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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45783/psn-pdfMarch 25, 2017 - Year-end resident clinic handoffs: narrative review and recommendations for improvement. March 25, 2017 Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79. doi:10.1016/j.jcjq.2016.11.006. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34083/psn-pdfJune 30, 2011 - Handoff strategies in settings with high consequences for failure: lessons for health care operations. June 30, 2011 Patterson ES. Handoff strategies in settings with high consequences for failure: lessons for health care operations. Int J Qual Health Care. 2004;16(2):125-132. doi:10.1093/intqhc/mzh026. https://ps… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45202/psn-pdfOctober 08, 2016 - Towards international consensus on patient harm: perspectives on pressure injury policy. October 8, 2016 Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.1111/jonm.12396. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838309/psn-pdfOctober 12, 2022 - Duplicate medication order errors: safety gaps and recommendations for improvement. October 12, 2022 Bocknek L, Kim T, Spaar P, et al. Duplicate medication order errors: safety gaps and recommendations for improvement. Patient Safety. 2022;4(3):39-47. doi:10.33940/data/2022.9.6. https://psnet.ahrq.gov/issue/duplic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47895/psn-pdfMarch 27, 2019 - Death by 1,000 clicks: where electronic health records went wrong. March 27, 2019 Schulte F, Fry E. Kaiser Health News, Fortune Magazine. March 18, 2019. https://psnet.ahrq.gov/issue/death-1000-clicks-where-electronic-health-records-went-wrong Despite years of investment and government support, electronic health r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47183/psn-pdfMay 11, 2019 - Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. May 11, 2019 Davis JJ, Price DW, Kraft W, et al. Incorporation of Quality and Safety Principles in Maintenance of Certification: A Qualitative Analysis of A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74056/psn-pdfJanuary 01, 2022 - Critical care simulation education program during the COVID-19 pandemic. November 10, 2021 Leibner ES, Baron EL, Shah RS, et al. Critical care simulation education program during the COVID-19 pandemic. J Patient Saf. 2022;18(4):e810-e815. doi:10.1097/pts.0000000000000928. https://psnet.ahrq.gov/issue/critical-care… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47147/psn-pdfNovember 19, 2018 - Developing a standard handoff process for operating room–to-ICU transitions: multidisciplinary clinician perspectives from the Handoffs and Transitions in Critical Care (HATRICC) study. November 19, 2018 Lane-Fall MB, Pascual JL, Massa S, et al. Developing a Standard Handoff Process for Operating Room-to- ICU Tra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43926/psn-pdfApril 22, 2015 - The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. April 22, 2015 Massey D, Aitken LM, Chaboyer W. The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team. Intensive Cri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73353/psn-pdfJune 02, 2021 - Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. June 2, 2021 Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e3182878113. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848043/psn-pdfApril 26, 2023 - Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. April 26, 2023 Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open Med. 2023;11:205031212311642. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45044/psn-pdfMay 11, 2016 - Creating a nurse-led culture to minimize horizontal violence in the acute care setting: a multi-interventional approach. May 11, 2016 Parker KM, Harrington A, Smith CM, et al. Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Interventional Approach. J Nurses Prof Dev.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36276/psn-pdfOctober 21, 2010 - Effects of nursing rounds on patients' call light use, satisfaction, and safety. October 21, 2010 Meade CM, Bursell AL, Ketelsen L. Effects of nursing rounds: on patients' call light use, satisfaction, and safety. Am J Nurs. 2006;106(9):58-71. https://psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47864/psn-pdfApril 08, 2019 - Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? April 8, 2019 Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126. https://psnet.ahrq.gov/issue/healthcar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44681/psn-pdfApril 13, 2016 - Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know. April 13, 2016 Arora KS, Shields LE, Grobman WA, et al. Triggers, bundles, protocols, and checklists--what every maternal care provider needs to know. Am J Obstet Gynecol. 2016;214(4):444-451. doi:10.1016/j.ajog.2015.10.0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35361/psn-pdfJuly 16, 2009 - Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy. July 16, 2009 Wu HW, Nishimi RY, Page-Lopez CM, et al. Washington DC: National Quality Forum; 2005. https://psnet.ahrq.gov/issue/improving-patient-safety-through-informed-consent-patients-limited-health- literacy In the 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73595/psn-pdfAugust 11, 2021 - Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. August 11, 2021 ISMP Medication Safety Alert! Acute care edition. July 29, 2021;26(15);1-5. https://psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection- … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47541/psn-pdfMarch 04, 2019 - Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. March 4, 2019 Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Meta-analysis. J Amer Med Direct Asso… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36068/psn-pdfSeptember 28, 2010 - Getting doctors to report medical errors: project DISCLOSE. September 28, 2010 King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt Comm J Qual Patient Saf. 2006;32(7):382-392. https://psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose This … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73565/psn-pdfAugust 04, 2021 - Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. August 4, 2021 Foster C, Doud L, Palangyo T, et al. Healthcare worker serious safety events: applying concepts from patient safety to improve healthcare worker safety. Pediatr Qual Saf. 2021;6(4):e43…
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