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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47544/psn-pdfDecember 12, 2018 - Using good catches to promote a just culture and perioperative patient safety. December 12, 2018 Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394. https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43284/psn-pdfNovember 28, 2016 - Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. November 28, 2016 Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44265/psn-pdfJanuary 22, 2016 - How surgical trainees handle catastrophic errors: a qualitative study. January 22, 2016 Balogun JA, Bramall AN, Bernstein M. How Surgical Trainees Handle Catastrophic Errors: A Qualitative Study. J Surg Educ. 2015;72(6):1179-84. doi:10.1016/j.jsurg.2015.05.003. https://psnet.ahrq.gov/issue/how-surgical-trainees-ha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38735/psn-pdfJune 24, 2009 - Reflection and analysis of how pharmacy students learn to communicate about medication errors. June 24, 2009 Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838025/psn-pdfSeptember 07, 2022 - Opportunities to mine EHRs for malpractice risk management and patient safety. September 7, 2022 Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/25160435221097422. https://psnet.ahrq.gov… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47804/psn-pdfJune 12, 2019 - Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program. June 12, 2019 Grubenhoff JA, Ziniel SI, Bajaj L, et al. Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educationa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34800/psn-pdfDecember 23, 2008 - A classification system for incidents and accidents in the health-care system. December 23, 2008 Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. https://psnet.ahrq.gov/issue/classification-system-incidents-and-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35718/psn-pdfMay 27, 2011 - Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database. May 27, 2011 Zhan C, Hicks RW, Blanchette CM, et al. Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting da… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45866/psn-pdfMarch 08, 2017 - Medication safety in the neonatal intensive care unit: big measures for our smallest patients. March 8, 2017 Rostas SE. Medication Safety in the Neonatal Intensive Care Unit: Big Measures for Our Smallest Patients. J Perinat Neonatal Nurs. 2017;31(1):15-19. doi:10.1097/JPN.0000000000000230. https://psnet.ahrq.gov/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47074/psn-pdfAugust 22, 2018 - Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. August 22, 2018 Litchfield I, Gill P, Avery T, et al. Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. BMC Fam Pract. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48005/psn-pdfMay 08, 2019 - Why your doctor's white coat can be a threat to your health. May 8, 2019 Haun N, Hooper-Lane C, Safdar N. Healthcare Personnel Attire and Devices as Fomites: A Systematic Review. Infect Control Hosp Epidemiol. 2016;37(11):1367-1373. https://psnet.ahrq.gov/issue/why-your-doctors-white-coat-can-be-threat-your-health… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46298/psn-pdfOctober 18, 2017 - CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017 Kuang C. Fast Company. October 4, 2017. https://psnet.ahrq.gov/issue/cvs-taps-design-legend-reinvent-prescription-label-next-stop-pharmacy Complicated systems often require more than one change to improve their s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45469/psn-pdfJanuary 18, 2017 - Tamper-resistant drugs cannot solve the opioid crisis. January 18, 2017 Leece P, Orkin AM, Kahan M. Tamper-resistant drugs cannot solve the opioid crisis. CMAJ. 2015;187(10):717-718. doi:10.1503/cmaj.150329. https://psnet.ahrq.gov/issue/tamper-resistant-drugs-cannot-solve-opioid-crisis Health care organizations ha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46776/psn-pdfFebruary 28, 2018 - Older adults' awareness of deprescribing: a population- based survey. February 28, 2018 Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079. https://psnet.ahrq.gov/issue/older-adults-awareness-deprescribing-pop… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45297/psn-pdfJuly 13, 2016 - Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. July 13, 2016 Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. BMJ. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865346/psn-pdfMarch 27, 2024 - RaDonda Vaught says some system practices contributed to fatal mistake. March 27, 2024 Clark C. MedPage Today. March 14, 2024. https://psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake Stories from clinicians involved in errors provide unique insights into both the human an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/61050/psn-pdfOctober 21, 2020 - Health care management during Covid-19: insights from complexity science. October 21, 2020 Begun JW, Jiang HJ. NEJM Catalyst. October 9, 2020. https://psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science Complexity science provides a foundation to manage and learn from cris… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44285/psn-pdfNovember 06, 2015 - Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. November 6, 2015 Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. BMC Health Serv Res. 2015;15:196… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45275/psn-pdfNovember 01, 2017 - Electronic tools to support medication reconciliation—a systematic review. November 1, 2017 Marien S, Krug B, Spinewine A. Electronic tools to support medication reconciliation: a systematic review. J Am Med Inform Assoc. 2017;24(1):227-240. doi:10.1093/jamia/ocw068. https://psnet.ahrq.gov/issue/electronic-tools-s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42179/psn-pdfApril 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…
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