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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46492/psn-pdfNovember 29, 2017 - Themed Issue on the Opioid Epidemic. November 29, 2017 Benzon HT, Anderson TA, eds. Anesth Analg. 2017;125(5):1427-1778. https://psnet.ahrq.gov/issue/themed-issue-opioid-epidemic Anesthesiologists provide pain management services in both perioperative and inpatient settings. Articles in this special issue review f… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43535/psn-pdfSeptember 24, 2014 - The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation. September 24, 2014 Dixon-Woods M, Minion JT, McKee L, et al. The friends and family test: a qualitative study of concerns that influence the willing… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38831/psn-pdfAugust 05, 2009 - Rural hospital information technology implementation for safety and quality improvement: lessons learned. August 5, 2009 Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform Nurs. 2009;27(4):206-14. doi:10.1097… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34706/psn-pdfDecember 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. December 23, 2012 Bhasale AL, Miller GC, Reid SE, et al. Analysing potential harm in Australian general practice: an incident- monitoring study. Med J Aust. 1998;169(2):73-6. https://psnet.ahrq.gov/issue/analysing-potential-harm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/841155/psn-pdfFebruary 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34724/psn-pdfMay 27, 2011 - From patients to politicians: a cognitive engineering view of patient safety. May 27, 2011 Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. https://psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety V… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859353/psn-pdfDecember 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867085/psn-pdfNovember 06, 2024 - The medication kit conundrum: considerations to enhance safety and efficiency. November 6, 2024 Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233. https://psnet.ahrq.gov/issue/medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47064/psn-pdfAugust 22, 2018 - Lax oversight leaves surgery center regulators and patients in the dark. August 22, 2018 Jewett C, Alesia M. Kaiser Health News. August 9, 2018. https://psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark High-profile failures during office-based procedures have raised awareness o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38172/psn-pdfOctober 29, 2008 - Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study. October 29, 2008 McKay J, Bowie P, Murray L, et al. Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43320/psn-pdfSeptember 26, 2016 - Identification and interference of intraoperative distractions and interruptions in operating rooms. September 26, 2016 Antoniadis S, Passauer-Baierl S, Baschnegger H, et al. Identification and interference of intraoperative distractions and interruptions in operating rooms. J Surg Res. 2014;188(1):21-29. doi:10.1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34780/psn-pdfMarch 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44196/psn-pdfMarch 27, 2017 - Patient Safety in Ambulance Services: A Scoping Review. March 27, 2017 Patient Safety In Ambulance Services: A Scoping Review. https://psnet.ahrq.gov/issue/patient-safety-ambulance-services-scoping-review The safety of emergency medical care delivered in conjunction with ambulance services has not been studied in … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36494/psn-pdfAugust 29, 2016 - Medication prescribing errors involving the route of administration. August 29, 2016 Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. https://psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39707/psn-pdfJanuary 07, 2015 - Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. January 7, 2015 Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anesth Analg. 2010;111(3):679-86. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47252/psn-pdfAugust 01, 2018 - Communication errors in radiology—pitfalls and how to avoid them. August 1, 2018 Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. https://psnet.ahrq.gov/issue/communication-errors-radiology-pi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45592/psn-pdfOctober 27, 2016 - Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. October 27, 2016 Chicago, IL: Health Research & Educational Trust; October 2016. https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center- transforming-hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855100/psn-pdfNovember 08, 2023 - Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors. November 8, 2023 Le Coz E. USA Today. October 26, 2023. https://psnet.ahrq.gov/issue/prescription-disaster-americas-broken-pharmacy-system-revolt-over-burnout- and-errors Chain pharmacies provide prescriptions in an env… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39504/psn-pdfMay 05, 2010 - Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. May 5, 2010 Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J Hosp Med. 2010;5(4):234-9. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48149/psn-pdfJuly 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. July 31, 2019 Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928. https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare Achieving zero preventable harms h…
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