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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34605/psn-pdfJanuary 13, 2016 - The growing role of the Patient Safety Officer: implications for risk managers. January 13, 2016 Chicago, IL: American Society of Healthcare Risk Management; 2004. https://psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers This report describes the development of the Patient Safety… -
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/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/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/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/39200/psn-pdfMarch 28, 2010 - Creating champions for health care quality and safety. March 28, 2010 Holland R, Meyers D, Hildebrand C, et al. Creating champions for health care quality and safety. Am J Med Qual. 2010;25(2):102-108. doi:10.1177/1062860609352108. https://psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety Inte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33972/psn-pdfJune 14, 2011 - Maximize Patient Safety with Advanced Root Cause Analysis. June 14, 2011 Corbett C, Clapper C, Johnson KM, et al. Middleton, MA: HCPro; 2004. ISBN: 1578393485 https://psnet.ahrq.gov/issue/maximize-patient-safety-advanced-root-cause-analysis A "how-to" book for organizations that have already implemented a root cau… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44652/psn-pdfNovember 11, 2015 - Developing a principle-based approach to safe medication practices. November 11, 2015 Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47. https://psnet.ahrq.gov/issue/developing-principle-based-approach-safe-medication-practices This commentary describes the development, implementation, and evaluation of n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39005/psn-pdfJanuary 03, 2017 - One system's journey in creating a disclosure and apology program. January 3, 2017 Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96. https://psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36278/psn-pdfFebruary 15, 2010 - Quality improvement to decrease specimen mislabeling in transfusion medicine. February 15, 2010 Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198. https://psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeli… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38162/psn-pdfOctober 22, 2008 - Prevention of intravenous drug incompatibilities in an intensive care unit. October 22, 2008 Bertsche T, Mayer Y, Stahl R, et al. Prevention of intravenous drug incompatibilities in an intensive care unit. Am J Health Syst Pharm. 2008;65(19):1834-40. doi:10.2146/ajhp070633. https://psnet.ahrq.gov/issue/prevention-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39137/psn-pdfJune 07, 2016 - The rise of patient safety organizations. June 7, 2016 Ivill DS, Kearbey AH. New York Law J. November 2, 2009. https://psnet.ahrq.gov/issue/rise-patient-safety-organizations This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection and evaluation, work product designa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34002/psn-pdfMarch 17, 2011 - Utah DoH Patient Safety Initiatives. March 17, 2011 Center for Health Data, Utah Department of Health, PO Box 144004, Salt Lake City, UT 84114. https://psnet.ahrq.gov/issue/utah-doh-patient-safety-initiatives Utah established a number of collaborative initiatives to understand the nature and occurrence of adverse … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37473/psn-pdfDecember 27, 2014 - Communicating Critical Test Results. December 27, 2014 Burlington MA: Massachusetts Coalition for the Prevention of Medical Errors, MassPRO. https://psnet.ahrq.gov/issue/communicating-critical-test-results-0 This set of materials provides checklists, worksheets, and other aids to help implement a reliable cri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40495/psn-pdfJune 01, 2011 - Rolling out the rapid response team. June 1, 2011 Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, et al. Rolling out the rapid response team. Am J Nurs. 2011;111(5):42-47. doi:10.1097/01.naj.0000398050.30793.0f. https://psnet.ahrq.gov/issue/rolling-out-rapid-response-team This commentary explains how to use evide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38223/psn-pdfOctober 14, 2015 - Patient-Centered Care Improvement Guide. October 14, 2015 Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008. https://psnet.ahrq.gov/issue/patient-centered-care-improvement-guide This guide contains comprehensive information about best practices and implementation tool… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39851/psn-pdfAugust 17, 2011 - When doctors admit their mistakes. August 17, 2011 Chen PW. https://psnet.ahrq.gov/issue/when-doctors-admit-their-mistakes This newspaper article discusses how disclosure of medical error can be beneficial for physicians and reveals the importance of open disclosure for the doctor–patient relationship. The piece r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38336/psn-pdfJanuary 14, 2009 - Proceedings of a summit on preventing patient harm and death from IV medication errors. January 14, 2009 Proceedings of a summit on preventing patient harm and death from i.v. medication errors. doi:10.2146/ajhp080406. https://psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40991/psn-pdfJanuary 17, 2017 - MRI safety 10 years later. January 17, 2017 Gilk T, Latino RJ. Patient Saf Qual Healthc. November/December 2011;8:22-23,26-29. https://psnet.ahrq.gov/issue/mri-safety-10-years-later Describing a case of accidental patient death in an MRI suite, this article reviews a root cause analysis of the event and notes that… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37712/psn-pdfMarch 02, 2010 - Patient Safety Papers 3. March 2, 2010 Baker GR, ed. Healthc Q. 2008;11:1-144. https://psnet.ahrq.gov/issue/patient-safety-papers-3 This collection of articles shares best practices implemented in Canada to improve patient safety through disclosure processes, teamwork development, medication safety measures…
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