-
psnet.ahrq.gov/node/73884/psn-pdf
September 29, 2021 - Dual surgeon operating to improve patient safety.
September 29, 2021
Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg.
2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014.
https://psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
Many non-urgent, non-…
-
psnet.ahrq.gov/node/46713/psn-pdf
April 12, 2019 - Association between ophthalmologist age and unsolicited
patient complaints.
April 12, 2019
Fathy CA, Pichert JW, Domenico HJ, et al. Association Between Ophthalmologist Age and Unsolicited
Patient Complaints. JAMA Ophthalmol. 2018;136(1):61-67. doi:10.1001/jamaophthalmol.2017.5154.
https://psnet.ahrq.gov/issue/ass…
-
psnet.ahrq.gov/node/46366/psn-pdf
September 27, 2017 - Errors in diagnosis of spinal epidural abscesses in the
era of electronic health records.
September 27, 2017
Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of
Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03.009.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/41905/psn-pdf
December 05, 2012 - Introduction of checklists at daily progress notes
improves patient care among the gynecological oncology
service.
December 5, 2012
Diaz-Montes TP, Cobb L, Ibeanu OA, et al. Introduction of checklists at daily progress notes improves
patient care among the gynecological oncology service. J Patient Saf. 2012;8(4):1…
-
psnet.ahrq.gov/node/44788/psn-pdf
May 31, 2017 - Patient handoffs: is cross cover or night shift better?
May 31, 2017
Higgins A, Brannen ML, Heiman HL, et al. Patient Handoffs: Is Cross Cover or Night Shift Better? J Patient
Saf. 2017;13(2):88-92. doi:10.1097/PTS.0000000000000126.
https://psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better
Du…
-
psnet.ahrq.gov/node/47936/psn-pdf
June 14, 2019 - A team disclosure of error educational activity: objective
outcomes.
June 14, 2019
Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective
Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883.
https://psnet.ahrq.gov/issue/team-disclosure-error-educatio…
-
psnet.ahrq.gov/node/45837/psn-pdf
March 08, 2017 - Promoting civility in the OR: an ethical imperative.
March 8, 2017
Clark CM, Kenski D. Promoting Civility in the OR: An Ethical Imperative. AORN J. 2017;105(1):60-66.
doi:10.1016/j.aorn.2016.10.019.
https://psnet.ahrq.gov/issue/promoting-civility-or-ethical-imperative
The operating room is a complex environment th…
-
psnet.ahrq.gov/node/40290/psn-pdf
May 25, 2011 - Fatigue, performance and the work environment: a survey
of registered nurses.
May 25, 2011
Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses.
J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x.
https://psnet.ahrq.gov/issue/fatigue-performance-and…
-
psnet.ahrq.gov/node/47387/psn-pdf
September 12, 2018 - Guideline implementation: team communication.
September 12, 2018
Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J.
2018;108(2):165-177. doi:10.1002/aorn.12300.
https://psnet.ahrq.gov/issue/guideline-implementation-team-communication
Although team development has rec…
-
psnet.ahrq.gov/node/42564/psn-pdf
September 11, 2013 - Error rating tool to identify and analyse technical errors
and events in laparoscopic surgery.
September 11, 2013
Bonrath EM, Zevin B, Dedy NJ, et al. Error rating tool to identify and analyse technical errors and events in
laparoscopic surgery. Br J Surg. 2013;100(8):1080-8. doi:10.1002/bjs.9168.
https://psnet.ah…
-
psnet.ahrq.gov/node/43462/psn-pdf
September 12, 2016 - Preventable mortality after common urological surgery:
failing to rescue?
September 12, 2016
Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to
rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833.
https://psnet.ahrq.gov/issue/preventable-mortality-af…
-
psnet.ahrq.gov/node/36716/psn-pdf
July 26, 2011 - Medication-error reporting and pharmacy resident
experience during implementation of computerized
prescriber order entry.
July 26, 2011
Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during
implementation of computerized prescriber order entry. Am J Health Syst Pharm.…
-
psnet.ahrq.gov/node/43243/psn-pdf
June 11, 2014 - Improved incident reporting following the implementation
of a standardized emergency department peer review
process.
June 11, 2014
Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized
emergency department peer review process. Int J Qual Health Care. 2014;26(3):278-86.
d…
-
psnet.ahrq.gov/node/39284/psn-pdf
April 12, 2011 - Selected medical errors in the intensive care unit: results
of the IATROREF study: parts I and II.
April 12, 2011
Garrouste-Orgeas M, Timsit JF, Vesin A, et al. Selected Medical Errors in the Intensive Care Unit. Am J
Respir Crit Care Med. 2009;181(2):134-142. doi:10.1164/rccm.200812-1820oc.
https://psnet.ahrq.gov…
-
psnet.ahrq.gov/node/43120/psn-pdf
September 27, 2016 - How studying human factors improves patient safety.
September 27, 2016
Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9.
https://psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety
Human factors engineering is being increasingly promoted as an…
-
psnet.ahrq.gov/node/867650/psn-pdf
January 01, 2022 - Opioid deprescribing toolkit.
January 1, 2022
Health Innovation East, National Health Service. Opioid deprescribing toolkit.
https://psnet.ahrq.gov/issue/opioid-deprescribing-toolkit
Sudden discontinuation of long-term prescription opioid use can lead to adverse outcomes for patients.
Based on research and clinici…
-
psnet.ahrq.gov/node/42355/psn-pdf
February 11, 2015 - Advancing Successful Care Transitions to Improve
Outcomes.
February 11, 2015
Society of Hospital Medicine
https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program
This Web site provides resources associated with the Better Outcomes for Older adults through Safe
Transitions project, called Projec…
-
psnet.ahrq.gov/node/43763/psn-pdf
April 22, 2015 - The nurse's role in medication safety.
April 22, 2015
Durham B. The nurse's role in medication safety. Nursing (Brux). 2015;45(4).
doi:10.1097/01.NURSE.0000461850.24153.8b.
https://psnet.ahrq.gov/issue/nurses-role-medication-safety-0
Nurses perform a critical role in preventing medication errors. This commentary e…
-
psnet.ahrq.gov/node/45551/psn-pdf
November 30, 2016 - Parents' perspectives on "keeping their children safe" in
the hospital.
November 30, 2016
Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in
the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193.
https://psnet.ahrq.gov/issue/parent…
-
psnet.ahrq.gov/node/47504/psn-pdf
December 21, 2018 - Health apps and health policy: what is needed?
December 21, 2018
Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA.
2018;320(19):1975-1976. doi:10.1001/jama.2018.14378.
https://psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed
Mobile health care applications are incre…