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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39801/psn-pdfDecember 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes successful efforts to reduce retained surgical spo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35257/psn-pdfJune 25, 2009 - JCAHO's safety goals—the clock is ticking, will your ED be compliant? June 25, 2009 JCAHO's safety goals--the clock is ticking, will your ED be compliant? ED Manag. 2005;17(7):73-5. https://psnet.ahrq.gov/issue/jcahos-safety-goals-clock-ticking-will-your-ed-be-compliant This article provides practical advise for e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36510/psn-pdfJune 13, 2011 - Using clinical decision support to improve medication reconciliation. June 13, 2011 Moore G. Patient Saf Qual Healthc. November / December 2006. https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation The author provides strategies to enhance the value of medication reconcili… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37319/psn-pdfJanuary 05, 2012 - Winning the battle for standardization. January 5, 2012 Durkee RP, Richard LW. Winning the battle for standardization. The U.S. Army Medical Department examines the EMR to develop a standardized process for medication reconciliation documentation. Health Manag Technol. 2007;28(10):34-37. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35864/psn-pdfJune 17, 2014 - Exploring strategies for reducing hospital errors. June 17, 2014 McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag. 2006;51(2):123-136. https://psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors The authors surveyed health care quality directors on … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35173/psn-pdfJune 27, 2016 - Medication Safety: A Guide for Health Care Facilities. June 27, 2016 Manasse HR Jr, Thompson KK. Bethesda, MD: American Society of Health-System Pharmacists; 2005. ISBN 9781585280896. https://psnet.ahrq.gov/issue/medication-safety-guide-health-care-facilities This book provides an in-depth introduction to implemen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36857/psn-pdfJanuary 22, 2017 - Eliminating perioperative adverse events at Ascension Health. January 22, 2017 Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. https://psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health The… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38251/psn-pdfNovember 26, 2008 - Nursing peer review: developing a framework for patient safety. November 26, 2008 Diaz L. Nursing peer review: developing a framework for patient safety. J Nurs Adm. 2008;38(11):475-9. doi:10.1097/01.NNA.0000339473.27349.28. https://psnet.ahrq.gov/issue/nursing-peer-review-developing-framework-patient-safety This… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844776/psn-pdfSeptember 18, 2019 - When is a doctor too old for the job? September 18, 2019 https://psnet.ahrq.gov/issue/when-doctor-too-old-job Potential deterioration of an aging surgeon's technical abilities is an emerging patient safety concern. This magazine article discusses how implementing policies and activities to assess the ability of sur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40330/psn-pdfMarch 30, 2011 - Smart pumps: implications for nurse leaders. March 30, 2011 Kirkbride G, Vermace B. Smart pumps: implications for nurse leaders. Nurs Adm Q. 2011;35(2):110-118. doi:10.1097/NAQ.0b013e31820fbdc0. https://psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders This commentary discusses the benefits and limitatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35866/psn-pdfJuly 22, 2010 - Reporting near-miss events in nursing homes. July 22, 2010 Wagner LM, Capezuti E, Ouslander JG. Reporting near-miss events in nursing homes. Nurs Outlook. 2006;54(2). doi:10.1016/j.outlook.2006.01.003. https://psnet.ahrq.gov/issue/reporting-near-miss-events-nursing-homes The authors discuss the value of near-miss … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35425/psn-pdfJune 17, 2014 - Have you M.E.T. the future of better patient safety? June 17, 2014 Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1. https://psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety This article recaps the origins of the me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36365/psn-pdfFebruary 08, 2011 - Designing Safer Rotas for Junior Doctors in the 48-Hour Week. February 8, 2011 Horrocks N, Pounder R. London, UK: Royal College of Physicians of London; 2006. https://psnet.ahrq.gov/issue/designing-safer-rotas-junior-doctors-48-hour-week This report discusses risks associated with junior doctor night shift work an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37656/psn-pdfMay 08, 2019 - Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. May 8, 2019 Disclosure Working Group. Edmonton, AB, Canada; Canadian Patient Safety Institute; 2011. ISBN 9781926541389. https://psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families These n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42035/psn-pdfFebruary 13, 2013 - Using Safety Cases in Industry and Healthcare. February 13, 2013 London, UK: Health Foundation; December 2012. ISBN: 9781906461430. https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35513/psn-pdfFebruary 22, 2010 - Utility of an online medication-error-reporting system. February 22, 2010 Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. Am J Health Syst Pharm. 2005;62(21):2265-70. https://psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system The investigators survey… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36010/psn-pdfJanuary 02, 2017 - Operating room briefings: working on the same page. January 2, 2017 Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page The authors describe a tool fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33984/psn-pdfApril 17, 2024 - ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. April 17, 2024 Horsham, PA; Institute for Safe Medication Practices; April 17, 2024. https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations A handy list for medical personnel to ensure and implement safe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34135/psn-pdfFebruary 28, 2024 - Hand Hygiene in Healthcare Settings. February 28, 2024 Centers for Disease Control and Prevention https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC) strategy to promote patient safety by reducing infect… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36864/psn-pdfAugust 29, 2011 - Falls prevention at Mayo Clinic Rochester: a path to quality care. August 29, 2011 Sulla SJ, McMyler E. Falls prevention at Mayo Clinic Rochester: a path to quality care. J Nurs Care Qual. 2007;22(2):138-44. https://psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care The authors share th…
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