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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46326/psn-pdfOctober 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47433/psn-pdfFebruary 22, 2019 - Impact of nurse peer review on a culture of safety. February 22, 2019 Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. https://psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety This commentary describes an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846762/psn-pdfMarch 29, 2023 - Hospital ‘black boxes’ put surgical practices under the microscope. March 29, 2023 Sadick B. Wall Street Journal. March 19, 2023. https://psnet.ahrq.gov/issue/hospital-black-boxes-put-surgical-practices-under-microscope Safety information systems that track action in real time can reveal a trove of data about how … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846168/psn-pdfMarch 15, 2023 - Now is the time to routinely ask patients about safety. March 15, 2023 Gandhi TK. Now Is the Time to Routinely Ask Patients About Safety. Jt Comm J Qual Patient Saf. 2023;49(4):235-236. doi:10.1016/j.jcjq.2023.01.009. https://psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety Safety event reporting … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42661/psn-pdfOctober 16, 2013 - Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. October 16, 2013 Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. doi:10.1111/imj.12172. https://psne… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838031/psn-pdfSeptember 13, 2022 - Addressing the Loss of Trust in Safety Culture. September 7, 2022 Philadelphia, PA: Building Trust and the ABIM Foundation; September 13, 2022. https://psnet.ahrq.gov/issue/addressing-loss-trust-safety-culture Trust in patient safety processes encourages reporting of concerns, learning from error, and develop… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45545/psn-pdfOctober 05, 2016 - How to Improve Electronic Health Record Usability and Patient Safety. October 5, 2016 Philadelphia, PA: Pew Charitable Trusts; September 6, 2016. https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety The usability of electronic health record (EHR) systems can affect clinici… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73344/psn-pdfJune 02, 2021 - Assessing patient safety culture in hospital settings. June 2, 2021 Azyabi A. Assessing patient safety culture in hospital settings. Int J Environ Res Public Health. 2021;18(5):2466. doi:10.3390/ijerph18052466. https://psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospital-settings Accurate measurement of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43672/psn-pdfNovember 12, 2014 - Is a tired doctor a safe doctor? November 12, 2014 Goldman B. "White Coat, Black Art." CBC Radio. October 31, 2014. https://psnet.ahrq.gov/issue/tired-doctor-safe-doctor This radio segment explores whether sleep deprivation affects the safety of care delivery. Panelists discuss sleep deprivation in health care, th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41948/psn-pdfJanuary 09, 2013 - Implementation of computerized prescriber order entry in four academic medical centers. January 9, 2013 Cooley TW, May D, Alwan M, et al. Implementation of computerized prescriber order entry in four academic medical centers. Am J Health Syst Pharm. 2012;69(24):2166-73. doi:10.2146/ajhp120108. https://psnet.ahrq.g… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48042/psn-pdfJune 12, 2019 - Analysis of medical malpractice claims to improve quality of care: cautionary remarks. June 12, 2019 Garon-Sayegh P. Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. J Eval Clin Pract. 2019;25(5):744-750. doi:10.1111/jep.13178. https://psnet.ahrq.gov/issue/analysis-medical-mal… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48043/psn-pdfOctober 01, 2023 - Health Services Safety Investigations Body. October 1, 2023 Lytchett House, 13 Freeland Park, Wareham Road, Poole, Dorset, BH16 6FA. https://psnet.ahrq.gov/issue/health-services-safety-investigations-body Independent investigations examine system weaknesses in health care to inform improvement, reduce risk, and pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44729/psn-pdfJanuary 07, 2016 - The morbidity and mortality meeting: time for a different approach? January 7, 2016 Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4- 8. doi:10.1136/archdischild-2015-309536. https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37300/psn-pdfJanuary 04, 2012 - Beyond negligence: avoidability and medical injury compensation. January 4, 2012 Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402. https://psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41425/psn-pdfJune 19, 2012 - Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? June 19, 2012 Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45364/psn-pdfSeptember 04, 2016 - A piece of my mind. Changing the narrative. September 4, 2016 Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative Storytelling can share knowledge and build community among physicians. However, if clinicians communicat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50425/psn-pdfSeptember 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74860/psn-pdfFebruary 23, 2022 - Is electronic health record safety a paradox? February 23, 2022 Harrington L. Is electronic health record safety a paradox? AACN Adv Crit Care. 2021;32(4):375-380. doi:10.4037/aacnacc2021406. https://psnet.ahrq.gov/issue/electronic-health-record-safety-paradox The usability of health information technology, such a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36838/psn-pdfApril 19, 2011 - A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. April 19, 2011 Walshe K, Offen N. A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary. Qual Health Care. 2001;10(4):250-6. https://psn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857446/psn-pdfDecember 06, 2023 - Community Health Systems’ ongoing journey to zero preventable harm. December 6, 2023 Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. https://psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zer…
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