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psnet.ahrq.gov/node/35215/psn-pdf
June 24, 2009 - Organizational and cultural changes for providing safe
patient care.
June 24, 2009
Odwazny R, Hasler S, Abrams R, et al. Organizational and cultural changes for providing safe patient care.
Qual Manag Health Care. 2005;14(3):132-143.
https://psnet.ahrq.gov/issue/organizational-and-cultural-changes-providing-safe-p…
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psnet.ahrq.gov/node/35864/psn-pdf
June 17, 2014 - Exploring strategies for reducing hospital errors.
June 17, 2014
McFadden KL, Stock GN, Gowen CR. Exploring strategies for reducing hospital errors. J Healthc Manag.
2006;51(2):123-136.
https://psnet.ahrq.gov/issue/exploring-strategies-reducing-hospital-errors
The authors surveyed health care quality directors on …
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psnet.ahrq.gov/node/42278/psn-pdf
June 10, 2013 - Reducing errors in emergency surgery.
June 10, 2013
Watters DAK, Truskett PG. Reducing errors in emergency surgery. ANZ J Surg. 2013;83(6):434-437.
doi:10.1111/ans.12194.
https://psnet.ahrq.gov/issue/reducing-errors-emergency-surgery
In the context of emergency surgery, this review summarizes error classification,…
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psnet.ahrq.gov/node/34598/psn-pdf
November 15, 2011 - Complexity and the Adoption of Innovation in Health
Care.
November 15, 2011
Plsek P. Washington DC: National Institute for Health Care Management Foundation and National
Committee for Quality Health Care; 2003.
https://psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
In discussing the complexit…
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psnet.ahrq.gov/node/37976/psn-pdf
December 14, 2010 - Practicing Medicine in Difficult Times: Protecting
Physicians from Malpractice Litigation.
December 14, 2010
Thomas MO, Quinn CJ, Donohue GM. Sudbury, MA: Jones Bartlett; 2009. ISBN: 100763748560.
https://psnet.ahrq.gov/issue/practicing-medicine-difficult-times-protecting-physicians-malpractice-litigation
Written …
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psnet.ahrq.gov/node/41560/psn-pdf
August 01, 2012 - Improving Medication Safety in High Risk Medicare
Beneficiaries Toolkit.
August 1, 2012
Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD:
Agency for Healthcare Research and Quality; July 2012. AHRQ Publication No. 12-EHC027-EF.
https://psnet.ahrq.gov/issue/improving…
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psnet.ahrq.gov/node/37889/psn-pdf
July 02, 2008 - Minimising treatment-associated risks in systemic cancer
therapy.
July 2, 2008
Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy.
Pharm World Sci. 2008;30(2):161-8.
https://psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
This …
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psnet.ahrq.gov/node/37516/psn-pdf
February 06, 2008 - Caregiver perspectives on safety in home dementia care.
February 6, 2008
Lach HW, Chang Y-P. Caregiver perspectives on safety in home dementia care. West J Nurs Res.
2007;29(8):993-1014.
https://psnet.ahrq.gov/issue/caregiver-perspectives-safety-home-dementia-care
This focus group study discusses the safety proble…
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psnet.ahrq.gov/node/42752/psn-pdf
January 23, 2014 - Sounding the alarm. Nurses, organizations work to
address alarm fatigue.
January 23, 2014
Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs.
2013;45(5):1, 6-7.
https://psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
This article report…
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psnet.ahrq.gov/node/36826/psn-pdf
December 31, 2014 - Staying safe: simple tools for safe surgery.
December 31, 2014
Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22.
https://psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery
The author uses examples from his experience as a pilot to discuss aviation safety strategies,…
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psnet.ahrq.gov/node/38914/psn-pdf
May 24, 2015 - Meeting the Challenge of Patient Safety in the Ambulatory
Care Setting.
May 24, 2015
Turney S, Evans EW, Callaway E, et al. Englewood Cliffs, CO: Medical Group Management Association;
2009.
https://psnet.ahrq.gov/issue/meeting-challenge-patient-safety-ambulatory-care-setting
This white paper discusses development…
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psnet.ahrq.gov/node/60011/psn-pdf
March 04, 2020 - UCSD, doc who overdosed in hospital bathroom face
lawsuits.
March 4, 2020
Clark C. MedPage Today. February 10, 2020.
https://psnet.ahrq.gov/issue/ucsd-doc-who-overdosed-hospital-bathroom-face-lawsuits
It is an institutional responsibility to monitor physicians exhibiting performance issues that put pati…
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psnet.ahrq.gov/node/40310/psn-pdf
March 23, 2011 - Inaccuracy of ECG interpretations reported to the poison
center.
March 23, 2011
Prosser JM, Smith SW, Rhim ES, et al. Inaccuracy of ECG interpretations reported to the poison center.
Ann Emerg Med. 2011;57(2):122-7. doi:10.1016/j.annemergmed.2010.09.019.
https://psnet.ahrq.gov/issue/inaccuracy-ecg-interpretations-…
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psnet.ahrq.gov/node/37279/psn-pdf
January 04, 2012 - Studying the technical work of emergency care.
January 4, 2012
Nemeth CP, Cook RI, Wears RL. Studying the technical work of emergency care. Ann Emerg Med.
2007;50(4):384-6.
https://psnet.ahrq.gov/issue/studying-technical-work-emergency-care
The authors introduce a set of articles that explore how clinicians plan a…
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psnet.ahrq.gov/node/38040/psn-pdf
August 09, 2017 - Safety cultural preconditions for organizational learning
in high-risk organizations.
August 9, 2017
Naevestad T-O. Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. J
Contingencies Crisis Manage. 2008;16(3):154-163. doi:10.1111/j.1468-5973.2008.00544.x.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/35871/psn-pdf
April 21, 2010 - Innovation and teamwork: introducing multidisciplinary
team ward rounds.
April 21, 2010
Moroney N, Knowles C. Innovation and teamwork: introducing multidisciplinary team ward rounds. Nursing
management (Harrow, London, England : 1994). 2006;13(1):28-31.
https://psnet.ahrq.gov/issue/innovation-and-teamwork-introduc…
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psnet.ahrq.gov/node/40225/psn-pdf
March 12, 2011 - As industry automates, adverse events continue to haunt
caregivers.
March 12, 2011
Wetzel TG. As industry automates, adverse events haunt caregivers. Health data management.
2011;19(2):86, 88, 90 passim.
https://psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
This article discusse…
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psnet.ahrq.gov/node/35014/psn-pdf
August 17, 2011 - A team performance measurement model for continuous
improvement.
August 17, 2011
Çiçek MC, Köksal G, Özdemirel NE. A team performance measurement model for continuous
improvement. Total Quality Management & Business Excellence. 2007;16(3).
doi:10.1080/14783360500054129.
https://psnet.ahrq.gov/issue/team-performan…
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psnet.ahrq.gov/node/39484/psn-pdf
April 28, 2010 - Surgical fires, a clear and present danger.
April 28, 2010
Yardley IE, Donaldson LJ. Surgical fires, a clear and present danger. Surgeon. 2010;8(2):87-92.
doi:10.1016/j.surge.2010.01.005.
https://psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
This article reviews the literature on surgical fires and …
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psnet.ahrq.gov/node/72513/psn-pdf
November 25, 2020 - COVID-19: The Diagnostic Challenge.
November 25, 2020
Diagnosis (Berl). 2020;7(4):345-411.
https://psnet.ahrq.gov/issue/covid-19-diagnostic-challenge
COVID-19 is a novel coronavirus that harbors a variety of diagnostic, treatment, and management hurdles.
This special issue covers a variety of clinical topics …