-
psnet.ahrq.gov/node/41452/psn-pdf
June 06, 2012 - Patient Safety and Satisfaction: The State of American
Hospitals.
June 6, 2012
Golden, CO: HealthGrades Inc.; May 2012.
https://psnet.ahrq.gov/issue/patient-safety-and-satisfaction-state-american-hospitals
This report used Medicare hospitalization data from 2008–2010 to explore correlations between
patient–provid…
-
psnet.ahrq.gov/node/37561/psn-pdf
September 30, 2015 - Important Warnings and Instructions for Heparin Sodium
Injection (Baxter).
September 30, 2015
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 28, 2008.
https://psnet.ahrq.gov/issue/important-warnings-and-instructions-heparin-sodium-injection-baxter
This announcement update alert…
-
psnet.ahrq.gov/node/41129/psn-pdf
February 08, 2012 - Reducing medical errors and adverse events.
February 8, 2012
Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med.
2012;63:447-63. doi:10.1146/annurev-med-061410-121352.
https://psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
This article provides an overvie…
-
psnet.ahrq.gov/node/33939/psn-pdf
January 17, 2012 - VHA National Patient Safety Improvement Handbook.
January 17, 2012
https://psnet.ahrq.gov/issue/vha-national-patient-safety-improvement-handbook
A handbook developed by the VA and the National Center for Patient Safety that provides guidance on how
to limit opportunities that adversely impact patient safety and car…
-
psnet.ahrq.gov/node/39607/psn-pdf
June 16, 2010 - How to discuss errors and adverse events with cancer
patients.
June 16, 2010
Yardley I, Yardley SJ, Wu AW. How to discuss errors and adverse events with cancer patients. Curr Oncol
Rep. 2010;12(4):253-60. doi:10.1007/s11912-010-0109-0.
https://psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patie…
-
psnet.ahrq.gov/node/40419/psn-pdf
October 21, 2011 - ISMP Medication Safety Self Assessment for Hospitals.
October 21, 2011
Horsham, PA: Institute for Safe Medication Practices; April 2011.
https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-hospitals
This tool provides hospitals with a team-based process to evaluate medication practices in their faci…
-
psnet.ahrq.gov/node/41848/psn-pdf
November 28, 2016 - The heart of health care: parents' perspectives on patient
safety.
November 28, 2016
Micalizzi DA, Bismark M. The heart of health care: parents' perspectives on patient safety. Pediatr Clin
North Am. 2012;59(6):1233-1246. doi:10.1016/j.pcl.2012.08.004.
https://psnet.ahrq.gov/issue/heart-health-care-parents-perspec…
-
psnet.ahrq.gov/node/36611/psn-pdf
January 14, 2011 - In the wake of hospital inquiries: impact on staff and
safety.
January 14, 2011
Dunbar JA, Reddy P, Beresford B, et al. In the wake of hospital inquiries: impact on staff and safety. Med J
Aust. 2007;186(2):80-3.
https://psnet.ahrq.gov/issue/wake-hospital-inquiries-impact-staff-and-safety
The authors present seve…
-
psnet.ahrq.gov/node/36750/psn-pdf
July 10, 2008 - Physicians and electronic health records: a statewide
survey.
July 10, 2008
Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch
Intern Med. 2007;167(5):507-12.
https://psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
The investiga…
-
psnet.ahrq.gov/node/38368/psn-pdf
July 30, 2015 - Childrens' Hospitals' Solutions for Patient Safety.
July 30, 2015
https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety
This Web site provides resources related to a collaborative effort involving more than 80 hospitals with a
goal of reducing health care–associated conditions, readmissions, and…
-
psnet.ahrq.gov/node/37504/psn-pdf
June 29, 2011 - Safety in home care: a broadened perspective of patient
safety.
June 29, 2011
Lang A, Edwards N, Fleiszer A. Safety in home care: a broadened perspective of patient safety.
International Journal for Quality in Health Care. 2007;20(2). doi:10.1093/intqhc/mzm068.
https://psnet.ahrq.gov/issue/safety-home-care-broaden…
-
psnet.ahrq.gov/node/37632/psn-pdf
December 04, 2016 - Disclosure through our eyes.
December 4, 2016
Sheridan S, Conrad N, King S, et al. Disclosure Through Our Eyes. J Patient Saf. 2008;4(1):18-26.
doi:10.1097/pts.0b013e31816543cc.
https://psnet.ahrq.gov/issue/disclosure-through-our-eyes
This article relates personal experiences of medical errors and offers a powerfu…
-
psnet.ahrq.gov/node/37896/psn-pdf
March 18, 2010 - Sterile water should not be given "freely."
March 18, 2010
PA-PSRS Patient Saf Advis. June 2008;5:53-56.
https://psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
This article reports on cases of improper IV administration of sterile water, a high-alert substance, for the
treatment of hypernatremia and…
-
psnet.ahrq.gov/node/36510/psn-pdf
June 13, 2011 - Using clinical decision support to improve medication
reconciliation.
June 13, 2011
Moore G. Patient Saf Qual Healthc. November / December 2006.
https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation
The author provides strategies to enhance the value of medication reconcili…
-
psnet.ahrq.gov/node/40413/psn-pdf
June 18, 2018 - Drug Shortages.
June 18, 2018
US Food and Drug Administration.
https://psnet.ahrq.gov/issue/drug-shortages
Medication shortages are emerging as a patient safety issue. This Web site helps hospitals and
practitioners monitor drug availability and design processes to manage shortages in daily care. It provides
acce…
-
psnet.ahrq.gov/node/36054/psn-pdf
November 10, 2011 - Our broken health care system and how to fix it: an essay
on health law and policy.
November 10, 2011
Jost TS. Wake Forest Law Rev. 2006;41:537-618.
https://psnet.ahrq.gov/issue/our-broken-health-care-system-and-how-fix-it-essay-health-law-and-policy
The author discusses problems in the U.S. health care system and…
-
psnet.ahrq.gov/node/40523/psn-pdf
August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A
Conviction, and A Healing.
August 31, 2011
Texas Medical Institute of Technology. June 16, 2011.
https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
This webinar covered how medical errors affect both the family and provider …
-
psnet.ahrq.gov/node/39452/psn-pdf
April 14, 2010 - Patient safety and medications in the home.
April 14, 2010
McKenzie H. Patient safety and medications in the home. Home Healthc Nurse. 2010;28(3):198-200.
doi:10.1097/01.NHH.0000369773.18785.5b.
https://psnet.ahrq.gov/issue/patient-safety-and-medications-home
This article addresses medication safety in the homecar…
-
psnet.ahrq.gov/node/37316/psn-pdf
January 04, 2012 - Health information exchange and patient safety.
January 4, 2012
Kaelber DC, Bates DW. Health information exchange and patient safety. J Biomed Inform. 2007;40(6
Suppl):S40-5.
https://psnet.ahrq.gov/issue/health-information-exchange-and-patient-safety
This review spotlights specific areas in which health informatio…
-
psnet.ahrq.gov/node/36643/psn-pdf
January 14, 2011 - Addressing the nursing work environment to promote
patient safety.
January 14, 2011
Lin L, Liang BA. Addressing the nursing work environment to promote patient safety. Nurs Forum.
2007;42(1):20-30.
https://psnet.ahrq.gov/issue/addressing-nursing-work-environment-promote-patient-safety
The authors assess factors i…