-
psnet.ahrq.gov/node/46336/psn-pdf
August 23, 2017 - Improving the Working Environment for Safe Surgical
Care.
August 23, 2017
Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of
Edinburgh; July 31, 2017.
https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
Surgical training is demanding and can r…
-
psnet.ahrq.gov/node/46221/psn-pdf
July 02, 2017 - Tools and methods for quality improvement and patient
safety in perinatal care.
July 2, 2017
Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care.
Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002.
https://psnet.ahrq.gov/issue/tools-and-methods-q…
-
psnet.ahrq.gov/node/40219/psn-pdf
December 29, 2014 - Cardiac surgery errors: results from the UK National
Reporting and Learning System.
December 29, 2014
Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting
and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/intqhc/mzq084.
https://psnet.ah…
-
psnet.ahrq.gov/node/47462/psn-pdf
October 31, 2018 - Emergency department checklist: an innovation to
improve safety in emergency care.
October 31, 2018
Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in
emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-000325.
https://psnet.ahrq.gov/issue/e…
-
psnet.ahrq.gov/node/836833/psn-pdf
March 30, 2022 - As a nurse faces prison for a deadly error, her colleagues
worry: could I be next?
March 30, 2022
Kelman B. Kaiser Health News. March 22, 2022
https://psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next
Criminalization of medical mistakes typifies the blame-focused approach pa…
-
psnet.ahrq.gov/node/44473/psn-pdf
September 27, 2016 - Medication errors in hospitals: a literature review of
disruptions to nursing practice during medication
administration.
September 27, 2016
Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to
nursing practice during medication administration. J Clin Nurs. 2…
-
psnet.ahrq.gov/node/60800/psn-pdf
January 01, 2021 - Changing hospital organisational culture for improved
patient outcomes: developing and implementing the
Leadership Saves Lives intervention.
August 12, 2020
Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient
outcomes: developing and implementing the leadership s…
-
psnet.ahrq.gov/node/46384/psn-pdf
November 14, 2018 - Peggy Lillis Foundation.
November 14, 2018
266 12th Street #6, Brooklyn, NY 11215.
https://psnet.ahrq.gov/issue/peggy-lillis-foundation
Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots
foundation employs educational, policy, and advocacy strategies aimed at red…
-
psnet.ahrq.gov/node/837605/psn-pdf
June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American
Lives and on the Health of our Nation.
June 29, 2022
Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.
https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation
Health inequities are receiving increased …
-
psnet.ahrq.gov/node/74064/psn-pdf
May 27, 2021 - Achieving zero inequity: lessons learned from patient
safety.
May 27, 2021
Gandhi TK. NEJM Catalyst. May 27, 2021.
https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
The COVID-19 pandemic has shown a spotlight on bias, disparities, and inequity in the healthcare system.
The author…
-
psnet.ahrq.gov/node/46253/psn-pdf
August 28, 2017 - Diagnostic stewardship—leveraging the laboratory to
improve antimicrobial use.
August 28, 2017
Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve
Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531.
https://psnet.ahrq.gov/issue/diagnostic-stewardship-l…
-
psnet.ahrq.gov/node/41425/psn-pdf
June 19, 2012 - Mortality and morbidity meetings: an untapped resource
for improving the governance of patient safety?
June 19, 2012
Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving
the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…
-
psnet.ahrq.gov/node/867016/psn-pdf
October 23, 2024 - An automated, dynamic radiation oncology prescription
checking system.
October 23, 2024
Pashtan IM, Kosak T, Shin K-Y, et al. An automated, dynamic radiation oncology prescription checking
system. Pract Radiat Oncol. 2024;14(4):343-352. doi:10.1016/j.prro.2023.12.002.
https://psnet.ahrq.gov/issue/automated-dynamic…
-
psnet.ahrq.gov/node/50940/psn-pdf
February 26, 2020 - The effect of smartphone-based application learning on
the nursing students' performance in preventing
medication errors in the pediatric units.
February 26, 2020
Pourteimour S, Hemmati MalsakPak M, Jasemi M, et al. The effect of smartphone-based application
learning on the nursing students' performance in prevent…
-
psnet.ahrq.gov/node/44014/psn-pdf
March 20, 2019 - Patient Centered Medical Home Resource Center: Quality
and Safety.
March 20, 2019
Agency for Healthcare Research and Quality.
https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety
The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…
-
psnet.ahrq.gov/node/43888/psn-pdf
August 02, 2015 - Diagnostic performance by medical students working
individually or in teams.
August 2, 2015
Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working
individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770.
https://psnet.ahrq.gov/issue/diagnostic-performance…
-
psnet.ahrq.gov/node/46519/psn-pdf
December 22, 2018 - Delirium in hospitalized older adults.
December 22, 2018
Marcantonio ER. Delirium in Hospitalized Older Adults. N Engl J Med. 2017;377(15):1456-1466.
doi:10.1056/NEJMcp1605501.
https://psnet.ahrq.gov/issue/delirium-hospitalized-older-adults
Delirium is considered a patient safety problem that can be prevented with…
-
psnet.ahrq.gov/node/47464/psn-pdf
October 17, 2018 - How to prevent the top 4 medication errors.
October 17, 2018
Sederstrom J. Drug Topics. September 17, 2018.
https://psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors
Medication errors continue to be a worldwide patient safety challenge that requires both systems and
individual practice strategies for improv…
-
psnet.ahrq.gov/node/44410/psn-pdf
August 12, 2015 - Workarounds in the workplace: a second look.
August 12, 2015
Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242.
doi:10.1097/NOR.0000000000000161.
https://psnet.ahrq.gov/issue/workarounds-workplace-second-look
Workarounds are prevalent in health care and create opport…
-
psnet.ahrq.gov/node/44299/psn-pdf
November 06, 2015 - Nurse practitioner–led medication reconciliation in critical
access hospitals.
November 6, 2015
Young L, Barnason S, Hays K, et al. Nurse Practitioner–led Medication Reconciliation in Critical Access
Hospitals. The Journal for Nurse Practitioners. 2015;11(5). doi:10.1016/j.nurpra.2015.03.005.
https://psnet.ahrq.go…