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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36262/psn-pdfAugust 04, 2009 - Safety in the academic medical center: transforming challenges into ingredients for improvement. August 4, 2009 Blumenthal D, Ferris T. Safety in the academic medical center: transforming challenges into ingredients for improvement. Acad Med. 2006;81(9):817-22. https://psnet.ahrq.gov/issue/safety-academic-medical-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840145/psn-pdfNovember 16, 2022 - Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. November 16, 2022 Okoli J, Arroteia NP, Ogunsade AI. Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations. Leadersh Health Serv (Bradf Engl). 2023;36(2):1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860728/psn-pdfJanuary 17, 2024 - Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professionals after adverse patient events. January 17, 2024 Rivera-Chiauzzi EY, Riggan KA, Huang L, et al. Factors influencing second victim experiences and support needs of OB/GYN and pediatric healthcare professio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867011/psn-pdfOctober 23, 2024 - Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. October 23, 2024 Burney RE, Mckeown ES, Zhang Y, et al. Outcomes of Michigan Medicine's integrated patient safety and communication and resolution program, 2013–2022. J Patient Saf Risk Manag. 2024;29(5):… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47077/psn-pdfMay 23, 2018 - World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018 Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards fo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852447/psn-pdfAugust 16, 2023 - Patient safety in palliative care at the end of life from the perspective of complex thinking. August 16, 2023 Bittencourt NCC de M, Duarte S da CM, Marcon SS, et al. Patient safety in palliative care at the end of life from the perspective of complex thinking. Healthcare (Basel). 2023;11(14):2030. doi:10.3390/hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46446/psn-pdfSeptember 27, 2017 - Journey toward high reliability: a comprehensive safety program to improve quality of care and safety culture in a large, multisite radiation oncology department. September 27, 2017 Woodhouse KD, Volz E, Maity A, et al. Journey Toward High Reliability: A Comprehensive Safety Program to Improve Quality of Care and … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845353/psn-pdfMarch 01, 2023 - Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023 Washington, DC: VA Office of the Inspector General; February 2, 2023. Report no. 22-01363-52. https://psnet.ahrq.gov/issue/inadequate-outpatient-mental-health-triage-and… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61067/psn-pdfJanuary 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020 Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74008/psn-pdfOctober 27, 2021 - Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021 Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(12):783-792. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40355/psn-pdfJuly 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846447/psn-pdfMarch 22, 2023 - Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. March 22, 2023 Richmond JG, Burgess N. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. J Health Organ Manag. 2023;37(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44122/psn-pdfJanuary 01, 2016 - Best practices: an electronic drug alert program to improve safety in an accountable care environment. November 16, 2015 Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pharm. 2016;21(4):330-336. doi:10… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46133/psn-pdfMay 24, 2017 - Implementing smart infusion pumps with dose-error reduction software: real-world experiences. May 24, 2017 Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. https://psnet.ahrq.gov/issue/implementing… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867047/psn-pdfOctober 30, 2024 - Therapeutic errors involving diabetes medications reported to United States poison centers. October 30, 2024 Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y. https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48040/psn-pdfJuly 24, 2019 - Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies. July 24, 2019 Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta- Analysis of Observational Studies. Ann Fam Med. 2019;17(3):257-266. doi:10.1370/afm.2373. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47498/psn-pdfMarch 05, 2019 - Data omission by physician trainees on ICU rounds. March 5, 2019 Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med. 2019;47(3):403-409. doi:10.1097/CCM.0000000000003557. https://psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds Reporting complete p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45836/psn-pdfJuly 02, 2017 - Improving patient safety: avoiding unread imaging exams in the National VA enterprise electronic health record. July 2, 2017 Bastawrous S, Carney B. Improving Patient Safety: Avoiding Unread Imaging Exams in the National VA Enterprise Electronic Health Record. J Digit Imaging. 2017;30(3):309-313. doi:10.1007/s10278… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44518/psn-pdfJanuary 22, 2016 - Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. January 22, 2016 Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retention and Transfer of Central Ven… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38569/psn-pdfMay 20, 2009 - Reducing health care hazards: lessons from the Commercial Aviation Safety Team. May 20, 2009 Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479. https://psnet.ahrq.gov/is…
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