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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846761/psn-pdfSeptember 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853245/psn-pdfSeptember 06, 2023 - Intraoperative communications between pathologists and surgeons: do we understand each other? September 6, 2023 Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arpa.2020-0632-oa. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72778/psn-pdfFebruary 24, 2021 - Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. February 24, 2021 Mahadevan K, Cowan E, Kalsi N, et al. Distractions in the cardiac catheterisation laboratory: impact for cardiologists and patient safety. Open Heart. 2020;7(2). doi:10.1136/openhrt-2020-001260. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45522/psn-pdfJanuary 01, 2020 - Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? November 9, 2016 Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the World Health Organization Safe Sur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44118/psn-pdfMay 19, 2018 - Inadequate preoperative team briefings lead to more intraoperative adverse events. May 19, 2018 Phadnis J, Templeton-Ward O. Inadequate Preoperative Team Briefings Lead to More Intraoperative Adverse Events. J Patient Saf. 2018;14(2):82-86. doi:10.1097/PTS.0000000000000181. https://psnet.ahrq.gov/issue/inadequate-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50885/psn-pdfFebruary 12, 2020 - Impact of staff turnover during cardiac surgical procedures. February 12, 2020 Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051. https://psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44763/psn-pdfNovember 18, 2016 - A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. November 18, 2016 Ong APC, Devcich DA, Hannam J, et al. A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. BMJ Qual Saf. 2… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46390/psn-pdfOctober 29, 2017 - Using data to enhance performance and improve quality and safety in surgery. October 29, 2017 Goldenberg MG, Jung JJ, Grantcharov T. Using Data to Enhance Performance and Improve Quality and Safety in Surgery. JAMA Surg. 2017;152(10):972-973. doi:10.1001/jamasurg.2017.2888. https://psnet.ahrq.gov/issue/using-data-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43932/psn-pdfMarch 04, 2015 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. March 4, 2015 Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015. https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37429/psn-pdfFebruary 17, 2011 - Outcomes of care by hospitalists, general internists, and family physicians. February 17, 2011 Lindenauer PK, Rothberg MB, Pekow PS, et al. Outcomes of Care by Hospitalists, General Internists, and Family Physicians. New Engl J Med. 2007;357(25):2589-2600. doi:10.1056/nejmsa067735. https://psnet.ahrq.gov/issue/ou… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852800/psn-pdfAugust 23, 2023 - Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. August 23, 2023 Kinsella SM, Boaden B, El?Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Anaesthesia. 2023;78(10):1285-1294. doi:10.1111/anae.16095. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44520/psn-pdfSeptember 30, 2015 - Patient safety in dermatologic surgery: parts 1 and 2. September 30, 2015 Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26. https://psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural- dermatology-part-2 This two-part review series explores patient s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41845/psn-pdfOctober 08, 2013 - Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. October 8, 2013 Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on medical errors: a study of intensive ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46808/psn-pdfFebruary 14, 2018 - Anesthesia medication handling needs a new vision. February 14, 2018 Grigg EB, Roesler A. Anesthesia Medication Handling Needs a New Vision. Anesth Analg. 2018;126(1):346-350. doi:10.1213/ANE.0000000000002521. https://psnet.ahrq.gov/issue/anesthesia-medication-handling-needs-new-vision Anesthesiology has been a le… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45546/psn-pdfOctober 05, 2016 - Using standardized OR checklists and creating extended time-out checklists. October 5, 2016 Hey LA, Turner TC. Using Standardized OR Checklists and Creating Extended Time-Out Checklists. AORN J. 2016;104(3):248-53. doi:10.1016/j.aorn.2016.07.007. https://psnet.ahrq.gov/issue/using-standardized-or-checklists-and-cr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35736/psn-pdfMay 27, 2011 - Video capture of clinical care to enhance patient safety. May 27, 2011 Weinger MB, Gonzales DC, Slagle J, et al. Video capture of clinical care to enhance patient safety. Qual Saf Health Care. 2004;13(2):136-44. https://psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety This study describes th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859353/psn-pdfDecember 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47424/psn-pdfNovember 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47064/psn-pdfAugust 22, 2018 - Lax oversight leaves surgery center regulators and patients in the dark. August 22, 2018 Jewett C, Alesia M. Kaiser Health News. August 9, 2018. https://psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark High-profile failures during office-based procedures have raised awareness o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45227/psn-pdfJanuary 21, 2017 - Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative. January 21, 2017 Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication Standards in a Multi-Neonatal ICU Quality Improvement Collaborative. Jt Comm …
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