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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36637/psn-pdfJanuary 14, 2011 - The effect of the fit between organizational culture and structure on medication errors in medical group practices. January 14, 2011 Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practices. Health Care Manage Rev. 2007… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46759/psn-pdfJanuary 31, 2018 - Health Literacy Toolkit. January 31, 2018 Leeds, UK: Health Education England, Public Health England, NHS England and Community Health and Learning Foundation; December 11, 2017. https://psnet.ahrq.gov/issue/health-literacy-toolkit Limits in patients' ability to understand health instructions and information affec… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837809/psn-pdfAugust 10, 2022 - The Uneven Burden of Maternal Mortality in the U.S. August 10, 2022 NIHCM Foundation. Washington DC: National Institute for Health Care Management. August 2, 2022. https://psnet.ahrq.gov/issue/uneven-burden-maternal-mortality-us Preventable maternal morbidity is an ongoing challenge in the United States. This infog… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41056/psn-pdfJanuary 11, 2012 - Beyond communication: the role of standardized protocols in a changing health care environment. January 11, 2012 Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment. Health Care Manage Rev. 2012;37(1):88-97. doi:10.1097/HMR.0b013e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41697/psn-pdfSeptember 19, 2012 - From good to better: toward a patient safety initiative in dentistry. September 19, 2012 Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60. https://psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38039/psn-pdfNovember 03, 2008 - Teamwork in obstetric critical care. November 3, 2008 Guise J-M, Segel S. Teamwork in obstetric critical care. Best Pract Res Clin Obstet Gynaecol. 2008;22(5):937-51. doi:10.1016/j.bpobgyn.2008.06.010. https://psnet.ahrq.gov/issue/teamwork-obstetric-critical-care This article reviews the history of teamwork traini… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35756/psn-pdfApril 17, 2009 - Insulin treatment as a tracer for identifying latent patient safety risks in home-based diabetes care. April 17, 2009 Odegard S; Andersson DK. J Nurs Manag. 2006;14(2):116-127. https://psnet.ahrq.gov/issue/insulin-treatment-tracer-identifying-latent-patient-safety-risks-home-based- diabetes-care The investigators… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37312/psn-pdfJanuary 05, 2012 - Delineation of risk through the exploration of a culture of safety in community home health. January 5, 2012 Stevenson L, McRae C, Mughal WA. Delineation of Risk Through the Exploration of a Culture of Safety in Community Home Health. Home Health Care Manag Pract. 2007;19(6). doi:10.1177/1084822307304256. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36498/psn-pdfJanuary 07, 2011 - Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. January 7, 2011 Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recommendations from the British Committee for Standards in Haemat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41583/psn-pdfAugust 08, 2012 - Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. August 8, 2012 Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-2834.2012.01400.x. https://psnet.ahrq.go… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41612/psn-pdfAugust 22, 2012 - Team safety and innovation by learning from errors in long-term care settings. August 22, 2012 Buljac-Samardzic M, van Woerkom M, Paauwe J. Team safety and innovation by learning from errors in long-term care settings. Health Care Manage Rev. 2012;37(3):280-91. doi:10.1097/HMR.0b013e318231db33. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45429/psn-pdfDecember 19, 2016 - ONC Health IT Certification Program: Enhanced Oversight and Accountability. November 30, 2016 Office of the National Coordinator for Health Information Technology; ONC; Health and Human Services; HHS. https://psnet.ahrq.gov/issue/onc-health-it-certification-program-enhanced-oversight-and-accountability Requiremen… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47765/psn-pdfFebruary 20, 2019 - Negative behaviours in health care: prevalence and strategies. February 20, 2019 Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. https://psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72645/psn-pdfJanuary 13, 2021 - The plague year. The mistakes and the struggles behind America’s coronavirus tragedy. January 13, 2021 Wright L. New Yorker. January 4, 2021;96(463):20-59. https://psnet.ahrq.gov/issue/plague-year-mistakes-and-struggles-behind-americas-covid-19-tragedy Uncertainty, misinformation, management gaps, and r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50826/psn-pdfJanuary 22, 2020 - Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations January 22, 2020 Feldman SS, Brazil V, Zengul FD, et al, eds. Health Syst (Basingstoke). 2019;8(3):153-227. https://psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43023/psn-pdfApril 16, 2014 - Institutional disclosure: promise and problems. April 16, 2014 Wolk SW, Sine DM, Paull DE. Institutional disclosure: promise and problems. J Healthc Risk Manag. 2014;33(3):24-32. doi:10.1002/jhrm.21132. https://psnet.ahrq.gov/issue/institutional-disclosure-promise-and-problems Using case review and interviews, res… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45998/psn-pdfApril 19, 2017 - Learning and mindfulness: improving perioperative patient safety. April 19, 2017 Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006. https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38699/psn-pdfJune 17, 2009 - Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding of safety culture. June 17, 2009 Naevestad T-O. Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding of Safety Culture. J Contingencies Crisis M… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34884/psn-pdfAugust 03, 2009 - Communication failures: an insidious contributor to medical mishaps. August 3, 2009 Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194. https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps In or… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39461/psn-pdfApril 21, 2010 - Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. April 21, 2010 Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Health Care M…
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