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4261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840163/psn-pdf
      November 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians…

4262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41917/psn-pdf
      May 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding- technology This updated report describes b…

4263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46640/psn-pdf
      August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…

4264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72829/psn-pdf
      March 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert…

4265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44674/psn-pdf
      December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. December 18, 2017 Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health Since the publication of the Inst…

4266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837000/psn-pdf
      May 06, 2022 - Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022. https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath- …

4267. How to Implement a Team-Based Model in Primary Care: Learning Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/practice-team.html
      November 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide Resource: The Practice Team This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…

4268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45043/psn-pdf
      July 01, 2016 - Exclusion of residents from surgery-intensive care team communication: a qualitative study. July 1, 2016 Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j.jsurg.2016.02.002. https://psnet.a…

4269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34885/psn-pdf
      February 07, 2019 - Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. February 7, 2019 Knox RA. Boston Globe. March 23, 1995; metro/region:1. https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose- caused-death-…

4270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60626/psn-pdf
      June 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die This feature story describes the COVID-19 experi…

4271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60688/psn-pdf
      July 15, 2020 - The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. July 15, 2020 Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245. https://psnet.ahrq.gov/issue/covid-19-p…

4272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837517/psn-pdf
      June 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y…

4273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50782/psn-pdf
      January 08, 2020 - What can patient safety teach us about clinician burnout? January 8, 2020 Wu AW, Dzau VJ. What Can Patient Safety Teach Us About Clinician Burnout? Ann Intern Med. 2019;171(12):933-934. doi:10.7326/m19-2397. https://psnet.ahrq.gov/issue/what-can-patient-safety-teach-us-about-clinician-burnout This commentary discu…

4274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44318/psn-pdf
      December 04, 2016 - At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. December 4, 2016 J Med Toxicol. 2015;11(2):165-166, 252-273. https://psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and- medication-safety This special issue hi…

4275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34727/psn-pdf
      July 13, 2016 - Human Error in Medicine. July 13, 2016 Bogner MSE, ed. Hillsdale, NJ: L. Erlbaum Associates; 1994. ISBN 9780805813852. https://psnet.ahrq.gov/issue/human-error-medicine This book, published well in advance of the Institute of Medicine report To Err is Human, includes chapters by a number of leaders in their fields…

4276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44407/psn-pdf
      April 15, 2016 - Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. April 15, 2016 MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After Im…

4277. Alliance of Dedicated Cancer Centers Patient Safety Organization | PSO
      pso.ahrq.gov/pso/alliance-dedicated-cancer-centers-patient-safety-organization
      June 14, 2022 - SHARE: More topics in this section Return to Search Alliance of Dedicated Cancer Centers Patient Safety Organization PSO Number: P0240 Components of Parent Org(s): Alliance of Ded…

4278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44454/psn-pdf
      September 29, 2017 - Ethical issues in patient safety research: a systematic review of the literature. September 29, 2017 Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000000000064. https://psnet.ahrq.…

4279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34592/psn-pdf
      January 04, 2017 - John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. January 4, 2017 Kraman SS, Cranfill L, Hamm G, et al. John M. Eisenberg Patient Safety Awards. Advocacy: the Lexington Veterans Affairs Medical Center. Jt Comm J Qual Improv. 2002;28(12):646-50. https://psnet.ahrq.gov…

4280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34061/psn-pdf
      January 04, 2017 - Patient Safety Leadership WalkRounds. January 4, 2017 Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds This study shares the concept of an interventi…