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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43698/psn-pdf
    November 19, 2014 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. November 19, 2014 Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873. https://psnet.ahrq.gov/i…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866323/psn-pdf
    July 17, 2024 - AHRQ-Funded Patient Safety Project Highlights: Improving Patient Safety by Enhancing Care Coordination. July 17, 2024 Rockville, MD: Agency for Healthcare Research and Quality; June 2024. AHRQ Pub. No. 24-0017-2-EF. https://psnet.ahrq.gov/issue/ahrq-funded-patient-safety-project-highlights-improving-patient-safety…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865310/psn-pdf
    March 27, 2024 - Organizational learning in the morbidity and mortality conference. March 27, 2024 Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. https://psnet.ahrq.gov/issue/organizational-learning-morbidi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36088/psn-pdf
    September 28, 2010 - Impact and implications of disruptive behavior in the perioperative arena. September 28, 2010 Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105. https://psnet.ahrq.gov/issue/impact-and-implications-disruptive-behavior-perioperat…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39070/psn-pdf
    November 27, 2009 - Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. November 27, 2009 Cranshaw J, Gupta KJ, Cook TM. Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995-2007. Anaesthesia. 2009;64(12):1317-23. doi:10.1111/j…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46247/psn-pdf
    August 08, 2018 - Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation. August 8, 2018 van Pelt M, Weinger MB. Distractions in the Anesthesia Work Environment: Impact on Patient Safety? Report of a Meeting Sponsored by the Anesthesia Pat…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44484/psn-pdf
    May 04, 2016 - Failure mode and effects analysis: a comparison of two common risk prioritisation methods. May 4, 2016 McElroy LM, Khorzad R, Nannicelli AP, et al. Failure mode and effects analysis: a comparison of two common risk prioritisation methods. BMJ Qual Saf. 2016;25(5):329-336. doi:10.1136/bmjqs-2015-004130. https://psn…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50658/psn-pdf
    November 13, 2019 - Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. November 13, 2019 Donner-Banzhoff N, Müller B, Beyer M, et al. Thresholds, rules and defensive strategies: how physicians learn from their prior diagnosis-related experiences. Diagnosis (Berl). 2019;7(2…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46920/psn-pdf
    August 08, 2018 - Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. August 8, 2018 Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in Infectious Agent Transmission Precaution Practices in Hospitals: A Qualitati…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47628/psn-pdf
    March 13, 2019 - Prescribing in 2019: what are the safety concerns? March 13, 2019 Coleman JJ. Prescribing in 2019: what are the safety concerns? Expert Opin Drug Saf. 2019;18(2):69-74. doi:10.1080/14740338.2019.1571038. https://psnet.ahrq.gov/issue/prescribing-2019-what-are-safety-concerns Medication errors present challenges to …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44634/psn-pdf
    November 21, 2016 - The Family Caregiver Activation in Transitions (FCAT) tool: a new measure of family caregiver self-efficacy. November 21, 2016 Coleman EA, Ground KL, Maul A. The Family Caregiver Activation in Transitions (FCAT) Tool: A New Measure of Family Caregiver Self-Efficacy. Jt Comm J Qual Patient Saf. 2015;41(11):502-7. h…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47278/psn-pdf
    August 15, 2018 - Drawing boundaries: the difficulty in defining clinical reasoning. August 15, 2018 Young M, Thomas A, Lubarsky S, et al. Drawing Boundaries: The Difficulty in Defining Clinical Reasoning. Acad Med. 2018;93(7):990-995. doi:10.1097/ACM.0000000000002142. https://psnet.ahrq.gov/issue/drawing-boundaries-difficulty-defi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38332/psn-pdf
    January 14, 2009 - Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. January 14, 2009 Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health Care. 2008;17(6):454-8. doi:10.11…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47816/psn-pdf
    June 26, 2019 - Clinical reasoning assessment methods: a scoping review and practical guidance. June 26, 2019 Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618. https://psnet.ahrq.gov/issue/clinical-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43660/psn-pdf
    November 12, 2014 - Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting. November 12, 2014 Broussard CS, Frey MT, Hernandez-Diaz S, et al. Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for …

  16. Staff Safety Assessment | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/mvp/modules/cusp/staff-safety-asst.html
    January 01, 2017 - Staff Safety Assessment AHRQ Safety Program for Mechanically Ventilated Patients What Is the Purpose of This Tool? The purpose of this tool is to tap into frontline knowledge to find risks on your unit that impact patient safety. Who Should Use This Tool? All health care providers and admi…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46626/psn-pdf
    December 22, 2018 - What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. December 22, 2018 Narayana S, Rajkomar A, Harrison JD, et al. What Happened to My Patient? An Educational Intervention to Facilitate Postdischarge Patient Follow-Up. J Grad Med Educ. 2017;9(5):627-633. doi:10.430…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863765/psn-pdf
    March 06, 2024 - Patient safety and artificial intelligence in clinical care. March 6, 2024 Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. https://psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligen…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43516/psn-pdf
    June 15, 2017 - Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. June 15, 2017 Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of Septic Patients Admitted Through the Emergency Department. J Patient …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45138/psn-pdf
    May 25, 2016 - Improving Weekend Out Of Hours Surgical Handover (WOOSH). May 25, 2016 Boyer M, Tappenden J, Peter M. Improving Weekend Out Of hours Surgical Handover (WOOSH). BMJ Qual Improv Rep. 2016;5(1):1-4. doi:10.1136/bmjquality.u209552.w4190. https://psnet.ahrq.gov/issue/improving-weekend-out-hours-surgical-handover-woosh …
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