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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46728/psn-pdfMarch 27, 2018 - Near-miss event analysis enhances the barcode medication administration process. March 27, 2018 Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. https://psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration- process Near misses provide unique opportunities to ide… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50937/psn-pdfFebruary 26, 2020 - Emergency intubation of children outside of the operating room. February 26, 2020 Long E, Barrett MJ, Peters C, et al. Emergency intubation of children outside of the operating room. Paediatr Anaesth. 2020;30(3):319-330. doi:10.1111/pan.13784. https://psnet.ahrq.gov/issue/emergency-intubation-children-outside-oper… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850354/psn-pdfJune 14, 2023 - The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 intensive care units: a quasi-experimental study. June 14, 2023 Tataei A, Rahimi B, Afshar HL, et al. The effects of electronic nursing handover on patient safety in the general (non-COVID-19) and COVID-19 inten… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72771/psn-pdfFebruary 24, 2021 - What COVID-19 teaches us about implicit bias in pediatric health care. February 24, 2021 Mulchan SS, Wakefield EO, Santos M. What COVID-19 teaches us about implicit bias in pediatric health care. J Ped Psychol. 2021;46(2):138-143. doi:10.1093/jpepsy/jsaa131. https://psnet.ahrq.gov/issue/what-covid-19-teaches-us-ab… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854381/psn-pdfOctober 11, 2023 - Addressing bias in acute postoperative pain management. October 11, 2023 Harbell MW, Maloney J, Anderson MA, et al. Addressing bias in acute postoperative pain management. Curr Pain Headache Rep. 2023;27(9):407-415. doi:10.1007/s11916-023-01135-0. https://psnet.ahrq.gov/issue/addressing-bias-acute-postoperative-pa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60327/psn-pdfMay 13, 2020 - Recommendations of individualized medical treatment and common adverse events management for lung cancer patients during the outbreak of COVID-19 epidemic. May 13, 2020 Zhao Z, Bai H, Duan J, et al. Recommendations of individualized medical treatment and common adverse events management for lung cancer patients du… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73085/psn-pdfJanuary 01, 2022 - Multiple meanings of resilience: health professionals' experiences of a dual element training intervention designed to help them prepare for coping with error. March 31, 2021 Janes G, Harrison R, Johnson J, et al. Multiple meanings of resilience: health professionals' experiences of a dual element training interve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47295/psn-pdfSeptember 24, 2018 - Using learning communities to support adoption of health care innovations. September 24, 2018 Carpenter D, Hassell S, Mardon R, et al. Using Learning Communities to Support Adoption of Health Care Innovations. Jt Comm J Qual Patient Saf. 2018;44(10):566-573. doi:10.1016/j.jcjq.2018.03.010. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74869/psn-pdfFebruary 23, 2022 - Three new best practices in the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. February 23, 2022 ISMP Medication Safety Alert! Acute care edition. February 10, 2022:27(3):1-6. https://psnet.ahrq.gov/issue/three-new-best-practices-2022-2023-targeted-medication-safety-best- practices-hospitals B… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844765/psn-pdfSeptember 18, 2019 - Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019 Pinkney SJ, Fan M, Koczmara C, et al. Untangling Infusion Confusion: A Comparative Evaluation of Interventions in a Simulated Intensive Care Setting. Crit Care Med. 2019;47(7):e597-e601… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60015/psn-pdfMarch 04, 2020 - Uncertainty in decision making in medicine: a scoping review and thematic analysis of conceptual models. March 4, 2020 Helou MA, DiazGranados D, Ryan MS, et al. Uncertainty in Decision Making in Medicine. Acad Med. 2020;95(1):157-165. doi:10.1097/acm.0000000000002902. https://psnet.ahrq.gov/issue/uncertainty-decis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45817/psn-pdfOctober 25, 2017 - The Case for Investing in Patient Safety in Canada. October 25, 2017 RiskAnalytica. Ottawa, ON: Canadian Patient Safety Institute; 2017. https://psnet.ahrq.gov/issue/case-investing-patient-safety-canada Medical error and patient harm affect individuals and organizations around the world. This report estimates that… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/863211/psn-pdfFebruary 28, 2024 - Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries. February 28, 2024 Aiken LH, Sermeus W, McKee M, et al. BMJ Open. 2024;14(2):e079931. https://psnet.ahrq.gov/issue/physician-and-nurse-well-being-patient-safety-and-re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/850932/psn-pdfJune 21, 2023 - Evaluation of detected medication errors within the operating room at an academic medical center. June 21, 2023 Wolf M, Rolf J, Nelson D, et al. Evaluation of detected medication errors within the operating room at an academic medical center. Hosp Pharm. 2023;58(3):309-314. doi:10.1177/00185787221145110. https://p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74751/psn-pdfFebruary 09, 2022 - A quality improvement initiative to improve patient safety event reporting by residents. February 9, 2022 Herchline D, Rojas C, Shah AA, et al. A quality improvement initiative to improve patient safety event reporting by residents. Pediatr Qual Saf. 2022;7(1):e519. doi:10.1097/pq9.0000000000000519. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40410/psn-pdfMay 11, 2011 - Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. May 11, 2011 Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug-dru… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45576/psn-pdfJuly 02, 2017 - Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report on diagnostic error. July 2, 2017 Larson DB, Donnelly LF, Podberesky DJ, et al. Peer Feedback, Learning, and Improvement: Answering the Call of the Institute of Medicine Report on Diagnostic Error. Radiology. 2017;283(1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47323/psn-pdfSeptember 26, 2018 - About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. September 26, 2018 Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback: Exploring Resident and Faculty Perceptions of How Institutional Feedbac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/843460/psn-pdfFebruary 01, 2023 - Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post- induction checklist. February 1, 2023 Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checkli… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38436/psn-pdfFebruary 25, 2009 - The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. February 25, 2009 Raff LJ, Engel G, Beck KR, et al. The effectiveness of inking needle core prostate biopsies for …
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