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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47975/psn-pdf
    May 29, 2019 - Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. May 29, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice Introducing innovations in practice involves taking calculated ri…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47308/psn-pdf
    December 21, 2018 - Improving pediatric electronic health record usability and safety through certification: seize the day. December 21, 2018 Ratwani RM, Moscovitch B, Rising JP. Improving Pediatric Electronic Health Record Usability and Safety Through Certification: Seize the Day. JAMA Pediatr. 2018;172(11):1007-1008. doi:10.1001/ja…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45449/psn-pdf
    October 29, 2017 - Situational awareness—what it means for clinicians, its recognition and importance in patient safety. October 29, 2017 Green B, Parry D, Oeppen RS, et al. Situational awareness - what it means for clinicians, its recognition and importance in patient safety. Oral Dis. 2017;23(6):721-725. doi:10.1111/odi.12547. htt…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45024/psn-pdf
    December 19, 2017 - Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety. December 19, 2017 Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incorporates the Clinical and Educationa…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41515/psn-pdf
    July 02, 2014 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. July 2, 2014 Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38330/psn-pdf
    September 24, 2010 - Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. September 24, 2010 Scott-Cawiezell J, Madsen RW, Pepper GA, et al. Medication safety teams' guided implementation of electronic medication administration records in five nursing homes. Jt Comm J Qu…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60845/psn-pdf
    August 26, 2020 - Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. August 26, 2020 Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci.2020.104839. https://psnet.ahrq…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50385/psn-pdf
    January 01, 2020 - How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. September 25, 2019 George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:10.1097/hmr.0000000000000260.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40427/psn-pdf
    May 04, 2011 - Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. May 4, 2011 Schnipper JL, Liang CL, Hamann C, et al. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. J Am Med Inf…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35909/psn-pdf
    October 07, 2008 - Committed to Safety: Ten Case Studies on Reducing Harm to Patients. October 7, 2008 McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006. https://psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients This report presents ten case studies to illustrate interventions that address p…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46376/psn-pdf
    December 07, 2017 - User-centered collaborative design and development of an inpatient safety dashboard. December 7, 2017 Mlaver E, Schnipper JL, Boxer RB, et al. User-Centered Collaborative Design and Development of an Inpatient Safety Dashboard. Jt Comm J Qual Patient Saf. 2017;43(12):676-685. doi:10.1016/j.jcjq.2017.05.010. https…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35159/psn-pdf
    January 02, 2017 - Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. January 2, 2017 Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005;31(7):406-13. https://psnet.ahrq.gov…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47186/psn-pdf
    October 24, 2018 - Quality, Value, and Patient Safety in Orthopedic Surgery. October 24, 2018 Azar FM, ed. Orthop Clin North Am. 2018;49(4):A1-A8,389-552. https://psnet.ahrq.gov/issue/quality-value-and-patient-safety-orthopedic-surgery Quality and value have intersecting influence on the safety of health care. Articles in this specia…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43423/psn-pdf
    August 12, 2014 - Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. August 12, 2014 Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.1136/bmjqs-2013-002718. https://psnet.a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45579/psn-pdf
    November 01, 2017 - Factors influencing patient safety during postoperative handover. November 1, 2017 Rose M, Newman SD. AANA J. 2016;84:329-338. https://psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover Patient handoffs between care teams are vulnerable to error. This scoping review explored the …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72569/psn-pdf
    January 01, 2021 - Risk factors associated with medication ordering errors. December 16, 2020 Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264. https://psnet.ahrq.gov/issue/risk-factors-associated-medication-orderin…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46825/psn-pdf
    June 19, 2018 - Diagnostic performance dashboards: tracking diagnostic errors using big data. June 19, 2018 Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945. https://psnet.ahrq.gov/issue/diagnosti…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45278/psn-pdf
    September 07, 2016 - Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. September 7, 2016 Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross- sectional survey of oncology nurses' experiences. BMJ Open. 2016;6(6). do…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44344/psn-pdf
    July 22, 2015 - Making healthcare safer by understanding, designing and buying better IT. July 22, 2015 Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258. https://psnet.ahrq.gov/issue/making-healthcare-s…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44027/psn-pdf
    April 15, 2015 - Hospital credentialing and privileging of surgeons: a potential safety blind spot. April 15, 2015 Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943. https://psnet.ahrq.gov/issue/hospital-cred…
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