-
psnet.ahrq.gov/issue/ssssh-handover-protected-medical-handover-optimising-quality-and-prioritising-safety-regional
March 08, 2017 - Commentary
Ssssh for handover: protected medical handover; optimising quality and prioritising safety—a regional initiative.
Citation Text:
Mallett P, Thompson A, Bourke T, et al. Ssssh for Handover: protected medical handover; optimising quality and prioritising safety-a regional initia…
-
psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
May 30, 2018 - Commentary
Use of critical incident reports in medical education: a perspective.
Citation Text:
Branch WT. Use of critical incident reports in medical education. A perspective. J Gen Intern Med. 2005;20(11):1063-7.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNot…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-457
September 25, 2024 - September 25, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, repo…
-
psnet.ahrq.gov/periodic-issue/periodic-issue-439
May 29, 2024 - May 8, 2024 Weekly Issue
PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly
Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient
safety literature, news, conferences, reports, an…
-
psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - Slippery Slide Into Life
December 1, 2005
Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/slippery-slide-life
The Case
A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated
prenatal care. A third-year obstetrics and g…
-
psnet.ahrq.gov/node/49677/psn-pdf
February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line
February 1, 2013
Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line
The Case
A 48-year-old woman with a history of hypertension, psychiatric illness, and a…
-
psnet.ahrq.gov/web-mm/infused-not-ingested
February 01, 2017 - Infused, Not Ingested
Citation Text:
Foley M. Infused, Not Ingested. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfer Troubles
1
2
Source and Credits
This presentation is based on the June 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…
-
psnet.ahrq.gov/node/33622/psn-pdf
November 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP
November 1, 2005
In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. 2005.
https://psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp
Editor's Note: Dr. Berwick is President and Chief Executive Officer of the Institute for Healthcare
I…
-
psnet.ahrq.gov/node/33724/psn-pdf
February 01, 2012 - In Conversation With… Lawrence Smith, MD
February 1, 2012
In Conversation With… Lawrence Smith, MD. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
Editor's note: Lawrence G. Smith, MD, is the founding Dean of Hofstra North Shore-LIJ School of
Medicine and Executive Vice P…
-
psnet.ahrq.gov/node/73650/psn-pdf
August 25, 2021 - Coming up for Err: Missed Diagnosis in a Patient with
Recurrent Pneumothorax
August 25, 2021
Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent
Pneumothorax. PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumoth…
-
psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - In Conversation with...Diane Rydrych, MA
June 1, 2007
Citation Text:
In Conversation with..Diane Rydrych, MA. PSNet [internet]. 2007.In Conversation with...Diane Rydrych, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department…
-
psnet.ahrq.gov/web-mm/missing-suction-tip
January 01, 2006 - SPOTLIGHT CASE
The Missing Suction Tip
Citation Text:
Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 …
-
psnet.ahrq.gov/node/46755/psn-pdf
May 30, 2018 - Innovative approach to reconstruct bedside handoff:
using simple rules of complexity science to promote
partnership with patients.
May 30, 2018
Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple
Rules of Complexity Science to Promote Partnership With Patients. J Nu…
-
psnet.ahrq.gov/node/43970/psn-pdf
May 19, 2015 - Organisational reporting and learning systems:
innovating inside and outside of the box.
May 19, 2015
Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the
box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203.
https://psnet.ahrq.gov/issue/organisational-re…
-
psnet.ahrq.gov/issue/learning-health-systems
December 24, 2008 - , 2019
View More
Related Resources
Patient Safety Innovations
-
psnet.ahrq.gov/node/46637/psn-pdf
December 06, 2017 - Instituting vincristine minibag administration: an
innovative strategy using simulation to enhance
chemotherapy safety.
December 6, 2017
Corbitt N, Malick L, Nishioka J, et al. Instituting Vincristine Minibag Administration: An Innovative Strategy
Using Simulation to Enhance Chemotherapy Safety. J Infus Nurs. 2017…
-
psnet.ahrq.gov/node/43730/psn-pdf
December 03, 2014 - A qualitative study of senior hospital managers' views on
current and innovative strategies to improve hand
hygiene.
December 3, 2014
McInnes E, Phillips R, Middleton S, et al. A qualitative study of senior hospital managers' views on current
and innovative strategies to improve hand hygiene. BMC Infect Dis. 2014;…
-
psnet.ahrq.gov/node/44619/psn-pdf
November 04, 2015 - Seeing through Google Glass: using an innovative
technology to improve medication safety behaviors in
undergraduate nursing students.
November 4, 2015
Schneidereith T. Seeing Through Google Glass: Using an Innovative Technology to Improve Medication
Safety Behaviors in Undergraduate Nursing Students. Nurs Educ Per…
-
psnet.ahrq.gov/node/44596/psn-pdf
December 04, 2016 - Health literacy in transitions of care: an innovative
objective structured clinical examination for fourth-year
medical students in an internship preparation course.
December 4, 2016
Bloom-Feshbach K, Casey D, Schulson L, et al. Health Literacy in Transitions of Care: An Innovative
Objective Structured Clinical Ex…