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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46371/psn-pdfFebruary 14, 2018 - Changing operating room culture: implementation of a postoperative debrief and improved safety culture. February 14, 2018 Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 2017;107:597-603. doi:10.1016/j.w… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864862/psn-pdfMarch 20, 2024 - Global Burden of Preventable Medication-related Harm in Health Care: A Systematic Review. March 20, 2024 Geneva, Switzerland: World Health Organization; 2023. ISBN: 9789240088887. https://psnet.ahrq.gov/issue/global-burden-preventable-medication-related-harm-health-care-systematic- review The Medication Without H… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48141/psn-pdfJuly 24, 2019 - Evidence Brief: Implementation of High Reliability Organization Principles. July 24, 2019 Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. https://psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles This brief evalu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72828/psn-pdfMarch 10, 2021 - A recurring call to action: every healthcare organization needs a medication safety officer! March 10, 2021 ISMP Medication Safety Alert! Acute care edition. February 25, 2021;26(4);1-4. https://psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety- officer Leadership ro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43967/psn-pdfNovember 16, 2015 - Equipped: overcoming barriers to change to improve quality of care (theories of change). November 16, 2015 Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013- … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73178/psn-pdfApril 28, 2021 - Risk perception on the labour ward: a mixed methods study. April 28, 2021 McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428. https://psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-met… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837760/psn-pdfJanuary 01, 2024 - Criminal liability for nursing and medical harm. August 3, 2022 Maher V, Cwiek M. Criminal liability for nursing and medical harm. Hosp Top. 2024;102(2):117-124. doi:10.1080/00185868.2022.2101571. https://psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm Fear of criminal liability may inhibit clinic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46350/psn-pdfSeptember 24, 2017 - Time for transparent standards in quality reporting by health care organizations. September 24, 2017 Pronovost P, Wu AW, Austin M. Time for Transparent Standards in Quality Reporting by Health Care Organizations. JAMA. 2017;318(8):701-702. doi:10.1001/jama.2017.10124. https://psnet.ahrq.gov/issue/time-transparent-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60765/psn-pdfAugust 05, 2020 - Coronavirus: can this California prison save itself from Covid-19? August 5, 2020 Honderich H, Popat S. Coronavirus: Can this California prison save itself from Covid-19? BBC News, Washington. 2020;Jul 27. https://psnet.ahrq.gov/issue/coronavirus-can-california-prison-save-itself-covid-19 Omissions in standard pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43404/psn-pdfAugust 06, 2014 - 'Even now it makes me angry': health care students' professionalism dilemma narratives. August 6, 2014 Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377. https://psnet.ahrq.gov/issue/ev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47344/psn-pdfSeptember 11, 2018 - Quality and Safety Between Ward and Board: a Biography of Artefacts Study. September 11, 2018 Keen J, Nicklin E, Long A, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2018. https://psnet.ahrq.gov/issue/quality-and-safety-between-ward-and-board-biography-artefacts-study The … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44736/psn-pdfDecember 16, 2015 - Harms from discharge to primary care: mixed methods analysis of incident reports. December 16, 2015 Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687877. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47544/psn-pdfDecember 12, 2018 - Using good catches to promote a just culture and perioperative patient safety. December 12, 2018 Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394. https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37879/psn-pdfJuly 02, 2008 - Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. July 2, 2008 Fletcher KE, Parekh V, Halasyamani L, et al. Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents. J Hosp Med. 2008;3(3):228-37. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44024/psn-pdfOctober 13, 2015 - Cultivating a culture of medication safety in prelicensure nursing students. October 13, 2015 Bush PA, Hueckel RM, Robinson D, et al. Cultivating a Culture of Medication Safety in Prelicensure Nursing Students. Nurse Educ. 2015;40(4):169-73. doi:10.1097/NNE.0000000000000148. https://psnet.ahrq.gov/issue/cultivatin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837517/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42658/psn-pdfMarch 17, 2014 - Systematic review of the application of the plan-do-study- act method to improve quality in healthcare. March 17, 2014 Taylor MJ, McNicholas C, Nicolay C, et al. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290-8. doi:10.1136/bmjqs-2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42823/psn-pdfDecember 18, 2013 - The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. December 18, 2013 Panesar SS, Netuveli G, Carson-Stevens A, et al. The orthopaedic error index: development and application of a novel nationa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44803/psn-pdfJanuary 27, 2016 - Examining the relationship among ambulatory surgical settings work environment, nurses' characteristics, and medication errors reporting. January 27, 2016 Farag AA, Anthony MK. Examining the Relationship Among Ambulatory Surgical Settings Work Environment, Nurses' Characteristics, and Medication Errors Reporting. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46028/psn-pdfJuly 05, 2017 - The role of morbidity and mortality rounds in medical education: a scoping review. July 5, 2017 Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234. https://psnet.ahrq.gov/issue/role-morb…
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