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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37136/psn-pdfOctober 04, 2011 - Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. October 4, 2011 MRAYYAN MAJDT, SHISHANI KAWKAB, AL-FAOURI IBRAHIM. Rate, causes and reporting of medication errors in Jordan: nurses? perspectives. J Nurs Manag. 2007;15(6). doi:10.1111/j.1365-2834.2007.00724.x. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39588/psn-pdfDecember 04, 2016 - Reporting adverse events to patients: a step-by-step approach. December 4, 2016 Cherry RA, Marcus L, Dorn B. Reporting adverse events to patients: a step-by-step approach. Physician Executive. 2010;36(3):4-6, 8-9. https://psnet.ahrq.gov/issue/reporting-adverse-events-patients-step-step-approach This article discu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35124/psn-pdfJune 29, 2005 - JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. June 29, 2005 ECRI. Risk Management Reporter. June 2005. https://psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare- settings This commentary provides a definition of patient-cent… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35689/psn-pdfDecember 31, 2014 - Error reduction through team leadership: applying aviation's CRM model in the OR. December 31, 2014 Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5. https://psnet.ahrq.gov/issue/error-reduction-through-team-leadersh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39281/psn-pdfMarch 05, 2010 - Health Care Leader Action Guide to Reduce Avoidable Readmissions. March 5, 2010 Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010. https://psnet.ahrq.gov/issue/health-care-leader-action-gui… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41837/psn-pdfNovember 14, 2012 - The struggle to improve patient care in the face of professional boundaries. November 14, 2012 Powell AE, Davies H. The struggle to improve patient care in the face of professional boundaries. Soc Sci Med. 2012;75(5):807-14. doi:10.1016/j.socscimed.2012.03.049. https://psnet.ahrq.gov/issue/struggle-improve-patient… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35629/psn-pdfJune 24, 2010 - 'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department. June 24, 2010 McDonald R, Waring J, Harrison S. ‘Balancing risk, that is my life’: The politics of risk in a hospital operating theatre department. Health Risk Soc. 2005;7(4). doi:10.1080/13698570500390705. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33982/psn-pdfDecember 22, 2008 - Patient safety: it's not just carefulness, it's a culture. December 22, 2008 Powell S. Patient Safety: it's not just carefulness, it's a culture. Lippincotts Case Manag. 2004;9(5):211- 212. doi:10.1097/00129234-200409000-00001. https://psnet.ahrq.gov/issue/patient-safety-its-not-just-carefulness-its-culture This e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39049/psn-pdfJanuary 16, 2010 - Approaching the evidence basis for aviation-derived teamwork training in medicine. January 16, 2010 Zeltser M, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual. 2010;25(1):13-23. doi:10.1177/1062860609345664. https://psnet.ahrq.gov/issue/approaching-evidence… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36443/psn-pdfJanuary 07, 2011 - View from the cockpit: what the airline industry can teach us about patient safety. January 7, 2011 Doucette JN. View from the cockpit: what the airline industry can teach us about patient safety. Nursing (Brux). 2006;36(11):50-53. https://psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34603/psn-pdfSeptember 29, 2017 - Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3). September 29, 2017 American Society of Healthcare Risk Management; ASHRM https://psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication- policy-part-2-3 The process for craf… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47315/psn-pdfAugust 01, 2018 - Agent of change. August 1, 2018 Gale SF. Chief Learning Officer. July/August 2018;17:22-25. https://psnet.ahrq.gov/issue/agent-change Organizational learning is an essential element of safety culture. This article reports how one hospital leader drew from the success of aviation strategies to design and implement … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41936/psn-pdfDecember 19, 2012 - A multiple-drawer medication layout problem in automated dispensing cabinets. December 19, 2012 Pazour JA, Meller RD. A multiple-drawer medication layout problem in automated dispensing cabinets. Health Care Manag Sci. 2012;15(4). doi:10.1007/s10729-012-9197-8. https://psnet.ahrq.gov/issue/multiple-drawer-medicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34622/psn-pdfMarch 17, 2011 - National Confidential Enquiry into Patient Outcome and Death. March 17, 2011 National Confidential Enquiry into Patient Outcome and Death; NCEPOD https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death Launched under the title National Confidential Enquiry into Perioperative Deaths (NC… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38341/psn-pdfApril 02, 2009 - CPOE: it don't come easy. April 2, 2009 Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim. https://psnet.ahrq.gov/issue/cpoe-it-dont-come-easy Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE) systems could reduce medical errors… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43272/psn-pdfJune 18, 2014 - Physician assistants and the disclosure of medical error. June 18, 2014 Brock DM, Quella A, Lipira L, et al. Physician assistants and the disclosure of medical error. Acad Med. 2014;89(6):858-62. doi:10.1097/ACM.0000000000000261. https://psnet.ahrq.gov/issue/physician-assistants-and-disclosure-medical-error Most e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34066/psn-pdfJanuary 01, 2013 - Ambulatory patient safety. What we know and need to know. December 22, 2008 Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007. https://psnet.ahrq.gov/issue/ambulatory-patient-safety-what-we-kn… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37599/psn-pdfJanuary 01, 2009 - Improving process while changing practice: FMEA and medication administration. March 12, 2008 Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. https://psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34628/psn-pdfMay 01, 2020 - Patient Safety and Quality Healthcare. November 30, 2016 Middleton, MA: HealthLeaders Media. ISSN: 1553-6637. https://psnet.ahrq.gov/issue/patient-safety-and-quality-healthcare Beginning with its inaugural issue in August 2004 and ending in May 2020, Patient Safety and Quality Healthcare (PSQH) published bi-monthl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34596/psn-pdfFebruary 17, 2009 - Disclosure: what works now and what can work even better (part 3 of 3). February 17, 2009 Chicago, IL: American Society of Healthcare Risk Management; https://psnet.ahrq.gov/issue/disclosure-what-works-now-and-what-can-work-even-better-part-3-3 A guide for communicating throughout the disclosure process, thi…
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