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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47935/psn-pdfApril 17, 2019 - Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. April 17, 2019 Johnston BE, Lou-Meda R, Mendez S, et al. Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. BMJ Glob Health. 2019;4(1). doi:10.1136/bmjgh-201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46472/psn-pdfAugust 20, 2018 - Wide variation and overprescription of opioids after elective surgery. August 20, 2018 Thiels CA, Anderson SS, Ubl DS, et al. Wide Variation and Overprescription of Opioids After Elective Surgery. Ann Surg. 2017;266(4):564-573. doi:10.1097/SLA.0000000000002365. https://psnet.ahrq.gov/issue/wide-variation-and-overp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48044/psn-pdfJune 12, 2019 - What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411. doi:10.10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42619/psn-pdfJanuary 23, 2019 - High-reliability health care: getting there from here. January 23, 2019 Chassin MR, Loeb JM. High-reliability health care: getting there from here. Milbank Q. 2013;91(3):459-490. doi:10.1111/1468-0009.12023. https://psnet.ahrq.gov/issue/high-reliability-health-care-getting-there-here Aviation is often cited as an … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45244/psn-pdfAugust 01, 2016 - Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. August 1, 2016 Rosenbluth G, Landrigan CP. Sleep science, schedules, and safety in hospitals: challenges and solutions for pediatric providers. Pediatr Clin North Am. 2012;59(6):1317-28. doi:10.1016/j.pcl.2012.09.00… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45317/psn-pdfAugust 17, 2016 - Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. August 17, 2016 Tong EY, Roman C, Mitra B, et al. Partnered pharmacist charting on admission in the General Medical and Emergency Shor… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852798/psn-pdfAugust 23, 2023 - Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. August 23, 2023 Williams SR, Sebok-Syer SS, Caretta-Weyer H, et al. Patient handoffs and multi-specialty trainee perspectives across an i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73537/psn-pdfJuly 28, 2021 - Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. July 28, 2021 Morrison AK, Gibson C, Higgins C, et al. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. Pediatr Qual Saf. 2021;6(4):e425. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40390/psn-pdfFebruary 03, 2015 - The $17.1 billion problem: the annual cost of measurable medical errors. February 3, 2015 Van Den Bos J, Rustagi K, Gray T, et al. The $17.1 Billion Problem: The Annual Cost Of Measurable Medical Errors. Health Aff. 2011;30(4):596-603. doi:10.1377/hlthaff.2011.0084. https://psnet.ahrq.gov/issue/171-billion-problem… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37207/psn-pdfSeptember 09, 2008 - Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. September 9, 2008 Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866588/psn-pdfAugust 28, 2024 - The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. August 28, 2024 Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60051/psn-pdfMarch 18, 2020 - Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. March 18, 2020 Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44761/psn-pdfJanuary 06, 2016 - Two fatal cases of accidental intrathecal vincristine administration: learning from death events. January 6, 2016 Chotsampancharoen T, Sripornsawan P, Wongchanchailert M. Two fatal cases of accidental intrathecal vincristine administration: learning from death event. Chemotherapy (Los Angel). 2016;61(2):108-110. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36768/psn-pdfJuly 14, 2010 - Hospital leadership and quality improvement: rhetoric versus reality. July 14, 2010 Levey S, Vaughn T, Koepke M, et al. Hospital Leadership and Quality Improvement. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e3180311256. https://psnet.ahrq.gov/issue/hospital-leadership-and-quality-improvement-rhetoric-versus-r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47382/psn-pdfAugust 29, 2018 - Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. August 29, 2018 Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJMp1807117. https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38243/psn-pdfNovember 26, 2008 - Impact of preoperative briefings on operating room delays. November 26, 2008 Nundy S, Mukherjee A, Sexton B, et al. Impact of preoperative briefings on operating room delays: a preliminary report. Arch Surg. 2008;143(11):1068-72. doi:10.1001/archsurg.143.11.1068. https://psnet.ahrq.gov/issue/impact-preoperative-br… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848363/psn-pdfMay 03, 2023 - Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. May 3, 2023 Pitts CC, Ponce BA, Arguello AM, et al. Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases. Ann Surg. 2023;… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74757/psn-pdfFebruary 09, 2022 - Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 Schiff GD, Volodarskaya M, Ruan E, et al. Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. JAMA Netw Open. 2022;5(1):e2144531. doi:10.1001/jamanetworkopen.2021.44531. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41313/psn-pdfJanuary 18, 2017 - Apology for errors: whose responsibility? January 18, 2017 Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12. https://psnet.ahrq.gov/issue/apology-errors-whose-responsibility Although victims of adverse events have clearly expressed their preferences for full error disclos… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47806/psn-pdfJanuary 01, 2021 - Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment. February 27, 2019 Henriksen K, Rodrick D, Grace EN, et al. Pursuing Patient Safety at the Intersection of Design, Systems Engineering, and Health Care Delivery Research: An Ongoing …
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