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6961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867648/psn-pdf
      January 01, 2023 - Opioid Taskforce Playbook. January 1, 2023 College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook. https://psnet.ahrq.gov/issue/opioid-taskforce-playbook Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids. This Opioid Playbo…

6962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35188/psn-pdf
      August 16, 2016 - The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. August 16, 2016 Rozovsky FA, Woods JR. San Francisco, CA: Jossey-Bass; 2005. ISBN 9780787965105. https://psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations This well-referenced…

6963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42438/psn-pdf
      July 31, 2013 - Perceived patient safety culture in a critical care transport program. July 31, 2013 Erler C, Edwards NE, Ritchey S, et al. Perceived patient safety culture in a critical care transport program. Air Med J. 2013;32(4):208-215. doi:10.1016/j.amj.2012.11.002. https://psnet.ahrq.gov/issue/perceived-patient-safety-cult…

6964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847734/psn-pdf
      April 19, 2023 - Patient safety tools for primary care. April 19, 2023 Domdera J. Fam Pract Manag. 2023;30(2):24-28. https://psnet.ahrq.gov/issue/patient-safety-tools-primary-care A large segment of patients receives outpatient care. This commentary suggests that high-reliability concepts be applied in the primary care environment…

6965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74709/psn-pdf
      November 23, 2024 - Fire safety in the operating room. November 23, 2024 Ehrenwerth J. UptoDate. November 18, 2024. https://psnet.ahrq.gov/issue/fire-safety-operating-room Operating room fires are never events that, while rare, still harbor great potential for harm. This review discusses settings prone to surgical fire events, preven…

6966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39103/psn-pdf
      November 18, 2009 - Identifying organizational cultures that promote patient safety. November 18, 2009 Singer SJ, Falwell A, Gaba DM, et al. Identifying organizational cultures that promote patient safety. Health Care Manag Rev. 2009;34(4):300-311. doi:10.1097/HMR.0b013e3181afc10c. https://psnet.ahrq.gov/issue/identifying-organizatio…

6967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35113/psn-pdf
      April 06, 2011 - Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. April 6, 2011 Cousins DH, Sabatier B, Begue D, et al. Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France. Qual Saf Health Car…

6968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60829/psn-pdf
      August 19, 2020 - Patient Safety. August 19, 2020 Levett-Jones T, ed. Clin Sim Nurs. 2020;44(1):1-78; 2020;45(1):1-60. https://psnet.ahrq.gov/issue/patient-safety-20 Simulation is a recognized technique to educate and plan to improve care processes and safety. This pair of special issues highlights the use of simulation in nur…

6969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45022/psn-pdf
      April 20, 2016 - Clinical decision support for early recognition of sepsis. April 20, 2016 Amland RC, Hahn-Cover KE. Clinical decision support for early recognition of sepsis.  Am J Med Qual. 2016;31(2):103-10. doi:10.1177/1062860614557636. https://psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis Sepsis is a…

6970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38252/psn-pdf
      November 26, 2008 - Hospital ethical climate and teamwork in acute care: the moderating role of leaders. November 26, 2008 Rathert C, Fleming DA. Hospital ethical climate and teamwork in acute care: the moderating role of leaders. Health Care Manag Rev. 2008;33(4):323-331. doi:10.1097/01.HCM.0000318769.75018.8d. https://psnet.ahrq.go…

6971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60685/psn-pdf
      July 15, 2020 - Latent bias and the implementation of artificial intelligence in medicine. July 15, 2020 Decamp M, Lindvall C. Latent bias and the implementation of artificial intelligence in medicine. J Am Med Inform Assoc. 2020;27(12):2020-2023. doi:10.1093/jamia/ocaa094. https://psnet.ahrq.gov/issue/latent-bias-and-implementat…

6972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41445/psn-pdf
      May 30, 2012 - Poll: Many Sick Americans Experience Significant Financial Problems and Report Their Care is not Well- Managed. May 30, 2012 Princeton, NJ: Robert Wood Johnson Foundation, National Public Radio, and the Harvard School of Public Health. May 21, 2012.   https://psnet.ahrq.gov/issue/poll-many-sick-americans-exp…

6973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50604/psn-pdf
      October 30, 2019 - Speaking up about patient safety requires an observant questioner and a high index of suspicion. October 30, 2019 ISMP Medication Safety Alert! Acute Care Edition. October 10, 2019;24. https://psnet.ahrq.gov/issue/speaking-about-patient-safety-requires-observant-questioner-and-high-index- suspicion The bundling o…

6974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38013/psn-pdf
      March 09, 2009 - Agreement between patient-reported symptoms and their documentation in the medical record. March 9, 2009 Pakhomov S, Jacobsen SJ, Chute CG, et al. Agreement between patient-reported symptoms and their documentation in the medical record. Am J Manag Care. 2008;14(8):530-539. https://psnet.ahrq.gov/issue/agreement-b…

6975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60257/psn-pdf
      April 23, 2020 - When We Do Harm: A Doctor Confronts Medical Error. April 23, 2020 Ofri D. Boston, MA: Beacon Press; 2020. ISBN 9780807037881. https://psnet.ahrq.gov/issue/when-we-do-harm-doctor-confronts-medical-error Human and system failures combine to result in preventable patient harm. This book highlights the need for frontl…

6976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35496/psn-pdf
      February 22, 2010 - Safe use of cellular telephones in hospitals: fundamental principles and case studies. February 22, 2010 Cohen T, Ellis WS, Morrissey JJ, et al. Safe use of cellular telephones in hospitals: fundamental principles and case studies. J Healthc Inf Manag. 2005;19(4):38-48. https://psnet.ahrq.gov/issue/safe-use-cellul…

6977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40584/psn-pdf
      July 25, 2011 - Crisis checklists for the operating room: development and pilot testing. July 25, 2011 Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031. https://psnet.ahrq.gov/issue/crisi…

6978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44029/psn-pdf
      April 25, 2016 - Accelerating the adoption of a safety culture. April 25, 2016 Birk S. Accelerating the Adoption of a Safety Culture. Healthcare Executive. 2015;30(2):18-20, 22-24, 26. https://psnet.ahrq.gov/issue/accelerating-adoption-safety-culture Hospital senior managers have been challenged to establish a safety culture in the…

6979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44760/psn-pdf
      July 10, 2024 - Collaborative for Accountability and Improvement. July 10, 2024 University of Washington. https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and effective discussions with patients and families after …

6980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40571/psn-pdf
      February 24, 2012 - The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists? February 24, 2012 Souter KJ, Gallagher TH. The Disclosure of Unanticipated Outcomes of Care and Medical Errors. Anesth Analg. 2011;114(3):615-621. doi:10.1213/ane.0b013e3182228604. https://psnet.ahrq.go…