, 2016;21:1-4. https://psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long- term-remedies Workarounds are pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50428/psn-pdfSeptember 04, 2019 - Patient safety incidents caused by poor quality surgical instruments. September 4, 2019 Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. https://psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44454/psn-pdfSeptember 29, 2017 - Ethical issues in patient safety research: a systematic review of the literature. September 29, 2017 Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000000000064. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40177/psn-pdfJune 08, 2011 - Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. June 8, 2011 Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. BMJ Qual Saf. 2011;20(1):1-8. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836856/psn-pdfApril 06, 2022 - To what extent are patients involved in researching safety in acute mental healthcare? April 6, 2022 Brierley-Jones L, Ramsey L, Canvin K, et al. To what extent are patients involved in researching safety in acute mental healthcare? Res Involv Engagem. 2022;8(1):8. doi:10.1186/s40900-022-00337-x. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40576/psn-pdfJuly 06, 2011 - A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non- routine events, teamwork and patient outcomes. July 6, 2011 Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-rou… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60914/psn-pdfSeptember 16, 2020 - Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. September 16, 2020 Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Anesthesiology. 2020;132(6):1558-1568. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45826/psn-pdfJanuary 18, 2017 - Ensuring staff safety when treating potentially violent patients. January 18, 2017 Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. https://psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42539/psn-pdfSeptember 27, 2016 - Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. September 27, 2016 Keers RN, Williams SD, Cooke J, et al. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. Drug Saf. 2013;36(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43791/psn-pdfDecember 17, 2014 - Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. December 17, 2014 Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44425/psn-pdfFebruary 24, 2016 - Dangerous doses. February 24, 2016 Roe S, King K. Chicago Tribune. February 10–13, 2016. https://psnet.ahrq.gov/issue/dangerous-doses Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age and use of medications for chronic conditions. This series of news reports d…
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