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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37009/psn-pdfMarch 18, 2010 - Doing the "right" things to correct wrong-site surgery. March 18, 2010 Patient Safety Advisory https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results of other studies, and provides suggesti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36877/psn-pdfMay 08, 2018 - Action needed to prevent dangerous heparin-insulin confusion. May 8, 2018 ISMP Medication Safety Alert! Acute care edition. May 3, 2007;12:1-2. https://psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion This alert describes several incidents of heparin/insulin mix-ups and provides recom… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35359/psn-pdfNovember 28, 2016 - Being open: communicating patient safety incidents with patients and their carers. November 28, 2016 National Patient Safety Agency. https://psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers This Web site provides the United Kingdom's set of disclosure guidelines for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42813/psn-pdfDecember 04, 2016 - Patient Stories 2013: Time for Change. December 4, 2016 Harrow, Middlesex, UK: The Patients Association; 2013. https://psnet.ahrq.gov/issue/patient-stories-2013-time-change This publication provides patient and family accounts of incidents involving inadequate care or harm and highlights the need for improvements … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40896/psn-pdfNovember 02, 2011 - Screen savers as an adjunct to medical education on patient safety. November 2, 2011 Coil CJ; Kaji AH; Crevensten H; Aaron KE; Lewis RJ; Coates WC. https://psnet.ahrq.gov/issue/screen-savers-adjunct-medical-education-patient-safety Computer screen savers that provided education about patient safety did not seem to… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35973/psn-pdfAugust 13, 2010 - Follow-up tips for a safe, efficient practice. August 13, 2010 Weiss GG. Follow-up tips for a safe, efficient practice. Medical economics. 2006;83(10):47-9. https://psnet.ahrq.gov/issue/follow-tips-safe-efficient-practice This article provides suggestions for physicians to ensure reliable follow-up on test results,… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45424/psn-pdfSeptember 21, 2016 - Shift to Safety. September 21, 2016 Canadian Patient Safety Institute. https://psnet.ahrq.gov/issue/shift-safety This initiative facilitates a patient safety approach that focuses on the roles of patients, clinicians, and organizations. The website provides tools and resources to inform and engage individuals as l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43276/psn-pdfJune 18, 2014 - Misidentification of alphanumeric symbols. June 18, 2014 ISMP Medication Safety Alert! Acute care edition. June 5, 2014;19:1-2,4-5. https://psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols Written numbers and letters that look alike can contribute to miscommunication in a variety of settings. This newsl… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35534/psn-pdfApril 25, 2018 - Mail service and community pharmacies must work in tandem. April 25, 2018 ISMP Safe Medication Alert! Acute care edition. November 17, 2005. https://psnet.ahrq.gov/issue/mail-service-and-community-pharmacies-must-work-tandem This article discusses how community pharmacies are contributing to patient safety and sug… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38051/psn-pdfMay 05, 2018 - Misprogramming PCA concentration leads to dosing errors. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3. https://psnet.ahrq.gov/issue/misprogramming-pca-concentration-leads-dosing-errors This article describes dosing errors associated with improper concentration programming of… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40003/psn-pdfNovember 02, 2012 - Meeting the Joint Commission's 2013 National Patient Safety Goals. November 2, 2012 Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555. https://psnet.ahrq.gov/issue/meeting-joint-commissions-2013-national-patient-safety-goals This e-book provides tips for incorporating activitie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38973/psn-pdfSeptember 23, 2009 - Patient safety: healthcare acquired conditions and serious reportable events. September 23, 2009 https://psnet.ahrq.gov/issue/patient-safety-healthcare-acquired-conditions-and-serious-reportable-events This announcement provides background on the proposed 2010 effort to revise and expand the National Quality Forum… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41505/psn-pdfMay 07, 2014 - Health IT Hazard Manager. May 7, 2014 Rockville, MD: Agency for Healthcare Research and Quality. AHRQ Publication No. 12-0058-EF May 2012. https://psnet.ahrq.gov/issue/health-it-hazard-manager This Web site provides information associated with a software tool to identify and prevent hazards from health information… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38286/psn-pdfJune 06, 2018 - Actively caring for safety: overcoming bystander apathy. June 6, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 20, 2008:13:1-3. https://psnet.ahrq.gov/issue/actively-caring-safety-overcoming-bystander-apathy This article provides suggestions to help individuals counteract the tendency for group in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41111/psn-pdfMay 21, 2014 - Are they safe in there? Patient safety and trainees in the practice. May 21, 2014 Byrnes PD, Crawford M, Wong B. Are they safe in there? - patient safety and trainees in the practice. Aust Fam Physician. 2012;41(1-2):26-9. https://psnet.ahrq.gov/issue/are-they-safe-there-patient-safety-and-trainees-practice This … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34120/psn-pdfDecember 30, 2012 - Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. December 30, 2012 Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004. https://psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature A literature review of preventable adverse events in a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41902/psn-pdfNovember 19, 2018 - High-Alert Medication Learning Guides for Consumers. November 19, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers This set of leaflets provides patients with information about taking high-alert medications safely. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35171/psn-pdfDecember 19, 2018 - Measuring Patient Safety. December 19, 2018 Newhouse R, Poe S. Sudbury, MA: Jones and Bartlett Publishers; 2005. ISBN 9780763728410. https://psnet.ahrq.gov/issue/measuring-patient-safety This book provides nurses with the concepts and processes involved in improving patient safety. From discussion of safety princi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36861/psn-pdfNovember 23, 2016 - Patients as Partners: How to Involve Patients and Families in Their Own Care. November 23, 2016 McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964. https://psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care This book illustrates how health c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35988/psn-pdfMay 04, 2015 - Eliminating Serious, Preventable, and Costly Medical Errors - Never Events. May 4, 2015 Baltimore, MD: Centers for Medicare and Medicaid Services; May 18, 2006. https://psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events This fact sheet provides information regarding the Cen…
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