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8761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38190/psn-pdf
      May 14, 2009 - Oncology medication safety: a 3D status report 2008. May 14, 2009 Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634. https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008 This survey di…

8762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864384/psn-pdf
      March 13, 2024 - Rx for reality: clinicians confront medical gaslighting. March 13, 2024 Booth G, ed.  Anamnesis. MedPage Today. March 1, 2024. https://psnet.ahrq.gov/issue/rx-reality-clinicians-confront-medical-gaslighting The dismissal of patient health concerns by providers degrades diagnosis, treatment, and trust. Thi…

8763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46095/psn-pdf
      April 26, 2017 - Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. April 26, 2017 Riga M, ed. Hershey, PA: IGI Global; 2017. ISBN: 9781522523376. https://psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient- safety This book provides information o…

8764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36736/psn-pdf
      March 21, 2012 - FDA preliminary public health notification: unpredictable events in medical equipment due to new daylight savings time change. March 21, 2012 Silver Spring MD; Center for Devices and Radiological Health, Food and Drug Administration; March1, 2007. https://psnet.ahrq.gov/issue/fda-preliminary-public-health-notific…

8765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36935/psn-pdf
      September 01, 2011 - When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? September 1, 2011 Naessens JM, Culbertson R, Lefante JJ, et al. When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? Qual Manag Health Care. 2007…

8766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47817/psn-pdf
      February 27, 2019 - FactFinders. February 27, 2019 SIS Patient Safety Committee. Spine Intervention Society. https://psnet.ahrq.gov/issue/factfinders This resource provides newsletters that target concerns associated with spinal pain interventions and offers safety strategies. The collection focuses on three primary areas: procedural…

8767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44478/psn-pdf
      September 09, 2015 - Oral chemotherapy: not just an ordinary pill. September 9, 2015 ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2. https://psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill Chemotherapy delivered by any method is a high-alert medication. This news article provides tips for both patients and practitio…

8768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39036/psn-pdf
      October 21, 2009 - Disclosing medical errors to patients: a challenge for health care professionals and institutions. October 21, 2009 Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018. https://psnet.ahrq.…

8769. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35700/psn-pdf
      February 15, 2010 - Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. February 15, 2010 Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005;129(10):1262-1267. https://psne…

8770. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73991/psn-pdf
      October 20, 2021 - Digital Clinical Safety Strategy October 20, 2021 NHSX, NHS Digital, NHS England, et al. London, England: Crown Copyright; September 2021. https://psnet.ahrq.gov/issue/digital-clinical-safety-strategy Digital clinical technologies hold promise for care improvement while contributing to potential failures due to th…

8771. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40083/psn-pdf
      December 15, 2010 - Nighttime and weekend medication error rates in an inpatient pediatric population. December 15, 2010 Miller AD, Piro CC, Rudisill CN, et al. Nighttime and weekend medication error rates in an inpatient pediatric population. Ann Pharmacother. 2010;44(11):1739-46. doi:10.1345/aph.1P252. https://psnet.ahrq.gov/issue/…

8772. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45176/psn-pdf
      July 20, 2016 - Sustaining Improvement. July 20, 2016 Scoville R, Little K, Rakover J, et al. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2016. https://psnet.ahrq.gov/issue/sustaining-improvement Numerous activities and programs have been launched to improve patient safety, but sustaining improvements can be …

8773. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41279/psn-pdf
      September 19, 2016 - Medical error, incident investigation and the second victim: doing better but feeling worse? September 19, 2016 Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-2011-000605. https://psnet.ahrq.gov/…

8774. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72732/psn-pdf
      February 10, 2021 - Health care workers in the midst of crisis. February 10, 2021 Sentinel Event Alert. Feb 2, 2021;(62):1-7.  https://psnet.ahrq.gov/issue/health-care-workers-midst-crisis Safe patient care is reliant on a healthy healthcare workforce. This alert emphasizes organizational conditions and supporting the wellb…

8775. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45450/psn-pdf
      February 13, 2018 - Avoiding Unconscious Bias: a Guide for Surgeons. February 13, 2018 London, UK: Royal College of Surgeons of England; 2016. https://psnet.ahrq.gov/issue/avoiding-unconscious-bias-guide-surgeons Biases can affect decision making and behaviors toward colleagues and patients. This guidance provides information for sur…

8776. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60331/psn-pdf
      May 13, 2020 - How a Doctor Confronts Medical Error. May 13, 2020 People’s Pharmacy.  Show 1209. April 28, 2020. https://psnet.ahrq.gov/issue/how-doctor-confronts-medical-error Accidental harm to patients is a persistent challenge in health care. This interview features Dr. Danielle Ofri who provides an overview of error in…

8777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46634/psn-pdf
      November 22, 2017 - Ambulatory Care Patient Safety 2017–2018. November 22, 2017 National Quality Forum; NQF. https://psnet.ahrq.gov/issue/ambulatory-care-patient-safety-2017-2018 Patient safety in ambulatory care is emerging as a focus of research, regulation, and measurement efforts. This website provides information and resources r…

8778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837738/psn-pdf
      July 27, 2022 - High-reliability organisation principles implemented in dentistry. July 27, 2022 Minyé HM, Benjamin EM. High-reliability organisation principles implemented in dentistry. Br Dent J. 2022;232(12):879-885. doi:10.1038/s41415-022-4354-z. https://psnet.ahrq.gov/issue/high-reliability-organisation-principles-implemente…

8779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48136/psn-pdf
      August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health IT. August 7, 2019 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it Inconsistent checking for and consideration of drug allergy alerts can d…

8780. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44100/psn-pdf
      June 10, 2015 - Residency training in handoffs: a survey of program directors in psychiatry. June 10, 2015 Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. https://psnet.ahrq.gov/issue/residency-trainin…