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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839819/psn-pdfNovember 09, 2022 - Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study. November 9, 2022 Harton L, Skemp L. Medical–surgical nurse leaders' experiences with safety culture: An inductive qualitative descriptive study. J Nurs Manag. 2022;30(7):2781-2790. doi:10.1111/jonm.13775. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38681/psn-pdfJune 03, 2009 - To Err Is Human — To Delay Is Deadly. June 3, 2009 Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009. https://psnet.ahrq.gov/issue/err-human-delay-deadly The 10 years since the release of the Institute of Medicine's To Err Is Human report have yielded some improvements in patient safety, but this Consumers … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44183/psn-pdfNovember 03, 2015 - The absence of a drug–disease interaction alert leads to a child's death. November 3, 2015 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. https://psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death The disabling of alerts due to alarm fatigue can hinder the abilit… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/853062/psn-pdfAugust 30, 2023 - Quality and safety practices among academic obstetrics and gynecology departments. August 30, 2023 Christopher D, Leininger WM, Beaty L, et al. Quality and safety practices among academic obstetrics and gynecology departments. Am J Med Qual. 2023;38(4):165-173. doi:10.1097/jmq.0000000000000129. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45625/psn-pdfNovember 01, 2017 - Building comprehensive strategies for obstetric safety: simulation drills and communication. November 1, 2017 Austin N, Goldhaber-Fiebert SN, Daniels K, et al. Building Comprehensive Strategies for Obstetric Safety: Simulation Drills and Communication. Anesth Analg. 2016;123(5):1181-1190. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42497/psn-pdfFebruary 27, 2014 - (How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication administration errors. February 27, 2014 Drach-Zahavy A, Somech A, Admi H, et al. (How) do we learn from errors? A prospective study of the link between the ward's learning practices and medication a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39331/psn-pdfMarch 03, 2010 - Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. March 3, 2010 Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. Ann Intern Med. 2010;152(4):247-58.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838135/psn-pdfJanuary 01, 2023 - The fallacy of a single diagnosis. September 21, 2022 Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343. https://psnet.ahrq.gov/issue/fallacy-single-diagnosis Premature closure occurs when clinicians accept a diagnosis before it has been… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43932/psn-pdfMarch 04, 2015 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. March 4, 2015 Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015. https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45151/psn-pdfMay 18, 2016 - Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. May 18, 2016 van Rosse F, Suurmond J, Wagner C, et al. Role of relatives of ethnic minority patients in patient safety in hospital care: a qualitative study. BMJ Open. 2016;6(4):e009052. doi:10.1136/bmjopen-2015-0… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50401/psn-pdfOctober 02, 2019 - Discrepant advanced directives and code status orders: a preventable medical error. October 2, 2019 Meisenberg B, Zaidi S, Franks L, et al. Discrepant Advanced Directives and Code Status Orders: A Preventable Medical Error. J Hosp Med. 2019;14(10):716-718. doi:10.12788/jhm.3244. https://psnet.ahrq.gov/issue/discre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/852800/psn-pdfAugust 23, 2023 - Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. August 23, 2023 Kinsella SM, Boaden B, El?Ghazali S, et al. Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. Anaesthesia. 2023;78(10):1285-1294. doi:10.1111/anae.16095. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47057/psn-pdfJuly 14, 2018 - A framework for operationalizing risk: a practical approach to patient safety. July 14, 2018 Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317. https://psnet.ahrq.gov/issue/frame… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/866324/psn-pdfJuly 17, 2024 - Total systems safety supports practitioners in partnering with families to protect patients. July 17, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. https://psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients Patient and family concerns can provide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/857457/psn-pdfDecember 06, 2023 - 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. December 6, 2023 Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):34-41. doi:10.7748/en.2023.e2187. ht… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36244/psn-pdfJune 13, 2012 - With Safety in Mind: Mental Health Services and Patient Safety. June 13, 2012 Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. https://psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety This report, the second in a series from the United Kingdom's Nati… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43854/psn-pdfFebruary 11, 2015 - Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2015. Report No. OEI-01-13-00400. https://psnet.ahrq.gov/issue/medicares-oversight-compounded-pharmaceuticals-use… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865481/psn-pdfApril 03, 2024 - Examining the relationship between nurse fatigue, alertness, and medication errors. April 3, 2024 Farag A, Gallagher J, Carr L. Examining the relationship between nurse fatigue, alertness, and medication errors. West J Nurs Res. 2024;46(4):288-295. doi:10.1177/01939459241236631. https://psnet.ahrq.gov/issue/examin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863763/psn-pdfMarch 06, 2024 - After his wife died, he joined nurses to push for new staffing rules in hospitals. March 6, 2024 Wells K. Health Shots. KFF News and Michigan Public. February 22, 2024. https://psnet.ahrq.gov/issue/after-his-wife-died-he-joined-nurses-push-new-staffing-rules-hospitals Mandatory staffing ratios are a controversial … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47181/psn-pdfAugust 22, 2018 - Critical role of the surgeon–anesthesiologist relationship for patient safety. August 22, 2018 Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. https://psnet.ahrq.gov/issue/critical-role-surgeon-anesthes…
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