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psnet.ahrq.gov/node/43795/psn-pdf
December 17, 2014 - Systematic Systems Analysis: A Practical Approach to
Patient Safety Reviews.
December 17, 2014
Duchscherer C, Davies JM. Calgary, Alberta, Canada: Health Quality Council of Alberta; 2012.
https://psnet.ahrq.gov/issue/systematic-systems-analysis-practical-approach-patient-safety-reviews
Drawing from human factors a…
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psnet.ahrq.gov/node/41293/psn-pdf
June 01, 2012 - Developing an action plan for patient radiation safety in
adult cardiovascular medicine.
June 1, 2012
Douglas PS, Carr J, Cerqueira MD, et al. Developing an action plan for patient radiation safety in adult
cardiovascular medicine: proceedings from the Duke University Clinical Research Institute/American
College o…
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psnet.ahrq.gov/node/41818/psn-pdf
July 02, 2014 - Perspective: a business school view of medical
interprofessional rounds: transforming rounding groups
into rounding teams.
July 2, 2014
Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional
rounds: transforming rounding groups into rounding teams. Acad Med. 2012;87(1…
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psnet.ahrq.gov/node/45353/psn-pdf
July 20, 2016 - Using the web or an app instead of seeing a doctor?
Caution is advised.
July 20, 2016
Frakt A. New York Times. July 11, 2016.
https://psnet.ahrq.gov/issue/using-web-or-app-instead-seeing-doctor-caution-advised
Patients are increasingly using online symptom checkers for medical information and health care
recommen…
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psnet.ahrq.gov/node/50747/psn-pdf
December 18, 2019 - Fatigue and safety in paramedicine.
December 18, 2019
Donnelly EA, Bradford P, Davis M, et al. Fatigue and Safety in Paramedicine. CJEM. 2019;21(6):762-765.
doi:10.1017/cem.2019.380.
https://psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
While fatigue has been linked to safety-related outcomes in many health…
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psnet.ahrq.gov/node/74735/psn-pdf
February 02, 2022 - Addressing intimate partner violence and helping to
protect patients.
February 2, 2022
Quick Safety. January 18, 2022(63):1-3.
https://psnet.ahrq.gov/issue/addressing-intimate-partner-violence-and-helping-protect-patients
Patients may not always reveal underlying causes of ill health such as alcohol and drug misus…
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psnet.ahrq.gov/node/43562/psn-pdf
September 24, 2014 - What's that sound? Managing alarm fatigue.
September 24, 2014
George TP, Martin V. What?s that sound? Managing alarm fatigue. Nursing Made Incredibly Easy!.
2014;12(5). doi:10.1097/01.nme.0000452689.19763.3f.
https://psnet.ahrq.gov/issue/whats-sound-managing-alarm-fatigue
Alarm fatigue has been described as a cont…
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psnet.ahrq.gov/node/42981/psn-pdf
March 19, 2014 - Recognizing and managing errors of cognitive
underspecification.
March 19, 2014
Duthie EA. Recognizing and managing errors of cognitive underspecification. J Patient Saf. 2014;10(1):1-5.
doi:10.1097/PTS.0b013e3182a5f6e1.
https://psnet.ahrq.gov/issue/recognizing-and-managing-errors-cognitive-underspecification
Inc…
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psnet.ahrq.gov/node/42147/psn-pdf
March 27, 2013 - The clinical safety of disabled patients: proposal for a
methodology for analysis of health care risks and specific
measures for improvement.
March 27, 2013
Perea-Pérez B, Labajo-González E, Bratos-Murillo M, et al. The clinical safety of disabled patients:
proposal for a methodology for analysis of health care ri…
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psnet.ahrq.gov/node/35046/psn-pdf
June 22, 2009 - Patient safety: do nursing and medical curricula address
this theme?
June 22, 2009
Wakefield A, Attree M, Braidman I, et al. Patient safety: do nursing and medical curricula address this
theme? Nurse Educ Today. 2005;25(4):333-40.
https://psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address…
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psnet.ahrq.gov/node/42200/psn-pdf
December 18, 2013 - The relationship between patients' perceptions of team
effectiveness and their care experience in the emergency
department.
December 18, 2013
Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness
and their care experience in the emergency department. J Emerg M…
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psnet.ahrq.gov/node/44639/psn-pdf
September 12, 2016 - Evaluation of parenteral nutrition errors in an era of drug
shortages.
September 12, 2016
Storey MA, Weber RJ, Besco K, et al. Evaluation of Parenteral Nutrition Errors in an Era of Drug
Shortages. Nutr Clin Pract. 2016;31(2):211-7. doi:10.1177/0884533615608820.
https://psnet.ahrq.gov/issue/evaluation-parenteral-n…
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psnet.ahrq.gov/node/50837/psn-pdf
January 29, 2020 - Better care for surgical patients: recognizing and
responding to the unexpected to save lives.
January 29, 2020
Ghaferi A. IHPI Brief. December 2019.
https://psnet.ahrq.gov/issue/better-care-surgical-patients-recognizing-and-responding-unexpected-save-
lives
Surgical compl…
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psnet.ahrq.gov/node/45809/psn-pdf
October 29, 2017 - Three perspectives on changes in resident work
environment and duty hours.
October 29, 2017
Bilimoria KY, Meyers MO, Mouawad NJ, et al. JAMA Surg. 2017;152(10):903-908.
https://psnet.ahrq.gov/issue/three-perspectives-changes-resident-work-environment-and-duty-hours
In July 2017, the ACGME modified resident physici…
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psnet.ahrq.gov/node/37555/psn-pdf
February 14, 2018 - ACOG Committee Opinion #730: fatigue and patient
safety.
February 14, 2018
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78-
e81.
https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety
This commentary discusses how sleep deprivation affects…
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psnet.ahrq.gov/node/764408/psn-pdf
March 02, 2022 - Ensuring critical instruments and devices are appropriate
for reuse.
March 2, 2022
Quick Safety. February 14, 2022;(64):1-3.
https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
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psnet.ahrq.gov/node/44934/psn-pdf
February 07, 2023 - National Safety Standards for Invasive Procedures
(NatSSIPs2).
February 7, 2023
Centre for Perioperative Care. London, UK; January 2023.
https://psnet.ahrq.gov/issue/national-safety-standards-invasive-procedures-natssips
Patients face risks when undergoing surgery. This revised guidance provides recommendations de…
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psnet.ahrq.gov/node/43844/psn-pdf
January 21, 2015 - Unintended side effects: arbitration and the deterrence of
medical error.
January 21, 2015
Shieh D. N Y Univ Law Rev. 2014;89:1806-1835.
https://psnet.ahrq.gov/issue/unintended-side-effects-arbitration-and-deterrence-medical-error
This commentary explores the role of medical malpractice arbitration as a deterrent …
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psnet.ahrq.gov/node/42525/psn-pdf
November 20, 2013 - A Promise to Learn—a Commitment to Act: Improving the
Safety of Patients in England.
November 20, 2013
National Advisory Group on the Safety of Patients in England. London, England: Crown Publishing; August
2013.
https://psnet.ahrq.gov/issue/promise-learn-commitment-act-improving-safety-patients-england
An intern…
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psnet.ahrq.gov/node/45012/psn-pdf
September 28, 2016 - Nursing strategies to increase medication safety in
inpatient settings.
September 28, 2016
Bravo K, Cochran GL, Barrett R. Nursing Strategies to Increase Medication Safety in Inpatient Settings. J
Nurs Care Qual. 2016;31(4):335-41. doi:10.1097/NCQ.0000000000000181.
https://psnet.ahrq.gov/issue/nursing-strategies-i…