-
psnet.ahrq.gov/node/46699/psn-pdf
March 20, 2018 - Disclosure of harmful medical error to patients: a review
with recommendations for pathologists.
March 20, 2018
Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations
for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181.
https://psnet…
-
psnet.ahrq.gov/node/45373/psn-pdf
November 18, 2016 - Prevalence, risk factors, and outcomes of idle
intravenous catheters: an integrative review.
November 18, 2016
Becerra MB, Shirley D, Safdar N. Prevalence, risk factors, and outcomes of idle intravenous catheters: An
integrative review. Am J Infect Control. 2016;44(10):e167-e172. doi:10.1016/j.ajic.2016.03.073.
ht…
-
psnet.ahrq.gov/node/46973/psn-pdf
June 25, 2018 - Balancing innovation and safety when integrating digital
tools into health care.
June 25, 2018
Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into
Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108.
https://psnet.ahrq.gov/issue/balancing-inno…
-
psnet.ahrq.gov/node/47213/psn-pdf
June 20, 2018 - Are second victims getting the help they need?
June 20, 2018
Headley M. Patient Saf Qual Healthc. May/June 2018.
https://psnet.ahrq.gov/issue/are-second-victims-getting-help-they-need
Clinicians can experience emotional stress, guilt, and insecurity after making a mistake. Organizations are
increasingly building p…
-
psnet.ahrq.gov/node/865719/psn-pdf
May 01, 2024 - High reliability pediatric heart centers: always working
toward getting better.
May 1, 2024
Torzone A, Birely A. High reliability pediatric heart centers: always working toward getting better. Curr Opin
Cardiol. 2024;39(4):356-363. doi:10.1097/hco.0000000000001143.
https://psnet.ahrq.gov/issue/high-reliability-ped…
-
psnet.ahrq.gov/node/844800/psn-pdf
September 25, 2019 - Patient Options for Safe and Effective Disposal of Unused
Opioids.
September 25, 2019
Washington, DC: United States Government Accountability Office; September 2019. Publication GAO-19-
650.
https://psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
One strategy to reduce the potentia…
-
psnet.ahrq.gov/node/48151/psn-pdf
August 07, 2019 - Dental patient safety in the military health system: joining
medicine in the journey to high reliability.
August 7, 2019
Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in
the Journey to High Reliability. Mil Med. 2019. doi:10.1093/milmed/usz154.
https://psn…
-
psnet.ahrq.gov/node/45094/psn-pdf
May 04, 2016 - Actions Needed to Improve Newly Enrolled Veterans'
Access to Primary Care.
May 4, 2016
Washington, DC: United States Government Accountability Office; March 18, 2016. Publication GAO-16-
328.
https://psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
This analysis found that s…
-
psnet.ahrq.gov/node/34594/psn-pdf
January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog
Group for Patient Safety: rewarding higher standards.
January 4, 2017
Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety:
rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9.
https://psnet.ahrq.gov/…
-
psnet.ahrq.gov/node/41249/psn-pdf
December 21, 2014 - Physicians' needs in coping with emotional stressors: the
case for peer support.
December 21, 2014
Hu Y-Y, Fix ML, Hevelone ND, et al. Physicians' needs in coping with emotional stressors: the case for
peer support. Arch Surg. 2012;147(3):212-217. doi:10.1001/archsurg.2011.312.
https://psnet.ahrq.gov/issue/physici…
-
psnet.ahrq.gov/node/46268/psn-pdf
September 27, 2017 - Learning from incidents in health care: critique from a
Safety-II perspective.
September 27, 2017
Sujan MA, Huang H, Braithwaite J. Safety Sci. 2017;99:115-121.
https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
Studying what works well to design safer systems is gaining tra…
-
psnet.ahrq.gov/node/74693/psn-pdf
January 26, 2022 - Including the reason for use on prescriptions sent to
pharmacists: scoping review.
January 26, 2022
Mercer K, Carter C, Burns C, et al. Including the reason for use on prescriptions sent to pharmacists:
scoping review. JMIR Hum Factors. 2021;8(4):e22325. doi:10.2196/22325.
https://psnet.ahrq.gov/issue/including-re…
-
psnet.ahrq.gov/node/47408/psn-pdf
September 19, 2018 - Ways to Improve Electronic Health Record Safety.
September 19, 2018
Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018.
https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety
Electronic health records both contribute to and detract from safe care. This…
-
psnet.ahrq.gov/node/36449/psn-pdf
May 27, 2011 - Medication-related clinical decision support in
computerized provider order entry systems: a review.
May 27, 2011
Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized
provider order entry systems: a review. J Am Med Inform Assoc. 2007;14(1):29-40.
https://psnet.ahrq.go…
-
psnet.ahrq.gov/node/73192/psn-pdf
April 23, 2012 - The longer the shifts for hospital nurses, the higher the
levels of burnout and patient dissatisfaction.
April 23, 2012
Stimpfel AW, Sloane DM, Aiken LH. The longer the shifts for hospital nurses, the higher the levels of
burnout and patient dissatisfaction. Health Aff (Millwood). 2013;31(11):2501-2509.
doi:10.137…
-
psnet.ahrq.gov/node/40697/psn-pdf
October 31, 2011 - Real-time automated paging and decision support for
critical laboratory abnormalities.
October 31, 2011
Etchells E, Adhikari NKJ, Wu RC, et al. Real-time automated paging and decision support for critical
laboratory abnormalities. BMJ Qual Saf. 2011;20(11):924-30. doi:10.1136/bmjqs.2010.051110.
https://psnet.ahrq.…
-
psnet.ahrq.gov/node/40598/psn-pdf
August 10, 2011 - An inpatient fall prevention initiative in a tertiary care
hospital.
August 10, 2011
Weinberg J, Proske D, Szerszen A, et al. An inpatient fall prevention initiative in a tertiary care hospital. Jt
Comm J Qual Patient Saf. 2011;37(7):317-325.
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertia…
-
psnet.ahrq.gov/node/46248/psn-pdf
October 23, 2018 - Medical errors, malpractice, and defensive medicine: an
ill-fated triad.
October 23, 2018
Berlin L. Medical errors, malpractice, and defensive medicine: an ill-fated triad. Diagnosis (Berl).
2017;4(3):133-139. doi:10.1515/dx-2017-0007.
https://psnet.ahrq.gov/issue/medical-errors-malpractice-and-defensive-medicine-…
-
psnet.ahrq.gov/node/73185/psn-pdf
April 28, 2021 - Balancing patient safety, clinical efficacy, and
cybersecurity with clinician partners.
April 28, 2021
Schneider J, Wirth A. Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.
Biomed Instrum Technol. 2021;55(1):21-28. doi:10.2345/0899-8205-55.1.21.
https://psnet.ahrq.gov/issue/…
-
psnet.ahrq.gov/node/73592/psn-pdf
August 11, 2021 - Using performance improvement to enhance time-out
compliance and prevent wrong-site surgery.
August 11, 2021
Vance ME, Proctor T, Schmidt KA. Using performance improvement to enhance time-out compliance and
prevent wrong-site surgery. AORN J. 2021;113(6):635-642. doi:10.1002/aorn.13413.
https://psnet.ahrq.gov/issu…