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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46244/psn-pdfJune 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36992/psn-pdfSeptember 14, 2011 - Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. September 14, 2011 Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. J Nurs Care Qual. 2007;22… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39832/psn-pdfSeptember 08, 2010 - Unintended transplantation of three organs from an HIV- positive donor: report of the analysis of an adverse event in a regional health care service in Italy. September 8, 2010 Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46790/psn-pdfMarch 14, 2018 - When clinicians drop out and start over after adverse events. March 14, 2018 Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008. https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-afte… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45525/psn-pdfNovember 18, 2016 - In support of the medical apology: the nonlegal arguments. November 18, 2016 Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048. https://psnet.ahrq.gov/issue/support-medical-apology-nonlegal-argu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46231/psn-pdfDecember 20, 2017 - Patient preferences for participation in patient care and safety activities in hospitals. December 20, 2017 Ringdal M, Chaboyer W, Ulin K, et al. Patient preferences for participation in patient care and safety activities in hospitals. BMC Nurs. 2017;16:69. doi:10.1186/s12912-017-0266-7. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42353/psn-pdfSeptember 19, 2016 - Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. September 19, 2016 Mills PD, King LA, Watts B, et al. Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards. Gen Hosp Psych. 2013;35(5):528-536. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39047/psn-pdfOctober 28, 2009 - ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. October 28, 2009 Berry SA, Doll MC, McKinley KE, et al. ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery. Qual Saf Health Care. 2009;18(5):360-8. doi:10.1136/qshc.2007.025056. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43455/psn-pdfDecember 15, 2014 - What about doctors? The impact of medical errors. December 15, 2014 Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors Patients are the first victims when medica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45011/psn-pdfMay 25, 2016 - High Reliability Organizations: A Healthcare Handbook for Patient Safety & Quality. May 25, 2016 Oster C, Braaten J, eds. Indianapolis, IN: Sigma Theta Tau International; 2016. ISBN: 9781940446387. https://psnet.ahrq.gov/issue/high-reliability-organizations-healthcare-handbook-patient-safety-quality This publicati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40396/psn-pdfMay 18, 2016 - 2010 John M. Eisenberg Patient Safety and Quality Awards. May 18, 2016 Jt Comm J Qual Patient Saf. 2011;37(5):194-239. https://psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-awards This special issue highlights the efforts of the 2010 Eisenberg Award recipients and their impact on improving… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/847053/psn-pdfApril 05, 2023 - Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. April 5, 2023 Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public Health. 2023;11:1087268. doi:10.3389/fp… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46896/psn-pdfJuly 17, 2019 - Apology and unintended harm in global health. July 17, 2019 Addiss DG, Amon JJ. Apology and Unintended Harm in Global Health. Health Hum Rights. 2019;21(1):19- 32. https://psnet.ahrq.gov/issue/apology-and-unintended-harm-global-health Although disclosure and apology for mistakes in medical care are recommended, le… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44863/psn-pdfJuly 01, 2016 - Rating the raters: the inconsistent quality of health care performance measurement. July 1, 2016 Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851924/psn-pdfAugust 02, 2023 - The things we carry: the scope and impact of second victim syndrome. August 2, 2023 Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. https://psnet.ahrq.gov/issue/things-we-carry-scope-and-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43449/psn-pdfSeptember 03, 2014 - Interventions to reduce medication errors in pediatric intensive care. September 3, 2014 Manias E, Kinney S, Cranswick N, et al. Interventions to reduce medication errors in pediatric intensive care. Ann Pharmacother. 2014;48(10):1313-31. doi:10.1177/1060028014543795. https://psnet.ahrq.gov/issue/interventions-red… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866118/psn-pdfJune 12, 2024 - Factors Affecting the Delivery of Safe Care in Midwifery Units. June 12, 2024 Maternity and Newborn Safety Investigations Programme. Newcastle Upon Tyne, UK: Care Quality Commission; May 2024. https://psnet.ahrq.gov/issue/factors-affecting-delivery-safe-care-midwifery-units Safe maternal care is a challenge world… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43752/psn-pdfJanuary 21, 2015 - Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. January 21, 2015 Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and their importance for patient … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42860/psn-pdfMarch 20, 2014 - Eight critical factors in creating and implementing a successful simulation program. March 20, 2014 Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. https://psnet.ahrq.gov/issue/eight-critica… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/862999/psn-pdfFebruary 21, 2024 - Health tech hazards: at-home medical devices, AI governance on ECRI's new list. February 21, 2024 Miliard M. Healthcare IT News. February 1, 2024. https://psnet.ahrq.gov/issue/health-tech-hazards-home-medical-devices-ai-governance-ecris-new-list Technologies provide improvements and introduce unique problems to ca…
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