-
psnet.ahrq.gov/node/34676/psn-pdf
December 23, 2008 - Driving improvement in patient care: lessons from
Toyota.
December 23, 2008
Thompson DN, Wolf GA, Spear SJ. Driving improvement in patient care: lessons from Toyota. J Nurs Adm.
2003;33(11):585-595.
https://psnet.ahrq.gov/issue/driving-improvement-patient-care-lessons-toyota
Representatives from University of Pit…
-
psnet.ahrq.gov/node/43565/psn-pdf
March 22, 2016 - The role of failure mode and effects analysis in health
care.
March 22, 2016
Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec.
2014;40(4):28-32.
https://psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care
Failure mode and effects analysis (FMEA) h…
-
psnet.ahrq.gov/node/42179/psn-pdf
April 10, 2013 - Training health care professionals in root cause analysis:
a cross-sectional study of post-training experiences,
benefits and attitudes.
April 10, 2013
Bowie P, Skinner J, de Wet C. Training health care professionals in root cause analysis: a cross-sectional
study of post-training experiences, benefits and attitud…
-
psnet.ahrq.gov/node/44417/psn-pdf
January 25, 2016 - Health information exchange in emergency medicine.
January 25, 2016
Shapiro JS, Crowley D, Hoxhaj S, et al. Health Information Exchange in Emergency Medicine. Ann Emerg
Med. 2016;67(2):216-26. doi:10.1016/j.annemergmed.2015.06.018.
https://psnet.ahrq.gov/issue/health-information-exchange-emergency-medicine
Insuffi…
-
psnet.ahrq.gov/node/44638/psn-pdf
May 18, 2016 - Developing an appreciation of patient safety: analysis of
interprofessional student experiences with health
mentors.
May 18, 2016
Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences
with health mentors. Perspect Med Educ. 2016;5(2):88-94. doi:10.1007/s40037-0…
-
psnet.ahrq.gov/node/35237/psn-pdf
November 29, 2009 - Improving nurse-to-patient staffing ratios as a cost-
effective safety intervention.
November 29, 2009
Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective
safety intervention. Med Care. 2005;43(8):785-91.
https://psnet.ahrq.gov/issue/improving-nurse-patient-…
-
psnet.ahrq.gov/node/73507/psn-pdf
July 21, 2021 - Systematic review of intraoperative anesthesia handoffs
and handoff tools.
July 21, 2021
Abraham J, Pfeifer E, Doering M, et al. Systematic review of intraoperative anesthesia handoffs and
handoff tools. Anesth Analg. 2021;132(6):1563-1575. doi:10.1213/ane.0000000000005367.
https://psnet.ahrq.gov/issue/systematic-…
-
psnet.ahrq.gov/node/47958/psn-pdf
June 26, 2019 - Patient safety professionals as the third victims of
adverse events.
June 26, 2019
Holden J, Card AJ. Patient safety professionals as the third victims of adverse events. J Patient Saf Risk
Manag. 2019;24(4):166-175. doi:10.1177/2516043519850914.
https://psnet.ahrq.gov/issue/patient-safety-professionals-third-vict…
-
psnet.ahrq.gov/node/43485/psn-pdf
December 15, 2014 - Implementation of an emergency department sign-out
checklist improves transfer of information at shift change.
December 15, 2014
Dubosh NM, Carney D, Fisher J, et al. Implementation of an emergency department sign-out checklist
improves transfer of information at shift change. J Emerg Med. 2014;47(5):580-5.
doi:10…
-
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/34978/psn-pdf
June 30, 2011 - Personal digital assistant-based drug information
sources: potential to improve medication safety.
June 30, 2011
Galt K, Rule AM, Houghton B, et al. Personal digital assistant-based drug information sources: potential to
improve medication safety. J Med Libr Assoc. 2005;93(2):229-36.
https://psnet.ahrq.gov/issue/p…
-
psnet.ahrq.gov/node/46019/psn-pdf
April 26, 2017 - Certified registered nurse anesthetist perceptions of
factors impacting patient safety.
April 26, 2017
McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of
Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69.
https://psnet.ahrq.gov/issue/certified-registered-nu…
-
psnet.ahrq.gov/node/839312/psn-pdf
November 02, 2022 - Documenting the indication for antimicrobial prescribing:
a scoping review.
November 2, 2022
Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review.
BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582.
https://psnet.ahrq.gov/issue/documenting-indicati…
-
psnet.ahrq.gov/node/855003/psn-pdf
November 01, 2023 - The hospital ran out of her child's cancer drug. Now she's
fighting to end shortages.
November 1, 2023
Noguchi Y. Health Shots and All Things Considered. National Public Radio. October 23, 2023.
https://psnet.ahrq.gov/issue/hospital-ran-out-her-childs-cancer-drug-now-shes-fighting-end-shortages
Drug shortages…
-
psnet.ahrq.gov/node/859347/psn-pdf
December 20, 2023 - Making surgery as safe as it should be: a qualitative
study.
December 20, 2023
Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual.
2023;38(5):238-244. doi:10.1097/jmq.0000000000000139.
https://psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study
…
-
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/74204/psn-pdf
January 01, 2022 - Perceptions of nurses who are second victims in a
hospital setting.
December 22, 2021
Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital
setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603.
https://psnet.ahrq.gov/issue/perceptions-nurses-…
-
psnet.ahrq.gov/node/44404/psn-pdf
August 26, 2015 - Nurse interrupted: development of a realistic medication
administration simulation for undergraduate nurses.
August 26, 2015
Hayes C, Power T, Davidson PM, et al. Nurse interrupted: Development of a realistic medication
administration simulation for undergraduate nurses. Nurse Educ Today. 2015;35(9):981-6.
doi:10.…
-
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/60631/psn-pdf
June 24, 2020 - Special report: COVID deepens the other opioid crisis - a
shortage of hospital painkillers.
June 24, 2020
Girion L, Levine D, Respaut R. Special report: COVID deepens the other opioid crisis - a shortage of
hospital painkillers. Reuters. 2020;June 9.
https://psnet.ahrq.gov/issue/special-report-covid-deepens-other-…