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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43120/psn-pdf
    September 27, 2016 - How studying human factors improves patient safety. September 27, 2016 Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. https://psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety Human factors engineering is being increasingly promoted as an…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50809/psn-pdf
    January 15, 2020 - Electronic Health Record (EHR) Safety and Usability: See What We Mean. January 15, 2020 MedStar Health National Center for Human Factors in Healthcare. https://psnet.ahrq.gov/issue/electronic-health-record-ehr-safety-and-usability-see-what-we-mean Electronic health records (EHR) optimize information functions in c…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838638/psn-pdf
    September 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42355/psn-pdf
    February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47320/psn-pdf
    September 05, 2018 - Patient safety climate: a study of Southern California healthcare organizations. September 5, 2018 Avramchuk AS, McGuire SJJ. Patient Safety Climate: A Study of Southern California Healthcare Organizations. J Healthc Manag. 2018;63(3):175-192. doi:10.1097/JHM-D-16-00004. https://psnet.ahrq.gov/issue/patient-safety…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46943/psn-pdf
    November 16, 2018 - A piece of my mind. The art of constructive worrying. November 16, 2018 John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670. https://psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying Both organizational culture and individual accountability are key to admit…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34585/psn-pdf
    March 07, 2005 - John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. March 7, 2005 Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Qual Improv. 2002;28(12):651-659, 633. h…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43763/psn-pdf
    April 22, 2015 - The nurse's role in medication safety. April 22, 2015 Durham B. The nurse's role in medication safety. Nursing (Brux). 2015;45(4). doi:10.1097/01.NURSE.0000461850.24153.8b. https://psnet.ahrq.gov/issue/nurses-role-medication-safety-0 Nurses perform a critical role in preventing medication errors. This commentary e…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38559/psn-pdf
    June 16, 2009 - Regional surveillance of emergency-department visits for outpatient adverse drug events. June 16, 2009 Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.1007/s00228-009-0641-8. https://psnet.a…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47112/psn-pdf
    May 09, 2018 - 34 ways to survive your next trip to the hospital. May 9, 2018 Crouch M. Reader's Digest. April 2018. https://psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital Involving patients in their care can help improve safety. This magazine article provides 34 tips from leading patient safety experts to assist p…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47412/psn-pdf
    October 31, 2018 - The systems approach at the sharp end. October 31, 2018 Cross SRH. The systems approach at the sharp end. Future Healthc J. 2019;5(3):176-180. doi:10.7861/futurehosp.5-3-176. https://psnet.ahrq.gov/issue/systems-approach-sharp-end Systems solutions are often focused on creating improvements at the organizational o…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41378/psn-pdf
    March 04, 2015 - Clinically missed cancer: how effectively can radiologists use computer-aided detection? March 4, 2015 Nishikawa RM, Schmidt RA, Linver MN, et al. Clinically Missed Cancer: How Effectively Can Radiologists Use Computer-Aided Detection? American Journal of Roentgenology. 2012;198(3). doi:10.2214/ajr.11.6423. https…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44717/psn-pdf
    February 10, 2016 - Trends and patterns in reporting of patient safety situations in transplantation. February 10, 2016 Stewart DE, Tlusty SM, Taylor KH, et al. Trends and Patterns in Reporting of Patient Safety Situations in Transplantation. Am J Transplant. 2015;15(12):3123-33. doi:10.1111/ajt.13528. https://psnet.ahrq.gov/issue/tr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41296/psn-pdf
    April 11, 2012 - I-PASS, a mnemonic to standardize verbal handoffs. April 11, 2012 Starmer AJ, Spector ND, Srivastava R, et al. I-pass, a mnemonic to standardize verbal handoffs. Pediatrics. 2012;129(2):201-4. doi:10.1542/peds.2011-2966. https://psnet.ahrq.gov/issue/i-pass-mnemonic-standardize-verbal-handoffs Poor communication at…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45236/psn-pdf
    June 15, 2016 - Advancing Patient Safety in Cataract Surgery: A Betsy Lehman Center Expert Panel Report. June 15, 2016 Boston, MA: Betsy Lehman Center for Patient Safety and Medical Error Reduction; 2016. https://psnet.ahrq.gov/issue/advancing-patient-safety-cataract-surgery-betsy-lehman-center-expert-panel- report Cataract surg…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48145/psn-pdf
    July 17, 2019 - Mental mayhem: the peril of multitasking in medicine. July 17, 2019 Joseph R; Harry E. https://psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how multitasking can contribute to surgeon fatigue, b…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851059/psn-pdf
    June 28, 2023 - Causes for medical errors in obstetrics and gynaecology. June 28, 2023 Klemann D, Rijkx M, Mertens H, et al. Causes for medical errors in obstetrics and gynaecology. Healthcare (Basel). 2023;11(11):1636. doi:10.3390/healthcare11111636. https://psnet.ahrq.gov/issue/causes-medical-errors-obstetrics-and-gynaecology R…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74859/psn-pdf
    February 23, 2022 - Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis. February 23, 2022 doi:http://doi.org/10.23750/abm.v92iS2.11507. https://psnet.ahrq.gov/issue/characteristics-registered-clinical-trials-assessing-strategies-medication-errors- p…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39993/psn-pdf
    July 03, 2014 - The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study. July 3, 2014 Krein SL, Damschroder LJ, Kowalski CP, et al. The influence of organizational context on quality improvement and patient safety efforts in infection prev…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843095/psn-pdf
    January 25, 2023 - Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. January 25, 2023 Sentinel Event Alert. January 17, 2023:(66):1-5. https://psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity- pregnant-and Racial and ethnic in…
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