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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50781/psn-pdfJanuary 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837907/psn-pdfAugust 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings Medication errors associated with surgery and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43529/psn-pdfOctober 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44909/psn-pdfMarch 23, 2016 - Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. March 23, 2016 Horsham, PA: Institute for Safe Medication Practices; 2013. https://psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy Root cause analysis offers a structured way to detect and address system weaknesses. This… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45223/psn-pdfSeptember 27, 2017 - Hospital safety climate and safety behavior: a social exchange perspective. September 27, 2017 Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43839/psn-pdfJanuary 28, 2015 - Patient Safety. January 28, 2015 J Health Serv Res Policy. 2015;20(suppl 1):S1-S60. https://psnet.ahrq.gov/issue/patient-safety-11 Articles in this special supplement explore research commissioned by National Institute for Health Research in the United Kingdom to address four patient safety research gaps: how orga… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846455/psn-pdfMarch 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44718/psn-pdfNovember 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient Safety. November 25, 2015 Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety The 2004 Canadian Adverse Events Study helpe… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45526/psn-pdfJanuary 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60951/psn-pdfSeptember 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45724/psn-pdfJuly 21, 2017 - Remembering to learn: the overlooked role of remembrance in safety improvement. July 21, 2017 Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. https://psnet.ahrq.gov/issue/remembering-learn-overlooked-role-rem… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863764/psn-pdfMarch 06, 2024 - Medication errors 2023: the year in review: January through December. March 6, 2024 Pharmacy Practice News; February 2024: Suppl 1-12. https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december The medication process has multiple steps in it that can open the door to mistakes. This ar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44531/psn-pdfSeptember 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for Patients. September 30, 2015 Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients The never events list was dev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35186/psn-pdfJuly 13, 2005 - Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths. July 13, 2005 Comarow A. US News & World Report. July 2005 https://psnet.ahrq.gov/issue/saving-lives-hospitals-have-signed-six-part-plan-avoid-multitude-unnecessary- deaths This article, accompanying the widely r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46750/psn-pdfJanuary 31, 2018 - Iowans' Views on Medical Errors: Iowa Patient Safety Study. January 31, 2018 Clive, IA: Heartland Health Research Institute; January 7, 2018. https://psnet.ahrq.gov/issue/iowans-views-medical-errors-iowa-patient-safety-study Patient perspectives can provide insights regarding areas in need of improvement. This sur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838015/psn-pdfSeptember 07, 2022 - Physicians and cognitive decline: a challenge for state medical boards. September 7, 2022 Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19. https://psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44991/psn-pdfApril 20, 2016 - Does an insulin double-checking procedure improve patient safety? April 20, 2016 Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. https://psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50875/psn-pdfFebruary 05, 2020 - Implementing Closing the Loop. Safe Practices for Diagnostic Results February 5, 2020 Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results Health information technology (HIT) can improve record keepi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50838/psn-pdfJanuary 29, 2020 - Start the new year off right by preventing these top 10 medication errors and hazards. January 29, 2020 ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6. https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards Medication errors routinely c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44332/psn-pdfJuly 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…
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